Abdominal Pain - Female
Abdominal Pain - Male
Acne
Animal or Human Bite
Antibiotics: When Do They Help
Arm Injury
Arm Pain
Asthma Attack
Athlete's Foot
Back Pain
Bed Bug Bite
Bee or Yellow Jacket Sting
Blisters
Bottle-Feeding Formula Questions
Breast-Feeding Questions
Bruise
Burn
Chest Pain
Chickenpox
Circumcision Problems
Colds
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Cough
Coughs: Meds or Home Remedies
Cracked or Dry Skin
Cradle Cap
Croup
Crying Baby - Before 3 Months Old
Crying Child - 3 Months and Older
Cut, Scrape, or Bruise
Diaper Rash
Diarrhea
Diarrhea Diseases From Travel
Dizziness
Drinking Fluids - Decreased
Dry Skin
Ear - Congestion
Ear - Discharge
Ear - Injury
Ear - Pulling At or Rubbing
Ear - Swimmer's
Ear Infection Questions
Earache
Earwax Buildup
Ebola Exposure
Eczema
Emergency Symptoms Not to Miss
Eye - Allergy
Eye - Foreign Body or Object
Eye - Injury
Eye - Pus or Discharge
Eye - Red Without Pus
Eye - Swelling
Fever
Fever - How to Take the Temperature
Fever - Myths Versus Facts
Fifth Disease
Finger Injury
Fire Ant Sting
Flu
Fluid Intake Decreased
Food Allergy
Foreskin Care Questions
Frostbite
Genital Injury - Female
Genital Injury - Male
Hair Loss
Hand-Foot-And-Mouth Disease HFMD
Hay Fever
Head Injury
Headache
Heat Exposure and Reactions
Heat Rash
Hives
Human or Animal Bite
Immunization Reactions
Impetigo - Infected Sores
Infection Exposure Questions
Influenza - Seasonal
Influenza Exposure
Insect Bite
Jaundiced Newborn
Jellyfish Sting
Leg Injury
Leg Pain
Lice - Head
Lymph Nodes - Swollen
Medication - Refusal to Take
Mental Health Problems
Molluscum
Mosquito Bite
Mosquito-Borne Diseases from Travel
Motion Sickness
Mouth Injury
Mouth Ulcers
Neck Pain or Stiffness
Newborn Appearance Questions
Newborn Illness - How to Recognize
Newborn Rashes and Birthmarks
Newborn Reflexes and Behavior
Nose Allergy Hay Fever
Nose Injury
Nosebleed
Penis-Scrotum Symptoms
Pinworms
Poison Ivy - Oak - Sumac
Puncture Wound
Rash or Redness - Localized
Rash or Redness - Widespread
Reflux Spitting Up
Ringworm
Roseola
Scabies
Scrape
Sinus Pain or Congestion
Skin Foreign Body or Object
Skin Injury
Skin Lump
Sliver or Splinter
Sore Throat
Spider Bite
Spitting Up - Reflux
Stomach Pain - Female
Stomach Pain - Male
Stools - Blood In
Stools - Unusual Color
Strep Throat Exposure
Strep Throat Infection
Sty
Sunburn
Suture Questions
Swallowed Foreign Body or Object
Swallowed Harmless Substance
Swimmer's Itch - Lakes and Oceans
Tear Duct - Blocked
Teething
Thrush
Tick Bite
Toe Injury
Toenail - Ingrown
Tooth Injury
Toothache
Umbilical Cord Symptoms
Urinary Tract Infection - Female
Urination Pain - Female
Urination Pain - Male
Vaginal Symptoms
Vomiting With Diarrhea
Vomiting Without Diarrhea
Warts
Wheezing Other Than Asthma
Wound Infection

Resources

Is Your Child Sick?TM


Acne

Is this your child's symptom?

  • Acne is a skin condition caused by blocked oil glands
  • Main symptoms are pimples and blackheads on the face

Symptoms of Acne

  • Whiteheads (pimples) are plugged oil glands that are closed.
  • Blackheads are plugged oil glands that are open. Reason: The oil turns black when it is exposed to air.
  • Whiteheads and blackheads are also called "zits."
  • Red bumps are from blocked oil glands that have leaked oil. This causes irritation in the skin around them. Larger red bumps can be quite painful.
  • Acne mainly appears on your face, neck, and shoulders

Causes of Acne

  • Acne skin changes are from plugged oil glands. Acne has several causes.
  • Increased levels of hormones during puberty have a part. Heredity also plays an important role.
  • Some skin bacteria can make it worse.
  • Acne is not caused by diet. You do not need to avoid eating fried foods, chocolate, or any other food.
  • Acne is not caused by dirt or by not washing your face often enough.

