Aired (November 11, 2023): Bukod sa anti-dandruff shampoo, ano-ano pa nga ba ang mga maaaring gawain para maiwasan ang pagkakaroon ng balakubak? Alamin ang payo ni Dra. Jean Marquez sa video na ito.
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00:00 And we're back with the Pinoy MD, Kapuso.
00:02 We're still here with Dr. Jean, our dermatologist,
00:05 to answer our FB questions for today.
00:08 Here it is, Doctor.
00:09 The next question.
00:11 What is the best medicine for dandruff?
00:13 From Joanne Marino.
00:15 Alright, dandruff can be caused by yeast.
00:19 And there are anti-dandruff shampoos
00:21 that have anti-yeast properties.
00:24 Those are the climbazoles, zinc pyrithio,
00:28 and many more, like ketoconazole.
00:31 The best thing is for you to try it out first.
00:35 And my advice is to really do it only twice a week.
00:39 What happens is that,
00:41 anti-dandruff shampoos are used every day.
00:44 That's why the scalp gets drier
00:47 and the back gets more flaky.
00:50 So just use it twice a week.
00:52 You can try some over-the-counter anti-dandruff shampoos.
00:55 And if the scalp gets dry,
00:57 it can cause redness and itchiness.
01:00 That might be seborrheic dermatitis.
01:03 My advice is for you to go to a dermatologist already
01:07 because the medicine is different.
01:09 And last but not the least,
01:11 of course, this is the question.
01:12 What should be the solution to psoriasis?
01:16 This is the question from Mary Joy Nanola.
01:19 Alright, psoriasis is actually an autoimmune condition
01:22 where our immune system or the immune system of a patient
01:27 attacks the cells of their skin.
01:31 That's why there's redness and itchiness in the skin.
01:38 In other words, the skin changes slowly.
01:41 The dead skin accumulates.
01:43 That's why you can see that the scales of a patient with psoriasis are very thick.
01:48 Although it's not that itchy,
01:51 but it can be really, really uncomfortable
01:54 because it's in the areas where it's usually in,
01:57 in the flexor areas.
01:59 If you move the joints,
02:02 the skin there is a bit thicker and it hurts.
02:05 You can also have some symptoms in the nails.
02:08 And of course, in the lower back,
02:11 it's also often in the knees and in the scalp.
02:14 So it can be bothersome to the patient.
02:16 And of course, it lowers their self-confidence.
02:20 So how do we treat this?
02:22 Well, with any other medical condition,
02:24 we should look for triggers.
02:27 So psoriasis is usually related to obesity,
02:31 to insulin resistance,
02:34 diabetes,
02:35 and hypertension.
02:38 That's why when patients have psoriasis,
02:41 when they lose weight,
02:42 their weight becomes normal,
02:44 their blood sugar becomes normal,
02:46 and their skin improves.
02:48 So let's also look for and treat those medical conditions.
02:52 And of course, there are creams,
02:55 steroid creams,
02:57 vitamin A creams that can be applied,
03:01 lots and lots of moisturizers,
03:04 and nowadays, there are also biologics or injectables.
03:09 And of course, the right diet,
03:11 sunbathing,
03:12 supplementation is very important also,
03:15 and there's phototherapy.
03:17 So my advice to you,
03:19 with the many available treatments,
03:22 you should really look for a dermatologist first.
03:26 Thank you so very much, Dr. Jean,
03:28 for answering our questions.
03:30 Of course, keep them coming,
03:32 your questions,
03:34 to our Facebook page,
03:35 and maybe, who knows,
03:37 next time,
03:38 your questions will be answered next week.
03:41 (music)
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