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Rosacea is a chronic, acne-like condition that occurs in middle-aged men and women. Rosacea used to be called "acne rosacea" but it is different from acne. The red spots and pustules are dome-shaped rather than pointed and there are no blackheads, whiteheads, deep cysts, or lumps. Rosacea affects the cheeks, nose and forehead - rarely, it involves the trunk and upper limbs.
One survey found that: - 75% of sufferers have low self-esteem
- 70% feel embarrassed
- 69% feel frustrated
- 56% feel robbed of pleasure/happiness
The image of one famous sufferer, W. C. Fields, helped to mistakenly link rosacea with alcoholism. Although drinking alcohol can make rosacea worse, even people who never drink alcohol can develop rosacea.
Incidence; Causes & Development
Rosacea is three times more common in women, but usually more severe in men. As at the time of writing (2004) it is thought to affect as many as 13 million Americans.
Rosacea is usually seen in adults in their 30s and 40s. It seems to affect fair-skinned, blue-eyed people more often, though it can affect any skin type. Most people who get rosacea have a history of flushing or blushing more easily and more often than the average person (they are sometimes described as having "peaches and cream" complexions). Women get rosacea a little more often than men, but men are more likely to develop rhinophyma.
The cause of rosacea is unknown, but many factors have been suspected of influencing it: alcoholism, menopausal and other flushing, a tendency towards seborrhea, local infection, B-vitamin deficiencies and gastrointestinal disorders. Most cases are associated with moderate to severe seborrhea, although in many cases sebum production is not increased. Flushing is prevalent, and migraine headaches are three times more common amongst sufferers.
Facial flushing can make symptoms worse and even cause flare-ups in patients whose rosacea had been under control. It is the chronic flushing in rosacea which causes the telangiectasia. Flushing can be triggered by many things, the most common being hot drinks, alcohol, spicy foods, stress, sunlight and extreme heat or cold. Other causes of flushing and telangiectasia include heredity, exercise, emotions, hormones, cortisone medications and other rare skin diseases.
Signs & Symptoms
In most people, the first sign of rosacea is rosy cheeks; the face gets red in patches and stays red -- eventually redness doesn't go away at all. Rosacea is a chronic condition. In most people symptoms come and go in cycles. These flare-ups are common. Although the condition may improve (go into remission) for a while without treatment, it is often followed by a worsening of symptoms (redness, pimples, red lines or nasal bumps) that progresses over time.
It typically first appears when people reach their 30s and 40s as a flushing or subtle redness on the cheeks, nose, chin or forehead that comes and goes. This early stage is often mistaken for a simple complexion problem or sunburn and ignored. Left untreated, the redness becomes more permanent and tiny blood vessels may become visible.
As the condition progresses, the redness becomes more persistent, bumps and pimples called papules and pustules appear and small dilated blood vessels may become visible. In some cases the eyes also may be affected, causing them to be irritated and bloodshot. In advanced cases. In more advanced cases of rosacea, a condition called rhinophyma may develop. The oil glands enlarge, causing a bulbous, enlarged red nose and puffy cheeks. Thick bumps can develop on the lower half of the nose and near to the cheeks.
Women are more likely to experience symptoms on the cheeks and chin while men are more likely to have swelling of the nose (rhinophyma) associated with advanced rosacea.
Early stage:- Redness (that comes and goes) appears on cheeks, nose, forehead or chin
- Tiny blood vessels may become visible on the surface of the skin
- In some cases, the eyes may feel gritty
Middle stage:- Facial redness becomes ruddier and more permanent
- Bumps and pimples may appear
- Tiny blood vessels may become increasingly visible
- In some cases, the eyes may become bloodshot
Advanced stage:- Inflammation of the skin grows increasingly severe
- The nose may become red, bumpy and swollen from excess tissue
- In some cases, the eyes and surrounding areas may become inflamed, potentially resulting in loss of vision.
