Causes, Symptoms, and Treatment Remedies

Rosacea Treatment Remedies


The contents of this app are provided for educational purposes only and are not intended to diagnose, treat, cure, or prevent any disease or health condition. The information provided should not be considered as a substitute for the advice of a medical doctor or other healthcare professional.

What is Rosacea?

The 4 subtypes of rosacea are erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea, and ocular rosacea.

Erythematotelangiectatic rosacea is characterised by flushing (redness) and visible blood vessels.

Papulopustular rosacea manifests as acne-like breakouts and skin swelling.

Persons diagnosed with phymatous rosacea show signs of skin thickening and a bumpy skin texture.

Ocular rosacea on the other hand is characterized by swollen eyelids, red and irritated eyes, as well as many other signs.

The underlying cause of rosacea is multi-factorial and lacks scientific proof.

However, research for its cure, prevention, and management is ongoing.

Many researchers have categorized this condition as a vascular disorder.

This is because of its symptoms which include central facial flushing, blushing, skin thickening, and visible blood vessels.

Demodex folliculorum is a microscopic mite whose habitat is the human skin.

The mite feeds on cast-off cells of the skin.

Apart from vascular factors, Demodex folliculorum, is also considered to be a causal agent for rosacea.

Persons diagnosed with rosacea registered a substantial number of the mite which confirms their role as causative agents for this condition.

Being a chronic disorder, rosacea is generally characterized by remissions and relapses.

Rosacea Symptoms

Rosacea manifests itself differently from one patient to another (its symptoms are therefore asymmetrical).

Persons diagnosed with this condition report varying degrees of symptom severity; however, some exhibit same level of severity of symptoms.

Flushing episodes are usually accompanied by persistent facial redness due to the presence of blood vessels near the skin surface.

This causes facial skin hyper-reactivity.

Rosacea's redness is also attributed to accumulation of fluid in the various tissues of the patient’s face.

Flushing is the earliest sign of rosacea (pre-rosacea).

In some cases, in the early stages of the disease, sufferers of the condition experience swelling in the face, a condition known as edema.

Swelling may also lead to rhinophyma, a condition where rosacea patients develop excess tissue on their noses.

It is estimated that almost half of the patients diagnosed with rosacea experience dry flaky skin.

Others have also reported appearance of tiny spots, papules and sometimes pustules.

This condition commonly confused with teenage acne, is known as inflammatory rosacea.

One other prominent symptom is inflamed blood vessels (also known as vascular rosacea).

With the progression of rosacea and its symptoms, tiny blood vessels located on the patient’s nose become swollen and easily visible.

Swelling of the blood vessels refers to a condition known as telangiectasia.

Sometimes, persons diagnosed with this condition experience a burning and gritty sensation in their eyes, which makes them appear bloodshot (ocular rosacea).

Patients with ocular rosacea complain of inflamed eyelids, a condition known as blepharitis.

In some cases, the eyelids become scaly leading to conjunctivitis.

Facial swelling occurs as proteins and excess fluids escape from the facial blood vessels.

As a result, a fluid build-up occurs in the facial skin due to the inability of the lymphatic system to drain the excess leakage of fluids and proteins from the facial skin.

Rosacea Causes

A number of theories have suggested abnormal cathelicidins, dermal matrix degeneration, Helicobacter pylori infection, and skin mites as possible causes for rosacea.

Heavy exercises spark rosacea symptoms because they overheat a person’s face.

Other triggers include hot and cold weather, skin care products, sun and certain medications.

Individuals with a family history of rosacea are more likely to experience this condition than those with no case history.

Research has also linked a few cases of rosacea to alcohol abuse.

Cases reported of rosacea showed a higher incidence of the condition in light-skinned persons than in dark-skinned individuals.

Demodex folliculorum is a microscopic mite that dwells on the human skin.

The mite is believed to be harmless to humans; however, persons with rosacea have a substantial number of mites on their skins.

This confirms their role as contributing factors for rosacea.

Some bacteria found in the human gut (such as H. pylori) stimulate production of a protein known as bradykinin which responsible for the dilation of blood vessels.

Medications such as those used to treat blood pressure and those whose side effects include dilation of blood vessels may also result in this condition.

Rosacea Diagnosis

There is no serological, histological, or clinical diagnostic test for rosacea.

Diagnosis at an early point in time allows for prompt treatment which significantly reduces progression of rosacea.

In diagnosis for rosacea, the history of a patient’s symptoms is very important.

The doctor relies on that history to rule out the possibility of associating your symptoms to other conditions such as psoriasis, forms of acne, and other forms of eczema.

The doctor thoroughly examines his patient’s signs and symptoms; he may also perform a physical exam.

The doctor examines the patient’s skin and eyes for any signs of the condition.

