HomeAnswersDermatologyrosaceaI have been having rosacea and swelling on my face and cheek for the past 19 days. Will this be permanent or subside on its own?

What are the possible causes of rosacea and swelling on the cheeks and face?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 10, 2023
Reviewed AtNovember 10, 2023

Patient's Query

Hi doctor,

I have rosacea and swelling on my cheeks and face since 19 days ago. I have given Doxycycline but stopped it after four days due to a headache. My swelling improved substantially. Will this be permanent?

Thanks.

Hi,

Welcome to icliniq.com.

I understand your concern.

The differential diagnosis is seborrheic dermatitis. I suggest you do the following:

  1. Apply Miconazole cream in the daytime for four weeks. Apply 1 percent of Metronidazole gel at night for two weeks.
  2. Avoid activities that cause sweating.
  3. Avoid heat as it favors fungal growth.
  4. Use Cetrimide soap for baths for 15 days.
  5. Use Ketoscalp (Ketoconazole) shampoo twice weekly for two weeks.
  6. Avoid harsh soaps. Use mild soaps for baths for one month.
  7. Do not scratch or rub the lesions.
  8. Eat healthy and nutritious food.
  9. Avoid hot beverages or spicy food.
  10. Avoid prolonged exposure to the sun.
  11. Use sun-protection measures.
  12. Use good sunscreen.
  13. Avoid known triggers.
  14. Avoid the use of harsh topicals like retinoids and high potent steroids.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

l am already diagnosed with rosacea. Do you have a different diagnosis?

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is seborrheic dermatitis with a superficial fungal component with a Demodex mite infestation. Follow the treatment mentioned in the above plan.

I hope this information will help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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