Question 1

I've just gone through a Q switch ND yag laser treatment on my face for a speckled nevus, and it was done by a well-known laser surgeon in Delhi. I spoke to a bunch of doctors beforehand, and they all assured me it's safe. But now, after the procedure, I'm a bit worried. I had scaling on my face, and the skin peeled off within 5 days. After that, the spots where the laser was applied turned darker than my normal skin. I've been using this depigmentation cream called Depiwhite, but it feels like my progress has stalled, and the spots are still pretty dark. It seems like instead of improving, my situation might have worsened. Do you have any advice on what I should do next?

Accepted Answer

I can sense your concern and frustration.

Q-switched Nd:YAG laser treatment is a common procedure for removing speckled nevi. However, it's not uncommon to experience some side effects, especially if you have darker skin.

Possible Causes of Dark Spots

1. Post-Inflammatory Hyperpigmentation (PIH): This is a common complication of laser treatments, especially in darker skin types. PIH occurs when the skin responds to inflammation by producing excess melanin, leading to dark spots.
2. Hormonal Changes: Hormonal fluctuations can affect melanin production, leading to dark spots.
3. Sun Exposure: UV radiation can exacerbate PIH and darken existing spots.

What to Do Next

1. Consult Your Doctor Again: Schedule a follow-up appointment with your laser surgeon to discuss your concerns. They may prescribe additional treatments or creams to help alleviate the dark spots.
2. Continue Using Depigmentation Creams: Depiwhite cream, which contains ingredients like kojic acid, vitamin C, and licorice extract, can help reduce melanin production and fade dark spots.
3. Sun Protection: Avoid direct sun exposure, and use a broad-spectrum sunscreen with at least SPF 30 daily. This will help prevent further darkening of the spots.

Question 2

I'm experiencing an unexpected case of dandruff suddenly after getting a cysteine treatment. I've never dealt with dandruff before, not even as a kid. Is this normal, and what steps should I take to get rid of it?

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 3

I've been masturbating about once a week for the past eight years, but in the last four months, I've been experiencing this itching all over my body, especially on my face, chest, stomach, and thighs every time I do. It started out lasting just a day, but now it can persist for a week or more. What could be causing this, and what kind of medication or treatment might help?

Accepted Answer

Despite normal TMT, ECG, blood tests, and chest X-ray, you're experiencing persistent pain in your left arm and chest. Consider the following potential causes:

*Musculoskeletal Issues*

1. *Costochondritis*: Inflammation of the cartilage connecting ribs to the breastbone, causing chest pain.
2. *Muscle strain*: Overuse or injury to muscles in your chest, shoulder, or arm.

*Gastrointestinal Issues*

1. *Gastroesophageal reflux disease (GERD)*: Stomach acid flowing back into the esophagus, causing chest pain.
2. *Inflammatory bowel disease (IBD)*: Conditions like Crohn's disease or ulcerative colitis can cause chest pain.

*Cardiovascular Issues*

1. *Microvascular angina*: Reduced blood flow to the heart muscle, causing chest pain.
2. *Pericarditis*: Inflammation of the sac surrounding the heart, causing chest pain.

*Other Possible Causes*

1. *Anxiety or stress*: Tension and stress can cause muscle tightness, leading to chest and arm pain.
2. *Hypothyroidism*: An underactive thyroid gland can cause muscle pain and weakness.
3. *Vitamin deficiencies*: Deficiencies in vitamins like B12 or D can cause muscle pain and weakness.

*Next Steps*

1. *Consult a cardiologist*: Rule out any underlying cardiovascular issues.
2. *Gastrointestinal evaluation*: Investigate potential gastrointestinal causes with a gastroenterologist.
3. *Musculoskeletal evaluation*: Consult an orthopedic specialist or a physical medicine and rehabilitation (PM&R) doctor to assess musculoskeletal issues.
4. *Stress management*: Engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.

Visit your Physician for appropriate management

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I'm experiencing an unexpected case of dandruff suddenly after getting a cysteine treatment. I've never dealt with dandruff before, not even as a kid. Is this normal, and what steps should I take to get rid of it?

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