Rosacea - what kind do you have, what doc treats it, and what's worked?

Anonymous
Dermatologist.

Finacea.

Cutting all perfumes out of any skin care product I used.

Using a super mild facial cleanser.

No physical exfoliants.
Anonymous
Anonymous wrote:Dermatologist.

Finacea.

Cutting all perfumes out of any skin care product I used.

Using a super mild facial cleanser.

No physical exfoliants.


+1

I developed rosacea about 20 years ago. I took low-dose antibiotics for about a year, and used Metro Gel, later switching to Finacea. Finacea seemed to work the best in keeping the inflammation down. I use only mild cleansers and basic moisturizers (no AHAs, scrubs, or anything), and I wear sunscreen.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I developed rosacea after a sinus infection that required 3 courses of antibiotics. It took me about a year to figure out what triggers my face and neck to turn bright red/itchy/bumpy. I now avoid those triggers with a passion and that controls 80% of my flare ups. When my face starts to get tingly and hot I do cold compresses and a Benadryl to slow it down. I only wash my face with Dove Sensitive skin. I can only use Aveno lotion. I can't use any makeup. The only lip balm I can use is Chapstick, Burts Bees, Carmex and Blixtex tinted with spf. Figuring all of this out was a painful and frustrating process. I also can no longer drink beer or wine. I can drink hard alcohol once in a while. My dermatologist suggested I take a Pepcid Complete 1 hour before a drink to help the flare up and it usually does help. During the winter I have a humidifier going 24/7 in our house to help as well.


You probably also have SIBO.

See a GI doctor. Consider Rifaximin. You need to kill the bacteria that has gotten into your small intestine, most likely.


The SIBO idea is interesting, but I don't have the symptoms listed in the above post. Hmm..I'll ask my doctor, though. The timing after my surgery and antibiotics and ER visit are all too weird.


Do you mean you don’t have symptoms in the DCUM post or in the article?

Please Google it and be sure you are reading the full list of symptoms.

It’s tricky because the overgrowth can do lots of different things to different people.

For some, they get GERD or IBS. Others get rosacea or brain fog.

A GI doctor is your best bet. SIBO entered the medical literature in 2007 but it is surprising how many doctors don’t know much about it. My primary knows very little so I saw a GI.

My skin cleared up right away after years of misery.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I developed rosacea after a sinus infection that required 3 courses of antibiotics. It took me about a year to figure out what triggers my face and neck to turn bright red/itchy/bumpy. I now avoid those triggers with a passion and that controls 80% of my flare ups. When my face starts to get tingly and hot I do cold compresses and a Benadryl to slow it down. I only wash my face with Dove Sensitive skin. I can only use Aveno lotion. I can't use any makeup. The only lip balm I can use is Chapstick, Burts Bees, Carmex and Blixtex tinted with spf. Figuring all of this out was a painful and frustrating process. I also can no longer drink beer or wine. I can drink hard alcohol once in a while. My dermatologist suggested I take a Pepcid Complete 1 hour before a drink to help the flare up and it usually does help. During the winter I have a humidifier going 24/7 in our house to help as well.


You probably also have SIBO.

See a GI doctor. Consider Rifaximin. You need to kill the bacteria that has gotten into your small intestine, most likely.


The SIBO idea is interesting, but I don't have the symptoms listed in the above post. Hmm..I'll ask my doctor, though. The timing after my surgery and antibiotics and ER visit are all too weird.


Do you mean you don’t have symptoms in the DCUM post or in the article?

Please Google it and be sure you are reading the full list of symptoms.

It’s tricky because the overgrowth can do lots of different things to different people.

For some, they get GERD or IBS. Others get rosacea or brain fog.

A GI doctor is your best bet. SIBO entered the medical literature in 2007 but it is surprising how many doctors don’t know much about it. My primary knows very little so I saw a GI.

My skin cleared up right away after years of misery.


Could you recommend your GI?
Anonymous
Skin issues start in the gut. No surprise it came after surgery. I had SIBO (twice unfortunately- both times after antibiotics), and once I went to a practitioner that knew how to treat it, my skin has never been better. It’s all about balancing your gut. I even saw my 4th baby who had terrible eczema, turn it around once I changed his formula to goat ......