During the exam, explain to your doctor everything that you are experiencing with your face including flushing, any swelling, bumps, itching, or burning.

The diagnosis will be reached after examination of your skin and in-depth knowledge about your signs and symptoms.

Blood vessels are physically examined for any enlargement to rule out other skin disorders.

When diagnosing the condition, the general practitioner may discover a rash on your ears or on the scalp.

This could be an indication of a new or different diagnosis.

Signs and symptoms associated with rosacea mainly manifest on the patient’s face.

Your doctor may also order for blood tests to be performed if he suspects an underlying illness or medical condition such as lupus.

In such a case, the doctor may refer his patient to a dermatologist for a thorough check-up.

Rosacea Treatment

Treatment for rosacea only helps to control and reduce the symptoms associated with the condition.

To control the symptoms of rosacea, you should keep off things that trigger the signs and symptoms of rosacea and keep your eyelids clean.

Antibiotic pills are recommended for short-term use given their side effects.

The antibiotics, which often come in the form of creams, lotions, or gels, are usually applied on the affected area.

Acne drugs such as isotretinoin, Amnesteem, and Claravis , are alternative drugs for antibiotics.

These are powerful drugs preferred in cases where antibiotics are not effective.

Isotretinoin (also known as Accutane) is an oral medication prescribed by doctors for the treatment of patients with inflammatory rosacea.

It is the preferred mode of treatment for severe cases of inflammation.

Isotretinoin works by suppressing the secretion of oil by the sebaceous glands.

Close monitoring by a general practitioner is however advised given its severe side effects.

Blephamide is a steroid eye drop prescribed for persons with eye symptoms (ocular rosacea).

These eye drops are applied on a daily basis for about 3 to 7 days.

Tetracyclines are also used to treat symptoms of ocular rosacea. It helps treat itching, dryness, photosensitivity, and blurred vision.

Tetracyclines should not be used by breastfeeding mothers or pregnant women.

When used by breastfeeding mothers, tetracyclines interfere with normal bone development.

The medication causes birth defects in pregnant mothers.

In the majority of cases, general practitioners suggest that antibiotics be used only for short-term treatment.

Duration for treatment depends on the severity of symptoms as reported by the patient. .

Such surgery helps to remove facial tissue build-up and to make the blood vessels less visible.

A number of home remedies have also been suggested by clinicians to minimize one’s exposure to rosacea.

Such suggestions include wearing a broad-spectrum sunscreen (should have an SPF of at least 30), covering your face with a scarf during the winter, washing affected areas using gentle cleansers like Dove and Cetaphil, and much more.

Facial products with skin irritants or alcohol should be avoided at all costs.

Alternative medicine for treatment of rosacea includes emu oil, oregano oil, colloidal silver, laurelwood, and Vitamin K.

Any other dietary supplements should only be used to treat this condition under the supervision of a general practitioner.

The most prominent ophthalmologist treatments for mild rosacea are metronidazole and azelaic acid creams and gels.

These ophthalmologist medications are applied once or twice in a day.

For severe symptoms, doctors recommend oral antibiotics to reduce skin inflammations.

To treat rosacea, doctors suggest a number of oral antibiotics including oxytetracycline, doxycycline, tetracycline, and erythromycin which are usually taken for 4 to 6 weeks.

When used to treat rosacea, isotretinoin (often used to treat severe acnes) must be prescribed by a dermatologist.

This is because of its many side effects which include back pain, headache, haematuria, joint pain, conjunctivitis, blepharitis, and cracking of the skin.

Clonidin medication helps in relaxing the facial blood vessels while beta-blockers work by reducing the heart’s activity.

Anxiety medications on the other hand calm an individual and reduce blushing.

In some cases, doctors may recommend laser and intense pulsed light (IPL) treatment to reduce visibility of facial blood vessels and to treat redness.

Laser and IPL machines generate a narrow beam of light that is focused on visible blood vessels on the patient’s skin.

The laser’s heat simply destroys the dilated veins causing them to shrink away from the skin.

This renders the veins invisible from the skin surface. However, this form of treatment requires the expertise of a dermatologist given its side effects which include blisters, bruising, and skin-crusting.

Rosacea patients with severe rhinophyma may be referred to a plastic surgeon for the purpose of improving their skin appearance.

Such surgical treatments help rid your nose of excess tissue and to remodel it into its rightful shape.

Patients who develop eye problems are treated with ointments and lubricating eye drops (for those with dry eyes) or oral antibiotics (for those with blepharitis).

If this form of treatment is not successful or ineffective, the general practitioner will refer you to an ophthalmologist, an eye specialist for advanced assessment.

Rosacea Prevention

A number of lifestyle and home measures have been suggested by doctors to minimize exposure to rosacea.