Many rosacea patients have only one or two symptoms; here is a detailed list of the most common ones:- Redness
This looks like a blush or sunburn and it is caused by flushing (when a larger amount of blood flows through vessels quickly and the vessels expand under the skin to handle the flow). The redness gradually becomes more noticeable and will not go away. Facial skin may get very dry.
- Pimples
Later, pimples may appear on the face. These pimples may be inflamed -- small, red and solid (papules) or pus-filled (pustules) like teenage acne. Because they look alike, rosacea has been called "adult acne" or "acne rosacea." But people with rosacea do not normally have the blackhead or whitehead type of pimples (called comedones) that are usually seen in teenage acne.
- Red lines
When people with rosacea flush, the small blood vessels of the face get larger -- eventually showing through the skin. These enlarged blood vessels look like thin red lines on the face, usually on the cheeks. These lines may be hidden at first by flushing, blushing or redness, but they usually reappear when the redness is cleared up. Doctors call these lines telangiectasia.
- Nasal bumps
When rosacea is not treated, some people -- especially men -- may eventually get small knobby bumps on the nose. As more bumps appear, the nose looks swollen. This condition is called rhinophyma.
Treatment & Prevention
Rosacea can not be cured, but its symptoms can be reduced and its progression arrested through medical treatment and lifestyle modifications. Because it is a chronic disorder, research has found that sufferers usually must adhere to long-term medical therapy prescribed by physicians to maintain remission. Another important component to minimizing the effects of rosacea is lifestyle management: moderating or eliminating those lifestyle and environmental factors that may aggravate the condition.
Several medications are available by doctor's prescription. They control redness and reduce the number of papules and pustules. Some are applied to the skin (topically) and others are taken by mouth (orally) -- different types can be used in combination. In most cases, it may take several weeks to see results -- don't worry. Once symptoms have cleared, patients may need to continue taking medication to keep rosacea under control.
Controlling the causes of flushing and blushing can help prevent rosacea from getting worse and blood vessels from getting larger. But once red lines appear, they can only be covered up by makeup or removed by a surgical method. Surgery can also be used to correct a nose enlarged by rhinophyma.
Keep a diary of flushing episodes and note associated foods, products, activities, medications or other triggering factors.
Statistics from one survey showed that medical therapy improved emotional well-being in 70% of cases, professional interactions in 60% of cases and social life in 57%.
Environment
Sun exposure, hot weather, humidity, cold and wind have all been known to aggravate rosacea for many individuals. The following are defense strategies you can use:- Always protect your face from the sun. Wear a sunscreen with an SPF (sun-protection factor) of 15 or higher year round. If necessary, use a formulation developed for children to avoid irritation. Wear a broad-brimmed hat. Minimize midday (10am to 2pm) exposure to the sun during summer months.
- Keep your face cool. Experts say you should avoid anything that causes flushing. However, what bothers one person may not cause a problem in another. Stay in a cool, air-conditioned environment on hot, humid days. If this is impossible, those affected should sip cold drinks and try not to overexert themselves. If necessary, chew on ice chips to lower facial temperature or spray the face with cool water.
- Combat cold by covering your cheeks and nose with a scarf. In winter, rosacea sufferers also may don a ski mask when participating in outdoor sports or activities, as well as cover up on windy days. If these conditions aggravate your rosacea, limiting your time outdoors in cold weather may also help.
- Use a moisturizer daily during cold weather. This protects against the naturally drying effects of cold and wind.
Stress
Stress ranks high on the list of tripwires for many rosacea sufferers. However, in a survey of rosacea patients affected by stress, most of those using stress management techniques said they had successfully reduced their flare-ups. When feeling overwhelmed, try some of the following stress reducers:- Take care of your whole self. Eat healthy, exercise moderately and get the right amount of sleep. It may also help to cut down on caffeine.
- When under stress, try deep-breathing exercises. Inhale and count to 10, then exhale and count to 10. Repeat this exercise several times.
- Use visualization techniques. Sit in a quiet place, close your eyes and visualize a beautiful vacation spot or favorite pleasurable activity or painting to reduce stress. Hold the image for several minutes to feel its peacefulness and beauty.
