How to get rid of internal acne - #10848

Vaishnavi

I am facing a issue of internal acne on my cheek area from past 2 to 3 yearswhere i a get a acne which is not visible but when touched feels like nodule after 1 month or some it pops or when external pressure is made it pops, it has pus of yellowish colour and sometimes of yellow to blackish colour in the end blackish blood also then my skin gets normal butthis issue is not getting completely resolved, I am agirl aged 18 years having normal to oily skin.

Age: 18

300 INR (~3.53 USD)

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

13 hours ago

Hello dear
Please be advised
I think due to approaching of adolescence,
You are experiencing acne or pimples.
I suggest you to please follow below precautions and medication for immediate relief
Medications:
1. Topical Treatments -Benzoyl Peroxide (2.5–5%)	Kills bacteria and is  anti-inflammatory in action.
Salicylic Acid, Adapalene 0.1% can also be given as additive medications.
2.Clindamycin 1%	( if already not taken).
3.Azelaic Acid	10 percent for two weeks.
Oral Medications -tablet Doxycycline ot Tab Minocycline once a day for 1 week
In addition use aloevera - tulsi solution to apply topically for 1 month.
Avoid fried food until therapy is completed
In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

11 hours ago

Don’t use anything before making the diagnosis.
This requires physical consultation.

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

10 hours ago

Vaishnavi, from your description, you’re dealing with recurrent deep nodular acne (a form of inflammatory acne)
Causes
Hormonal fluctuations (androgen excess, PCOS, menstrual irregularities)  increase oil production.
Excess sebum & clogged pores bacteria thrive deep inside skin.
Increase diary or sugar intake
Internal Treatment
Since this is long-standing (2–3 years), you should get:
Hormonal profile: Testosterone, LH, FSH, Prolactin, DHEAS.
PCOS check: Pelvic ultrasound if periods are irregular.
Vitamin & mineral tests: Vitamin D, B12, Ferritin
Daily Skin Routine (Acne-Safe)
Morning:
Salicylic acid face wash (2%).
Niacinamide serum (5%) — oil control + healing.
Oil-free moisturiser.
Sunscreen SPF 50.
Night:
Gentle cleanser.
Adapalene gel (0.1%) or Retinoid — thin layer on acne-prone areas (start alternate nights).
Oil-free moisturiser.
Weekly:
Once a week — clay mask (oil absorption).
Twice a month — chemical peel at dermatologist (salicylic/glycolic) for faster healing.
Diet Adjustments
Avoid: Sugary drinks, milk & milk-based sweets, fried foods.
Eat more:
Protein  paneer, tofu, dals, chickpeas.
Omega-3 flaxseeds, chia, walnuts.
Antioxidants amla, berries, carrots, spinach.
Drink 2–2.5 L water/day.
Lifestyle
Keep pillowcases & phone screen clean.
Don’t press or pop deep pimples — it causes scars & pigmentation.
Manage stress — meditation, yoga.
Medicine
Tab Azithromycin 500 mg in afternoon 1 hour after lunch for 5 days
Consult endocrinologist in case your hormone are imbalanced

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How to get rid of internal acne - #10848

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