When to Call for Acne

Call Doctor Now or Go to ER

  • Spreading red area around the acne with fever
  • Spreading red area or streak that's very large
  • Your child looks or acts very sick

Call Doctor Within 24 Hours

  • Spreading red area or streak around the acne, but no fever
  • You think your child needs to be seen

Call Doctor During Office Hours

  • Tender red lumps that are large occur
  • Yellow soft scab that drains pus or gets bigger occurs
  • After treating with Benzoyl Peroxide (BP) for 2 months, acne not improved
  • BP makes the face itchy or swollen
  • You have other questions or concerns

Self Care at Home

  • Mild acne

Call Doctor Now or Go to ER

  • Spreading red area around the acne with fever
  • Spreading red area or streak that's very large
  • Your child looks or acts very sick

Call Doctor Within 24 Hours

  • Spreading red area or streak around the acne, but no fever
  • You think your child needs to be seen

Call Doctor During Office Hours

  • Tender red lumps that are large occur
  • Yellow soft scab that drains pus or gets bigger occurs
  • After treating with Benzoyl Peroxide (BP) for 2 months, acne not improved
  • BP makes the face itchy or swollen
  • You have other questions or concerns

Self Care at Home

  • Mild acne

Care Advice for Acne

  1. What You Should Know About Acne:
    • More than 90% of teenagers have some acne. Acne is a normal part of the teen years.
    • There is no medicine at this time that will cure acne.
    • However, good skin care can keep acne under control and at a mild level.
    • Here is some care advice that should help.
  2. Benzoyl Peroxide Gel:
    • Benzoyl Peroxide (BP) is the best OTC medicine for bringing acne under control. Use a Benzoyl Peroxide 5% gel product (such as the store brand). OTC means no prescription is needed.
    • It helps to open pimples and to unplug blackheads. It also kills bacteria.
    • Apply the lotion once a day at bedtime to the area with acne. Redheads and blonds should apply it every other day for the first 2 weeks. Reason: More sensitive skin.
    • Use an amount of lotion the size of a pea. This should be enough to cover most of the acne.
    • If the skin becomes red or peels, use less of it. Other option: You can use it less often.
    • Caution: Avoid the corners of the eyes, nose and mouth. Reason: These areas are very sensitive.
    • Caution: Benzoyl Peroxide bleaches clothing, towels, blankets, etc. Apply it only at bedtime and put it on sparingly. Use a plain white pillowcase.
  3. Antibiotics for Red Bumps:
    • Large red bumps mean the infection has spread beyond the oil gland. If you have several red bumps, your doctor may prescribe an antibiotic.
    • Antibiotics come as solutions for the skin or as pills.
    • The antibiotic will kill the bacteria that are causing the infection.
    • Give the antibiotic as directed.
  4. Washing the Face:
    • Wash your skin twice a day. The most important time to wash is bedtime. Just use warm water or you can use a mild soap (such as Dove).
    • Shampoo your hair daily.
    • Avoid scrubbing your skin. Reason: Hard scrubbing of the skin irritates the openings of the oil glands. This causes them to close off even more tightly.
  5. Pimple Opening:
    • Opening (popping) pimples is not advised by many doctors. But, most teens and adults do it anyway.
    • So, here's how to open a pimple safely without any squeezing.
    • Never open a pimple before it has come to a head.
    • Wash your face and hands first.
    • Use a sterile needle (cleaned with rubbing alcohol). Nick the surface of the yellow pimple with the tip of the needle. The pus should run out without squeezing.
    • Wipe away the pus and wash the area with soap and water.
    • Opening small pimples in this way will not cause skin damage.
  6. Avoid Picking or Squeezing Acne:
    • Many young people pick at their acne when they are not thinking about it. Picking makes acne worse.
    • Try not to touch the face at all during the day.
    • Squeezing blackheads causes bleeding into the skin. The bleeding turns into brownish blotches on the skin. They can take 1 or 2 months to fade.
    • Squeezing red lumps can force bacteria into the skin. This too leaves blotches. It can also cause a serious face infection.
  7. Prevention - Avoid Triggers of Acne:
    • Avoid putting any oily or greasy substances on your face. Reason: They block oil glands and make acne worse. If you use cosmetics, use water-based cosmetics.
    • Avoid hair tonics or hair creams (especially greasy ones). When you sweat, they will get on the face and irritate the acne.
  8. What to Expect:
    • With treatment, new whiteheads and blackheads will decrease. But, it takes 6 to 8 weeks.
    • Acne usually lasts until age 20 or 25.
    • So, you will need to continue the treatment for several years.
    • You don't need to worry about scarring. It is very rare for acne to leave any scars.
  9. Call Your Doctor If:
    • With treatment, the acne has not improved after 2 months
    • It looks infected (large, red, tender bumps)
    • You think your child needs to be seen
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

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