- Stretch out and relax all your muscles. Relax muscles starting at the top of the head and work down to the toes for a whole-body stress reliever.
Foods and Beverages
Steaming hot soup or coffee, spicy nachos, a glass of wine -- no matter how appetizing they sound, these foods and beverages may be a problem for some rosacea sufferers. Hot liquids may cause flushing. Spicy foods like oriental mustard sauce or salsa can raise a sweat, and alcoholic beverages may trigger flare-ups in many cases. These tips will help you select rosacea-friendly meals:- Monitor how your rosacea reacts to alcoholic beverages. Alcoholic beverages often induce flare-ups in rosacea sufferers. If alcohol aggravates your condition, reduce your intake or avoid alcohol entirely.
- Avoid "hot" spices such as white and black pepper, paprika, red pepper and cayenne, which are common rosacea tripwires. Try these flavor substitutes:
- Chili powder -- 2 tsp cumin, 1 tsp oregano.
- Poultry seasoning -- 1/2 tsp sage, 1/2 tsp coriander, 1/4 tsp thyme, 1/8 tsp allspice, 1/8 tsp marjoram.
- Curry powder -- 4 tsp coriander, 2 tsp turmeric, 1 tsp cinnamon, 1 tsp cumin, 1/2 tsp basil or oregano, 1/2 tsp cardamom.
- Reduce the heat in beverages. Decreasing the temperature may be all that's necessary to keep enjoying coffee, tea and hot chocolate, for example. Or try reducing the number of cups you drink from three or four to one or two instead.
- Identify and avoid any foods that aggravate your individual condition. Some rosacea sufferers have reported a wide variety of foods that trigger flare-ups in their individual cases. Examples have included cheese, sour cream, yogurt, citrus fruit, liver, chocolate, vanilla, soy sauce, yeast extract (though bread is OK), vinegar, eggplant, avocados, spinach, broad-leafed beans and pods, and foods high in histamine or niacin. Taking an antihistamine about two hours before a meal may counter the effects of histamine, while aspirin may reduce the effects of niacin-containing foods in sufferers affected by these substances.
Exercise
While exercise may be part of a healthy lifestyle, it could actually be harmful to rosacea sufferers if it causes their condition to flare up. Moderation is the key. And even then, take these precautions:- Avoid heavy exertion or high-intensity workouts that cause overheating and bring on flushing. Replace them with low-intensity exercise routines, which often can be just as effective.
- Try exercising for shorter, more frequent intervals. For instance, exercise for 15 minutes three times a day, rather than exercising all at once.
- When exercising outdoors during warm weather, choose early morning or early evening hours when it's cooler. No matter what time of day, protect your face from the sun and avoid hot weather exercise.
- When exercising indoors, make sure the room is well ventilated. Run a fan, open the window for a breeze or turn on the air conditioning to avoid overheating.
- Try to stay as cool as possible when exercising. Drape a cool, damp towel around your neck, drink cold fluids or chew on ice chips. You can also keep a bottle filled with cool water to spray your face.
Bathing and Cleansing
Rosacea sufferers often must modify their approach to cleansing and bathing. The following tips can help you adopt a personal-care routine that soothes and calms your facial redness:- Avoid hot water, hot tubs and saunas. These can bring on flushing and aggravate your condition.
- Begin each day with a thorough and gentle facial cleansing. Use a gentle cleanser that is not grainy or abrasive and spread it with your fingertips. Rinse your face with lukewarm water to remove all dirt and soap, and use a thick cotton towel to gently blot the face dry.
- Never pull, tug, scratch or treat your face harshly. Avoid any rough washcloths, loofahs, brushes or sponges.
- Let your face thoroughly air dry before applying any medication or skin-care products. Let your face rest for a few minutes before applying topical medication. Then allow the medication to dry completely for five to 10 minutes before applying any moisturizer or makeup.
- Men should use an electric shaver rather than a blade. If a blade is preferred, never use a dull blade that requires extra scraping for a clean shave. Avoid shaving lotions that burn or sting.