It’s all about the gut
Anonymous
Anonymous wrote:Skin issues start in the gut. No surprise it came after surgery. I had SIBO (twice unfortunately- both times after antibiotics), and once I went to a practitioner that knew how to treat it, my skin has never been better. It’s all about balancing your gut. I even saw my 4th baby who had terrible eczema, turn it around once I changed his formula to goat ......

It’s all about the gut


+1

I’m also not surprised that these posters have other autoimmune disorders. The body is totally out of balance.
Anonymous
OP again - SIBO is interesting, although I don't have the gut complaints in the symptoms listed on the Mayo/other sites. I'd feel foolish going to a GI with only my rosacea complaint and the timing of its onset. Would be interested in a GI suggestion who would think this isn't a crazy notion absent IBS symptoms.
Anonymous
Anonymous wrote:Skin issues start in the gut. No surprise it came after surgery. I had SIBO (twice unfortunately- both times after antibiotics), and once I went to a practitioner that knew how to treat it, my skin has never been better. It’s all about balancing your gut. I even saw my 4th baby who had terrible eczema, turn it around once I changed his formula to goat ......

It’s all about the gut


Any recommendations for who to go to for this?
Anonymous
Innnnteresting about SIBO. Thanks for the 411.

I have had Rosacea for 20 years and only was diagnosed about 5 years ago. I mostly had the little papules and thought I had adult breakouts. When I had an ocular flare I was told I had Rosacea and the redness is more apparent as I get older.

I have Hashimoto's, which also fits the autoimmune profile discussed above. Would love the name of a GI doc that might be good at straightening me out, so please do share. TIA!
Anonymous
I’m 55 post menopausal and developed rosacea this past summer. Mine started with redness but then I started to get pustules on my cheeks. The really bad dermatologist that I saw prescribed Soolantra (read up on face mites at your own risk) and metronidazole - I used one in the am and one in the pm. It worked to get rid of the bumps but I still have the redness. The derm told me the only way to get rid of the redness is IPL or other related laser therapy. I’m still educating myself about this and trying new products to see if they help. I have joined a Facebook rosacea group that has been very helpful with respect to learning about products to try.
Anonymous
Anonymous wrote:
Anonymous wrote:Skin issues start in the gut. No surprise it came after surgery. I had SIBO (twice unfortunately- both times after antibiotics), and once I went to a practitioner that knew how to treat it, my skin has never been better. It’s all about balancing your gut. I even saw my 4th baby who had terrible eczema, turn it around once I changed his formula to goat ......

It’s all about the gut


Any recommendations for who to go to for this?


Try this:

https://www.siboinfo.com/finding-a-doctor.html
Anonymous
More on SIBO practitioners

A skilled dietician working in conjunction with a doctor can also help.
https://www.thesibodoctor.com/

Also Google for the John’s Hopkins study in using herbal remedies for SIBO. I used that doctor’s protocol and it reduced SIBO a lot. However, I had a bad, bad case of it and later opted for Rifaximin.

It took three rounds of Rifaximin to get rid of it, and I still worry it will return or that it has returned.

My gut will never be the same, but it’s okay because I feel so much better.
Anonymous
Anonymous wrote:More on SIBO practitioners

A skilled dietician working in conjunction with a doctor can also help.
https://www.thesibodoctor.com/

Also Google for the John’s Hopkins study in using herbal remedies for SIBO. I used that doctor’s protocol and it reduced SIBO a lot. However, I had a bad, bad case of it and later opted for Rifaximin.

It took three rounds of Rifaximin to get rid of it, and I still worry it will return or that it has returned.

My gut will never be the same, but it’s okay because I feel so much better.


Thanks, OP here, found that study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4030608/ . Which herbals did you use? I'm going to give one of these herbal remedies a try...
Anonymous
I have whatever type results in tiny pustules. Not a ton of redness. I take generic oracea (low dose doxycycline) and avoid anything chemically or physically abrasive on my cheeks. Also do IPL twice a year in the fall. Not perfect but Pretty effective.
Anonymous
Had it for 3 years, tried every topical, finally several months of antibiotics plus working on gut health got rid of it. I did test positive for sibo. I still get red and flush with alcohol but the bumps and breakouts have not returned. Mine developed or got worse after I contracted c diff and another intestinal.bacteria in asia and had multiple rounds of antibiotics..m
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