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Folliculitis
How should folliculitis be treated?
Folliculitis is caused by a bacterial infection of the hair follicles. The first step in treating folliculitis is to maintain skin cleanliness. In the summer, it is important to bathe and change clothes frequently. Additionally, topical medications can be used, such as mupirocin ointment. For some cases of folliculitis that have not yet suppurated, ichthammol ointment can be applied to the swollen areas, and topical iodine can be used. For more severe cases of folliculitis, especially when boils form or multiple follicles are affected and congested, oral medications may be used. Commonly used in clinical settings are penicillins or cephalosporins if the patient is not allergic to them. Alternatively, macrolides like erythromycin, or fluoroquinolones and quinolones can be chosen. (Medication use should be under the guidance of a physician.)
What is folliculitis excision surgery?
Most cases of folliculitis are not very severe and can usually be gradually reduced with common oral and topical anti-inflammatory medications. If a particular folliculitis is relatively large, with a pronounced pustule, local disinfection and lancing to remove pus and blood may also be considered. Some cases of folliculitis are characteristically very painful and soft to the touch; in these instances, surgical drainage may be employed. Generally, after thorough surgical cleaning, the area can slowly heal. During treatment, anti-inflammatory medications should continue to be taken orally. It's recommended to avoid spicy and irritating foods for a long period, avoid staying up late, and it is best not to keep small animals at home or go to public baths and swimming pools. (Please use medication under the guidance of a professional physician and do not medicate blindly.)
Can folliculitis be popped?
Generally speaking, folliculitis can mostly subside slowly by itself through oral or topical anti-inflammatory medications. If an individual follicle is particularly large, or if long-term medication is ineffective, local disinfection followed by draining the pus can be effective. This condition is associated with vigorous secretion of sebaceous glands, eating spicy and stimulating foods, or frequently staying up late. Therefore, after recovery, it is essential to regulate one's diet and lifestyle habits: avoid staying up late and consuming spicy or heavily flavored foods. Regular exercise, frequent bathing, and sweating can help prevent relapse. Continuously taking medications that reduce sebaceous gland secretion or those that clear heat and purge fire long-term can also be beneficial.
How to completely cure folliculitis?
The occurrence of folliculitis is related to the immune status of the body. To avoid recurrence, regular dietary and lifestyle habits are necessary, along with adjustments to the body's immune status. It is advisable to avoid spicy and irritating foods, and enhance the cleanliness of the scalp and skin. Anti-inflammatory and symptomatic treatments should be administered, including oral ingestion of Tanshinone IIA sulfonate capsules and Doxycycline Hydrochloride capsules. Topical use of Fusidic acid cream on the affected follicle areas can be combined with physical therapies, such as red and blue light exposure twice a week for three consecutive weeks, thus achieving anti-inflammatory effects and improving microcirculation. Folliculitis commonly occurs in oily skin types, therefore, it is advisable to consume more green vegetables and coarse fibers to regulate metabolism. (The use of medications should be carried out under the guidance of a physician.)
Symptoms of vulvar folliculitis
The symptoms of vulvar folliculitis generally manifest as redness, swelling, heat, and pain. When folliculitis occurs in the vulvar area, it can cause redness and swelling of the affected follicles, sometimes with a burning sensation, as well as pain in the area. If the inflammation is pronounced, the redness and swelling of the folliculitis can be severe, and pus formation may also occur. In such cases, it is necessary to puncture the pustules to drain the pus. The vulvar area has a rich supply of hair follicles and poor ventilation, making it susceptible to folliculitis. It is crucial to maintain good hygiene in the genital area.
How to treat folliculitis in the buttocks area?
Folliculitis in the buttocks should first avoid continued exposure to damp environments, keeping the area dry, and applying topical medications such as Rifan and potassium permanganate solution. Apply these topically twice a day, in the morning and evening, along with oral anti-inflammatory and antibacterial medication. Topical application of traditional Chinese medicine plasters, such as those promoting tissue regrowth and pus discharge, can also be used to break open and heal the pus-filled abscesses formed after folliculitis. Alternatively, using Western medicine approaches, after the acute inflammation and redness subside and significant abscesses form, incision and drainage can be performed. Both of these methods are viable, but avoid incisions and surgical treatments during the acute phase.
Is chicken skin keratosis pilaris?
Chicken skin, scientifically known as keratosis pilaris, is a chronic keratinizing skin disease of the hair follicles, not folliculitis. Keratosis pilaris has a high prevalence rate, often beginning in childhood and becoming significantly worse during adolescence. The condition may be related to genetics, vitamin A deficiency, and metabolic disorders. It commonly occurs on the upper arms, near the shoulders, and on the extensor sides of the thighs. Chicken skin appears as a distinctive rough texture on the skin, with follicular papules ranging from the size of a pinhead to a grain, matching the color of the skin, and not merging. Generally, this condition does not require treatment as it primarily affects only the aesthetic appearance of the skin. However, topical treatments such as tretinoin cream and urea cream can be used, and in severe cases, oral vitamin A, vitamin E, or retinoid medications may be prescribed. (Use medications under medical supervision.)
What causes folliculitis?
Folliculitis is a very common skin condition that most people have experienced. It is primarily caused by the infection of the hair follicles and the surrounding areas by bacteria, predominantly Staphylococcus aureus and Streptococcus. The scalp, due to its developed sebaceous glands and abundant hair, secretes a lot of oil and is particularly prone to bacterial growth, making it a common site for folliculitis. It is crucial to treat folliculitis with timely anti-infection measures.
Does folliculitis require surgery?
Folliculitis generally does not require surgery, and can be completely cured by commonly used oral and topical anti-inflammatory drugs. If individual folliculitis is particularly prominent and has some pustules, you can disinfect the area locally, then use a needle to break them open and clean out the pus and blood. Unless the folliculitis is large, especially those on the scalp, and chronic medication is ineffective and gradually worsening, surgery might be required. You can go to the dermatology department of a regular hospital for surgery to completely clean out the pus and blood. To prevent recurrence of this disease, avoid spicy and irritating foods, do not stay up late, strengthen exercise, sweat more, and bathe more frequently.
How is folliculitis considered cured?
After treatment for folliculitis, if the affected area feels completely flat when touched by hand, without any protruding or proliferative hard nodules, or red bumps, and lacks any pustule-like papules, it is generally considered to be healed. However, even though the condition has healed, it cannot be completely eradicated and there is still a risk of recurrence. It is crucial to avoid spicy and irritating foods long-term, try not to stay up late, engage in regular exercise, sweat more, bathe more frequently, and avoid soaking in public baths or swimming to reduce the possibility of bacterial infections. Also, avoid consuming spicy, greasy, or sweet foods as they can increase internal heat and dampness in the body, potentially exacerbating folliculitis. Therefore, once this condition occurs, it is essential to undergo standardized treatment.