- Repeat the cleansing process at night. Gently cleanse your face each night to remove any makeup or dirt accumulated throughout the day. Air dry and apply your topical medication.
Skin Care Products
Rosacea sufferers can use a variety of skin-care products to their advantage. Moisturizers can reduce flakiness and makeups can camouflage symptoms and improve appearance. You may have to experiment until you find the products that work best for your individual condition. Here are some general guidelines that will help you select products carefully:- Steer clear of ingredients that sting, burn or cause facial redness. Some ingredients to avoid include alcohol, witch hazel, menthol, peppermint, eucalyptus oil or clove oil.
- Select fragrance-free products. If you must choose a product that contains a fragrance, be sure that it appears at the end of the list of ingredients. The further down it appears, the less fragrance the product contains.
- Use makeup to hide blemishes and cover redness. Spot application of makeup may be used to cover blemishes and visible blood vessels, and green-tinted prefoundations are available at most cosmetic counters to mask general redness. They can be followed by a skin-tone foundation. Avoid powders, which can make dry flaky skin look worse.
Pre-existing Medical Conditions
Physicians have found that some underlying health conditions and temporary ailments can stimulate a flushing response and trigger rosacea flare-ups. The following conditions should be ruled out or treated by your doctor as appropriate to help bring flare-ups under control:- Hot flashes associated with menopause. The hot flashes that often occur before or during menopause have brought on rosacea's first appearance in some women.
- Fevers, coughs and colds. Although intermittent, these ills may provoke the flushing that begins a rosacea flare-up.
- Systemic diseases. Occasionally systemic diseases, such as high blood pressure, have been identified as causes of rosacea flare-ups. When flushing is accompanied by itching, breathing difficulties or diarrhea, seek medical attention.
Drugs
Certain drugs can cause facial flushing, resulting in rosacea flare-ups. If you experience flare-ups as a result of the following drugs, discuss the problem with your doctor:- Vasodilator drugs. These drugs are used in the treatment of cardiovascular disease because of their ability to dilate the blood vessels. In some patients, they have been reported to cause symptoms called "vasodilator rosacea."
- Topical steroids. Long-term use of topical steroids has been found to aggravate rosacea or induce rosacea-like symptoms. In one study, symptoms improved for patients who discontinued the steroids and were prescribed antibiotics.
Psychosocial Aspects
The conspicuous redness, blemishes and swelling caused by rosacea can take a significant toll on an individual's emotional health. You may find your self-confidence and self-esteem are suffering as a result of your appearance, but you can turn the situation around by taking appropriate action to bring your rosacea symptoms under control.
The first step is to accept that you have a medical condition, rather than denying it. Although rosacea is not life threatening, it is usually a chronic disorder of flare-ups and remissions that becomes increasingly severe without long-term therapy. Although this fact cannot be changed, you can personally take control of your condition and restore your appearance by complying with long-term medical treatment and avoiding those lifestyle factors that aggravate your individual case.
The good news is that emotional health generally returns when rosacea symptoms are successfully addressed. 70% of rosacea sufferers responding to a National Rosacea Society survey said their emotional well-being improved when their rosacea was effectively treated, and most also reported improvement in their professional interactions and social lives.
It also may help you to know that you are not alone. An estimated 13 million or more Americans suffer from rosacea, although many may not be fortunate enough to realize it and seek treatment.
If you find yourself the object of stares or comments during a flare-up, try turning this awkward situation into a positive educational opportunity by openly discussing your rosacea and educating the offender. Recognize that most individuals are unaware of rosacea, so take into account that most reactions are simply caused by curiosity and ignorance of the disease, rather than some negative intent.
Take the initiative for explaining the condition to people you see regularly -- especially your employer and co-workers, who may have real concerns about whether the condition will affect your job performance or their own health. Put to rest the common misconceptions that rosacea's symptoms are caused by poor hygiene or excessive drinking, or that the disorder may be contagious. Pass along educational materials on rosacea if appropriate.
