Aired (November 11, 2023): Nangangaliskis, namumula, pababalik-balik at makati ang balat– ito ang kadalasang hinaing ng taong may atopic dermatitis. Ano nga ba ang sakit na ito sa balat at paano ito masosolusyunan? Alamin ang kasagutan ni Dra. Jean Marquez sa video na ito.
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00:00 Welcome back to Pinoy MD, Kapuso!
00:02 This morning, we have our dermatologist, Doc Jean,
00:06 to answer some of the questions you sent us on our FB page.
00:12 So, let's say good morning to Doc Jean.
00:15 Good morning!
00:16 Good morning, Connie, and of course, good morning to all the viewers of Pinoy MD.
00:21 I'm here to ask, Doctor, what is the disease of her son, Atopic Dermatitis?
00:27 And what should we do here?
00:29 The question is from Sheila Javier.
00:31 Sheila, thank you for the question.
00:34 Atopic Dermatitis is also called "asthma of the skin."
00:38 The asthma of the skin looks like it's peeling, red, and it's very itchy.
00:47 So, usually, you can see it when you're still young, usually, in the cheeks.
00:51 But when you get older, it can be found in the forehead, the back of the head, or sometimes in the arms, but also in the face.
01:06 And usually, there are manifestations that include, for example, the darkening of the lower eye, which is a sign of allergy.
01:17 Usually, when you have Atopic Dermatitis, there's what's called an immune dysfunction, or your immune system is very reactive to a lot of allergens.
01:27 So, you should know what triggers this.
01:32 First, when you have Atopic Dermatitis, you can be exposed to allergens like dust, change of weather, for example, animal dander, carpet, and other things.
01:49 Or sometimes, extreme weather.
01:52 And food can also be a trigger of asthma of the skin.
01:57 Usually, it's what's called gluten, flour, sugar, and other things can also trigger it.
02:07 And to control the inflammation, by giving steroid creams, or sometimes, if you're allergic, oral corticosteroid tablets.
02:17 And of course, anti-itch medication or anti-histamine, phototherapy can also be used.
02:24 There are new biologics, but it's been years since injectables became effective.
02:33 And actually, there are still a lot of things we can do.
02:37 Moisturizing is very, very important.
02:40 So, my advice to you, Sheila, is to bring your child to a dermatologist so that he can be assessed properly and help him more.
02:50 Question number two, Doctor. A question from Darwin de la Cruz.
02:54 What can he do to his varicose veins that are already hurting, getting worse, and getting bigger?
03:02 Darwin, if your varicose veins are already hurting and getting bigger, you should go to a dermatologist.
03:08 Because the varicose veins, if it's too big, it can pop through the skin and cause ulcers.
03:19 And of course, there's also the danger that there can be blood clots in the deep vein, what is called deep vein thrombosis.
03:30 Aside from the pain and discomfort, you can't sleep, and the immune system can be affected if you're affected.
03:39 Your health, you can't sleep, you're a little bothered, so you really need to go to a dermatologist.
03:46 How do you treat that? Well, first of all, if you go to a dermatologist, you will get a duplex scan.
03:52 So, they will check the blood flow of your blood to your vein, and then to rule out deep vein thrombosis.
03:58 If you don't have this, then you're qualified to undergo what's called sclerotherapy.
04:04 Sclerotherapy can either be a regular one or the foaming that you call when it's already too big.
04:11 It's a series of sessions where you inject a sclerosing solution to close those veins.
04:16 You might be required to wear what's called compression stockings.
04:21 My advice to you while you're not going to the derma is to elevate your legs above your heart.
04:27 It should be higher.
04:28 If you're lying down, raise your knees so that the blood flow still rises to your heart, and the pressure on your legs is reduced.
04:37 So, you should put your legs above your heart.
04:41 And of course, don't stand up all the time.
04:43 If you see that your legs are starting to move, just walk.
04:46 If you're sitting, just raise your legs.
04:49 So, that's just for now.
04:51 So, I advise you, Darwin, to go to your dermatologist as a...
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