red dark spots on face - #18725
I am really worried about these red dark spots on my face that started showing up a few weeks ago. At first, I thought it was just a reaction to something, maybe a new face wash or something I ate, you know how it goes. But they just got worse. I’ve tried some over-the-counter stuff, hydrocortisone cream, but it seems like they’re still there. The red dark spots on my face sometimes feel itchy, and sometimes they’re just.. there. It’s super frustrating because I’ve never had skin issues really before. I did a little research and came across things like eczema or even rosacea, but I also heard about how stress can cause weird skin stuff too. My work has been super stressful lately, and I can't help but wonder if that's a factor. Has anyone else had experience with red dark spots on face linked to stress? Or could it be something else? I really want to get rid of these spots, they're affecting my mood ugh! Should I see a dermatologist or just try more creams first? Just kind of feeling lost here. Any thoughts would help a ton!
100% Anonymously
No sign-up needed.

Doctors' responses
Red dark spots on the face can arise from several potential causes, so narrowing it down is key to finding effective treatment. It might indeed be linked t stress, which can exacerbate skin conditions like eczema or psoriasis, but let’s consider some other possibilities too. Allergic reactions are possible, especially given you mentioned trying a new face wash. If the itching is pronounced, contact dermatitis is a conceivable culprit. On the other hand, rosacea typically causes redness primarily in the cheeks and nose, but doesn’t fit perfectly with your description of “dark spots.” Hyperpigmentation, which can result from sun exposure, hormonal fluctuations, or irritation, could also be a potential factor, which can be triggered by irritation from certain products. It’s prudent to approach this by first reviewing any new products or dietary changes introduced prior to the appearance of the spots. However, since you’ve tried hydrocortisone without success, it’s advisable to consult a dermatologist. They can perform a detailed examination and may request tests to cover differentials—especially if underlying issues like a fungal infection or something more systemic are considered (acne isn’t itchy typically, but shouldn’t be ruled out without proper evaluation). For now, simplify your skincare routine: use a gentle, fragrance-free cleanser and a basic moisturizer, and ensure you’re using broad-spectrum sunscreen daily, as sun exposure could worsen pigmentation or irritate sensitive skin. Avoid trying multiple products until a diagnosis is confirmed, which can prevent further irritation or worsening of symptoms. If itching persists or any swelling occurs, prompt medical evaluation would be necessary to rule out more severe allergic reactions. While waiting, try to manage stress through regular exercise, adequate sleep, or relaxation techniques—these might not eliminate the skin issue directly but can certainly support overall skin health and your immune system.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.