Through this approach, you can turn potentially negative situations into constructive opportunities to create understanding.
Living with Rosacea
Millions of people suffer from rosacea, yet increasing numbers of sufferers have achieved substantial control over their disorder. The best defense in conquering rosacea is to comply with long-term medical therapy and minimize lifestyle factors that aggravate your individual condition. Through these strategies, rosacea can be managed successfully.
Prognosis; Seek medical attention if
Without regular treatment, redness and pimples can return. Studies of patients who stopped treatment after their symptoms were successfully cleared show that rosacea came back in many of the patients within a week to 6 months.
Individuals who suspect they may have rosacea are urged to see a dermatologist for diagnosis and treatment. It is easy to mistake skin disorders and doctors know best how to identify and treat rosacea.
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Signs, symptoms & indicators of Rosacea:
Conditions that suggest Rosacea:
Risk factors for Rosacea: | | | | | Infections |  Helicobacter Pylori Infection |
Supplements and Medications |
Moderate/minor/major steroid use | If you are using or have used steroid drugs, you may have 'steroid rosacea', a rosacea-like condition on the face caused by potent topical steroids. After several weeks of applying a topical steroid to the eyelids, cheeks or chin the affected area becomes red. Small papules (bumps) and pustules appear intermittently, and may be especially severe when the topical steroid cream is discontinued. If the steroid creams are used for months or years, broken capillaries (telangiectasia) may develop.
A similar condition can arise in other areas treated with topical steroids, particularly the groin and genitals where the absorption of the steroid through the skin is higher. Occasionally steroid rosacea is confused with tinea faciei incognito, a fungal infection masked by topical steroids. |
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Rosacea suggests the following may be present:
Rosacea can lead to:
Recommendations and treatments for Rosacea: | | | | | Diet |  Alcohol Avoidance
Caffeine/Coffee Avoidance| | Avoid coffee, alcohol, hot beverages, spicy foods and any other food or drink that causes flushing. |
Spicy Foods Avoidance| | A 2003 survey by the National Rosacea Society has identified a broad range of hot spicy foods that often trigger or aggravate Rosacea. In the survey of more than 500 rosacea patients, published in Rosacea Review, 61% of those affected by spicy foods listed hot peppers as a trigger for their rosacea signs and symptoms; 52% listed Mexican-style foods; 47% chili and 46% salsa. |
Sugars Avoidance / Reduction
 Fried Foods Avoidance
Dairy Products Avoidance |
Digestion |
 Digestive Enzyme (Trial)| | Rosacea patients often have a reduced secretion of pancreatic lipase, an enzyme which aids in fat digestion. Pancreatic or plant enzyme supplementation, especially when prepared with extra lipase, will improve this digestive weakness. |
Hydrochloric Acid (Trial)| | Gastric analysis of rosacea patients has led to the theory that it may be the result of hypochlorhydria. HCL supplementation results in marked improvement in rosacea patients who have achlorhydria or hypochlorhydria. |
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Hormone |
Not recommended:
 Hydrocortisone| | Never apply a topical steroid like cortisone to rosacea unless directed to do so by your doctor for a specific reason. Cortisone treatments can worsen rosacea over the long term and make it even more resistant to treatment. |
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Lab Tests/Rule-Outs |
Test for Food Allergies| | The incidence of migraine headaches and flushing accompanying rosacea points to some form of food intolerance. |
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Mineral |
Salt Intake Reduction |
Skin |
Not recommended:
 Cosmetics / Moisturizers| | Avoid oil-based facial creams. Use a water-based make-up and sunscreen. The skin may be very sensitive to local applications. |
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Vitamins |
Vitamin B-Complex| | The administration of large doses of B-vitamins has been shown to be effective, riboflavin being the most important. While B-vitamins are important, some rosacea patients may be aggravated by large dosages of these nutrients. |
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KEY | | Weak or unproven link |  | | Strong or generally accepted link |  | | Proven definite or direct link |  | | Strongly counter-indicative |  | | Very strongly or absolutely counter-indicative | | | May do some good | | | Likely to help | | | Highly recommended | | | May have adverse consequences | | | Reasonably likely to cause problems |
GLOSSARY
Achlorhydria
The complete absence or failure of stomach acid secretion.
