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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