Rosacea

Rosacea can be bothersome, but with the right approach, symptoms can be managed effectively. If you’re dealing with persistent redness or flare-ups, DoctorTora’s telemedicine service offers expert guidance and treatment—quickly and discreetly from home.

Symptoms, Causes, and How DoctorTora Can Help

Introduction

Rosacea is a common chronic skin condition that primarily affects the face, causing redness, visible blood vessels, and sometimes small, red, pus-filled bumps. While rosacea is not life-threatening, it can significantly impact a person’s self-confidence and comfort. Fortunately, with proper treatment and care, symptoms can be managed effectively. If you are experiencing signs of rosacea, DoctorTora’s telemedicine services can connect you with a doctor quickly and conveniently from the comfort of your home.

What is Rosacea?

Rosacea is a long-term skin condition that mainly affects the central part of the face, including the nose, cheeks, forehead, and chin. It often starts with episodes of flushing and redness, which can gradually become persistent. Although the exact cause is unknown, rosacea is believed to be linked to a combination of genetic, environmental, and immune system factors.

Other common names for rosacea include:

Acne rosacea
Facial redness disorder
Adult acne (though rosacea is not the same as acne)

Rosacea is most common in adults over 30 and affects people with fair skin more frequently. However, it can occur in individuals of any skin type.

Common Symptoms and Causes of Rosacea

Symptoms:

Persistent redness in the central face
Flushing or blushing easily
Visible blood vessels (telangiectasia)
Small, red, pus-filled bumps similar to acne
Burning or stinging sensations on the skin
Eye irritation (ocular rosacea)
Thickened skin, especially on the nose (rhinophyma, in severe cases)

Causes:

While the exact cause of rosacea is unknown, certain factors may contribute to its development and flare-ups:

Genetics – A family history of rosacea increases the risk.
Dysregulated immune response – The immune system may overreact to triggers.
Demodex mites – These microscopic skin mites may contribute to rosacea symptoms.
Helicobacter pylori bacteria – A bacteria associated with gut health may play a role.
Environmental triggers – Sun exposure, extreme temperatures, wind, and pollution can worsen symptoms.
Lifestyle factors – Spicy foods, alcohol, caffeine, and stress can trigger flare-ups.

How is Rosacea Diagnosed?

Doctors diagnose rosacea based on a physical examination of the skin and a review of medical history. Since rosacea can resemble acne or other skin conditions, a doctor may ask about possible triggers and symptoms to confirm the diagnosis. No specific lab tests are required.

How is Rosacea Treated?

Although there is no cure for rosacea, treatment aims to manage symptoms and prevent flare-ups.

Common Medications:

Topical antibiotics (such as metronidazole) to reduce inflammation and redness.
Azelaic acid to help reduce bumps and swelling.
Topical ivermectin to reduce skin mites and inflammation.
Brimonidine or oxymetazoline to temporarily reduce redness.
Oral antibiotics (such as doxycycline) for moderate to severe cases.
Oral isotretinoin (in rare cases) for severe rosacea that does not respond to other treatments.
Laser therapy to reduce visible blood vessels and persistent redness.

Self-Care Instructions for Rosacea

In addition to medical treatment, adopting a gentle skincare routine and avoiding triggers can help manage rosacea effectively. Here are some essential self-care tips:

Use gentle, fragrance-free cleansers and moisturizers.
Apply sunscreen daily with SPF 30 or higher to protect against sun damage.
Avoid excessive heat exposure from hot showers, saunas, and extreme weather.
Identify and avoid personal triggers such as spicy foods, alcohol, and stress.
Use makeup and skincare products labeled “non-comedogenic” and “for sensitive skin.”
Manage stress through relaxation techniques like yoga, meditation, or deep breathing.

When to Seek Care with Telemedicine for Rosacea

If you are experiencing persistent redness, flare-ups, or irritation, DoctorTora’s telemedicine services can help. Our primary care doctors provide expert advice and prescriptions when necessary. Follow these steps to seek care:

Download the DoctorTora app from the App Store or Google Play.
Select “skin problems” from the home screen.
Queue for an immediate consultation or book an appointment for a future time.
Receive a detailed consultation report with a treatment plan and prescription if needed.

DoctorTora allows you to consult a doctor from anywhere, saving time and avoiding unnecessary clinic visits.

When to Seek Urgent Care at a Physical Hospital for Rosacea

While rosacea is usually manageable with primary care, urgent medical attention may be necessary in the following cases:

Severe eye irritation or vision problems (possible ocular rosacea)
Severe pain, swelling, or signs of infection
Persistent redness and skin thickening that worsens over time
No improvement with standard treatments

A dermatologist or ophthalmologist may be needed for specialized care in these cases.

FAQ

Is rosacea contagious?

No, rosacea is not contagious. It cannot be spread from person to person.

Can rosacea be cured?

There is no cure for rosacea, but symptoms can be effectively managed with treatment and lifestyle changes.

What triggers rosacea flare-ups?

Common triggers include sun exposure, spicy foods, alcohol, hot drinks, stress, and temperature extremes.

Can diet affect rosacea?

Yes, some foods and drinks can trigger flare-ups. Keeping a food diary can help identify specific triggers.

Can rosacea affect the eyes?

Yes, ocular rosacea can cause redness, dryness, and irritation in the eyes. If symptoms appear, consult a doctor promptly.

For more information on skin conditions, check out these articles:

Eczema: Causes and Treatment
Psoriasis: Symptoms and Management
Skin Infections: Common Types and How to Treat Them