Folliculitis: Treatment and Dietary Tips for Your Teen - Dermatology

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Folliculitis on the back and chest?


Hello, doctor.
My son (14 years old, in the second year of junior high) has recently developed folliculitis, which has caused about half of his back to be covered with pimple-like lesions, and his chest is also quite severely affected.
He has seen a doctor and has been taking medication for almost a week, and he has been applying the ointment as well, but there has been no significant improvement; in fact, it seems to be getting worse.
I heard from a neighbor that drinking herbal tea might help alleviate the condition.
I'm not sure if that's effective.
Could you please advise me on what I should give my son to eat and what precautions I should take?

Zeng Guanyong, 40~49 year old female. Ask Date: 2017/06/19

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention as soon as possible.
A proper examination is necessary to identify the problem and determine the appropriate treatment.

Reply Date: 2017/06/19

More Info


Folliculitis is a common skin condition characterized by the inflammation of hair follicles, often presenting as red, swollen bumps that can resemble acne. It can occur anywhere on the body but is most frequently seen on the back, chest, and thighs. In your son's case, it seems that he is experiencing a more severe form of folliculitis, which may require a comprehensive treatment approach.


Treatment Options
1. Topical Treatments: Since your son has been using a topical medication for about a week without significant improvement, it may be worth discussing with his healthcare provider whether a stronger or different topical antibiotic or antiseptic might be necessary. Common topical treatments include clindamycin or benzoyl peroxide, which can help reduce bacteria and inflammation.

2. Oral Antibiotics: If the condition is widespread or not responding to topical treatments, oral antibiotics may be prescribed. These can help combat any underlying bacterial infection contributing to the folliculitis.

3. Hygiene Practices: Encourage your son to maintain good hygiene. This includes showering regularly, especially after sweating or exercising, and using a gentle, non-comedogenic soap. Avoiding tight clothing can also help reduce friction and irritation on the skin.

4. Avoiding Irritants: It's essential to avoid products that may irritate the skin, such as harsh soaps, lotions with heavy fragrances, or oils that can clog pores.

5. Moisturizing: Using a non-comedogenic moisturizer can help maintain skin hydration without exacerbating the condition.


Dietary Tips
While there is limited scientific evidence directly linking diet to the treatment of folliculitis, certain dietary practices may support overall skin health:
1. Hydration: Ensure your son drinks plenty of water. Staying hydrated can help maintain skin health and may assist in the healing process.

2. Anti-inflammatory Foods: Incorporate foods rich in omega-3 fatty acids, such as fish (salmon, mackerel), walnuts, and flaxseeds. These can help reduce inflammation in the body.

3. Fruits and Vegetables: A diet rich in antioxidants from fruits and vegetables can support skin health. Foods like berries, spinach, and sweet potatoes are excellent choices.

4. Limit Sugar and Processed Foods: High sugar intake and processed foods can lead to inflammation and may exacerbate skin conditions. Encourage a balanced diet with whole foods.

5. Probiotics: Foods rich in probiotics, such as yogurt or fermented foods, may help improve gut health, which can have a positive effect on skin conditions.


Herbal Remedies
Regarding the neighbor's suggestion of drinking herbal tea, certain teas, such as green tea or chamomile, have anti-inflammatory properties and may provide some relief. However, it's essential to note that while herbal remedies can be supportive, they should not replace conventional medical treatment. Always consult with a healthcare provider before introducing new remedies, especially if your son is already on medication.


Follow-Up
Since your son's condition has not improved significantly, it is advisable to follow up with his healthcare provider. They may want to reassess his treatment plan, consider alternative medications, or investigate other underlying causes that may be contributing to the folliculitis.
In summary, while dietary changes and good hygiene practices can support treatment, it is crucial to continue working with a healthcare professional to ensure your son receives the most effective care for his folliculitis.

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