Such home remedies include wearing a broad-spectrum sunscreen (with an SP factor of 15 or higher) and using a ski mask to protect your face.

General practitioners advise against the use of facial products that contain alcohol or any other skin irritants.

Only use facial products marked as noncomedogenic. Noncomedogenic products will not block your sweat gland or oil openings.

Abuse of alcoholic beverages should also be avoided. Limit alcohol consumption.

Practicing a diet free of oily and spicy foods helps lower the risk and progression of rosacea.

Warm places as well as exposure to the sun should be avoided at all costs.

This will help lessen your chances of suffering from skin inflammation.

Use of abrasive products (buff puffs, scrubs, and cleansing powders) should be avoided because abrasions will increase your predisposition to flushing.

For persons already diagnosed with rosacea, they are advised to use cosmetics meant for sensitive skins.

This helps to prevent further skin irritation. Use cosmetics labelled as "for sensitive skin".

The use of wrinkle creams should be limited. This is because most anti-aging creams contain alpha hydroxy acids which stop formation of wrinkles.

Chemical sunscreens should also be avoided; instead, doctors recommend the use of titanium dioxide sunscreens.

Persons at a much higher risk of rosacea should avoid wool products.

For instance, wool is too warm and may cause rashes and redness to a rosacea-prone skin.

Individuals with rosacea-prone skins are advised to use soaps, cleansers, and moisturizers with chamomile which helps soothe the skin.

Rosacea Statistics & Facts

Rosacea is a chronic skin condition that often affects people with the ages of between 30 and 60 years.

People with light or fair skins are at a much higher risk of rosacea than those with darker skins.

This condition is more prominent in women than men. However, the symptoms experienced by men are more serious and severe compared to those experienced by women.

Treatment options for rosacea combine the use of both topical and oral antibiotics.

Studies have shown that ocular problems will always occur in at least 50 percent of patients diagnosed with rosacea.

The ocular signs usually occur before cutaneous manifestations.

Half of those diagnosed with this condition first report of skin lesions.

In the United States alone, rosacea is believed to affect over 13 million people.

This represents a prevalence rate of about 5 percent.

The prevalence rate is as high as 10 percent in European countries.

Men are more likely to experience rhinophyma (fattening of the nose) than women.

Studies have also revealed that 40 percent of those diagnosed with rosacea have at least a family member with the condition.

Rosacea Treatment Remedies plus

The contents of this app are provided for educational purposes only and are not intended to diagnose, treat, cure, or prevent any disease or health condition. The information provided should not be considered as a substitute for the advice of a medical doctor or other healthcare professional.

What is Rosacea?

Rosacea is an inflammatory skin condition that affects the face.

It reddens your skin and alters your physical appearance.

With symptoms similar to those of acne vulgaris, the condition was once known as "acne rosacea".

Persons with a family history of rosacea are more likely to be diagnosed with this progressive facial skin disorder.

Rosacea is not contagious and cannot be spread by contact with the skin or by airborne bacteria.

Rosacea Symptoms

Many patients diagnosed with rosacea reported facial burning, facial itching and stinging.

The facial blood vessels of rosacea patients easily dilate (due to ophthalmologist triggers such as touch) resulting in increased blood flow near the skin surface.

This combined with lifestyle and other environmental triggers leave the skin red and flushed.

Skin mites (such as Demodex), skin bacteria, follicle-irritation or damage to the connective tissue (by the sun), psychological factors, inflammatory responses, and other factors that affect blood flow promote appearance of acne-like bumps in the red areas of a patient’s face.

Additional symptoms for this condition include a blurry vision, eye-sensitivity to light, itchy and dry eyes, and gritty eye feeling.

Rosacea Causes

The precise cause of rosacea remains unknown even to experts; however, research has revealed a number of risk factors that increase predisposition to the condition.

Engaging in heavy exercises, taking hot showers, spicy foods or drinks, emotional stress, menopause, alcohol abuse, and prolonged use of steroids are all but risk factors for rosacea.

Other triggers include hot and cold weather, skin care products, sun and certain medications.

Some of those diagnosed with rosacea had abnormalities in their facial blood vessels which are perceived to be the root cause for persistent redness, flushing, and visible blood vessels.

Light skin colour is also considered by experts as one of the contributing factors of this condition.

Rosacea Treatment

There is no perfect cure for rosacea but treatments to control the signs and symptoms are available.

Doctors suggest prescription treatments as well as lifestyle changes to stay clear of things that will trigger an outbreak.

Prescription drugs recommended to treat this condition include antibiotics and acne drugs.

Facial redness can be treated using oral medications such as clonidine, beta-blockers, and anxiety medications.

Surgical methods which include electrosurgery and laser surgery may be recommended by the doctor when a patient’s face shows redness or enlarged blood vessels.

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