Acne
A chronic skin disorder due to inflammation of hair follicles and sebaceous glands (secretion glands in the skin).
AIDS
Acquired Immune Deficiency Syndrome. An immune system deficiency disorder that suddenly alters the body's ability to defend itself. The AIDS virus invades the T4 helper/inducer lymphocytes and multiplies, causing a breakdown in the body's immune system, eventually leading to overwhelming infection and/or cancer, with ultimate death.
Antihistamine
Drugs, used to treat allergy symptoms, which block the action of histamine on body tissues.
Cardiovascular
Pertaining to the heart and blood vessels.
Chronic (Chronicity)
Usually referring to chronic illness: Illness extending over a long period of time.
Cup (Cups)
A unit of volume measurement equal to 8 fluid oz, or roughly 250ml. It also equals 1/2 pint, 1/4 quart and 1/16 gallon.
Cysts (Cyst)
A closed pocket or pouch of tissue; a cyst may form within any tissue in the body and can be filled with air, fluid, pus, or other material. Cysts within the lung generally are air-filled, while cysts involving the lymph system or kidneys are fluid filled. Cysts under the skin are benign, extremely common, movable lumps. These may develop as a result of infection, clogging of sebaceous glands, developmental abnormalities or around foreign bodies.
Diarrhea
Excessive discharge of contents of bowel.
Enzymes (Enzyme)
Specific protein catalysts produced by the cells that are crucial in chemical reactions and in building up or synthesizing most compounds in the body. Each enzyme performs a specific function without itself being consumed. For example, the digestive enzyme amylase acts on carbohydrates in foods to break them down.
Gastric
Of, relating to, or associated with the stomach.
Gastrointestinal (GI, GI Tract)
Pertaining to the stomach, small and large intestines, colon, rectum, liver, pancreas, and gallbladder.
Gland (Glands)
The glandular system is one of the most important and complicated systems of the body. Gland tissue can be either an organ or general tissue that secretes chemicals and there are two types of gland: exocrine and endocrine. Those glands which secrete chemicals through tubules or ducts are called exocrine and include sweat, tear and salivary glands. Ductless glands - part of the endocrine system - secrete special chemicals (hormones) directly into the blood.
Helicobacter Pylori (Pylori)
H. pylori is a bacterium that is found in the stomach which, along with acid secretion, damages stomach and duodenal tissue, causing inflammation and peptic ulcers. Although most people will never have symptoms or problems related to the infection, they may include: dull, 'gnawing' pain which may occur 2-3 hours after a meal, come and go for several days or weeks, occur in the middle of the night when the stomach is empty and be relieved by eating; loss of weight; loss of appetite; bloating; burping; nausea; vomiting.
Histamine
A chemical in the body tissues, produced by the breakdown of histidine. It is released in allergic reactions and causes widening of capillaries, decreased blood pressure, increased release of gastric juice, fluid leakage forming itchy skin and hives, and tightening of smooth muscles of the bronchial tube and uterus. Histamine is the chemical that drives the initial acute allergic reaction, causing itching, swelling and congestion.
Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.
Hydrochloric Acid (HCl)
An inorganic acidic compound, excreted by the stomach, that aids in digestion.
Hypochlorhydria (Hypochlorhydric)
The condition of having low hydrochloric acid levels in the stomach, often the cause of digestive disorders.
Lipase
An enzyme secreted by the pancreas to assist in fat breakdown.
Liver (Hepatic)
The largest and one of the most complex organs of the body, the liver is responsible for much of the metabolism of fats, proteins and carbohydrates. It is the site of much of the body's detoxification. It is connected very closely with digestion and the regulation of blood sugar, among many other functions. Found behind the ribs on the right side of the abdomen, it has many important functions such as removing harmful material from the blood, making enzymes and bile that help digest food, and converting food into substances needed for life and growth. Hepatic: Pertaining to the liver.
Menopause (Menopausal)
The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.
Migraine (Migraine Headache, Migraine Headaches, Migraines)
Not just a headache, but a disorder affecting the whole body, characterized by clearly defined attacks lasting from about 4 to 72 hours, separated by headache-free periods; progresses through five distinct phases. Prodrome: experienced by about 50% of migraineurs and starting up to 24 hours before the headache - changes in mood, sensory perception, food craving, excessive yawning, or speech or memory problems. Aura: experienced by about 15% and starting within an hour before the headache - disruption of vision (flashing lights, shimmering zigzag lines, blind spot) or sensation (numbness or 'pins and needles' around the lips or hand), or difficulty speaking. Headache: usually pulsating and occurring on one side of the head, it may occur on both sides of the head and alternate from side to side. Muscles in the neck and scalp may be tender; there may be nausea and the desire not to eat, move, see or hear. Resolution: the headache disappears and the body returns to normal. Resolution may occur over several hours during sleep or rest; an intense emotional experience or vomiting may also end the headache. Postdrome: After the headache stops, the sufferer feels drained, fatigued and tired. Muscles ache, emotions are volatile and thinking is slow.
Niacin (B3, B-3, Niacinamide, Vitamin B3)
A coenzyme B-complex vitamin that assists in the breakdown of carbohydrates, fats and proteins. Essential for the health of the skin, nerves, tongue and digestive system. It is found in every cell of the body and is necessary for energy production. Niacin is also needed for DNA formation.
Pancreas (Pancreatic)
Opposite the liver and behind the stomach, the pancreas has two main functions - to manufacture various enzymes for digestion, and to release hormones to help control the body's use of carbohydrates. It releases insulin to help each cell absorb glucose to burn as energy. In this way, insulin controls the amount of sugar (glucose) in the blood. Proper pancreatic function is very important: too much, too little, or no insulin production can be life-threatening. Some of the chemicals released by the pancreas are not hormones, but stimulate other glands to make hormones. Once again, balance is necessary. Nutritional requirements for the pancreas are many. Research indicates that chromium vitamins C, E, B-complex, calcium, magnesium and potassium are especially important.
Rhinophyma
A condition of the skin that can severely deform the nose.
Riboflavin (B2, B-2, Vitamin B2)
A B-complex vitamin that acts as a coenzyme that activates the breakdown and utilization of carbohydrates, fats and proteins. It is essential for cellular oxidation and necessary for healthy skin and eyes.
Seborrhea (Seborrheic)
Skin disease characterized by dry or moist, greasy, yellow crusts or scales. A disorder of the sebaceous glands, with changes in the amount and quality of the oils secreted. Although it can occur in any part of the body, seborrhea of the scalp (dandruff) is most common.
Sebum
The oily liquid covering the skin surface.
Self-Esteem
The extent to which and ways in which people view themselves. People who view themselves favorably have good self-esteems whereas people who view themselves negatively have poor self-esteems. Self-esteem affects a person's behavior dramatically.
Steroid (Steroids)
Any of a large number of hormonal substances with a similar basic chemical structure containing a 17-carbon 14-ring system and including the sterols and various hormones and glycosides.
Stomach
A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.
Teaspoon (Teaspoons, tsp)
Equivalent to 5cc (5ml).
Telangiectasia
Small, unsightly red, purple or blue blood vessels found along the surface on the face, upper chest, neck and rarely on other parts of the body. Similar veins are found on the legs but called spider veins.
Topical
Most commonly 'topical application': Administration to the skin.
Vasodilation (Vasodilator)
Widening or enlarging of blood vessels, particularly arterioles, usually caused by nerve impulses or certain drugs that relax smooth muscle in the walls of the blood vessels.
Yeast
A single-cell organism that may cause infection in the mouth, vagina, gastrointestinal tract, and any or all bodily parts. Common yeast infections include candidiasis and thrush.
Last updated: Nov 14, 2008
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