Key points
- Blocked pores, oil and inflammation
- Hormones often play a part
- Gentle care beats scrubbing
- Don't squeeze β it causes marks
What it is
Acne happens when the tiny oil glands and hair pores in the skin become blocked with oil and dead skin cells. Bacteria that normally live on the skin can then cause redness and swelling.
It is most common in the teenage years but often continues into the twenties and thirties, especially in women, where it can follow the monthly cycle.
Common signs
- Blackheads and whiteheads
- Red, tender pimples or pus-filled spots
- Deeper, painful lumps under the skin
- Dark marks or small pits left behind after spots heal
- Usual areas: face, chest, shoulders and upper back
What can set it off
- Hormonal changes β puberty, periods, PCOD
- Heavy, oily creams and make-up
- Squeezing or picking spots
- Stress and poor sleep
- Some medicines, such as steroids
- For some people, a diet high in sugar and refined foods
Everyday care that helps
- Wash the face twice a day with a mild cleanser β scrubbing harder does not help
- Choose products labelled 'non-comedogenic' or 'oil-free'
- Do not squeeze or pick β it spreads inflammation and leaves marks
- Change pillowcases often and keep phones and hands off the face
- Use a gentle sunscreen; marks darken in the sun
When to see a doctor promptly
- Painful, deep lumps or cysts are appearing
- Acne is leaving scars or pits
- Acne comes with irregular periods, extra facial hair or weight gain
- Acne is affecting confidence, mood or daily life
How we approach it at Gursagar
We ask about when the acne started, its pattern through the month, diet, sleep, stress, periods and any skin products in use, and examine the skin. Where hormones may be involved, we may suggest simple tests.
Dr. Shah prescribes classical homoeopathic medicine chosen for you individually and reviews progress at follow-ups, along with practical skin-care advice.
Common questions
Does chocolate cause acne?
No single food causes acne for everyone. Some people notice a link with sugary or very processed foods; a short diary can help you check.
Will toothpaste dry out pimples?
Please avoid it β toothpaste can irritate and burn the skin.
Can I consult online?
Yes. Clear daylight photos of the face help a great deal.
Would you like Dr. Shah to look at your case?
Consult in person at Rajpura or Chandigarh, or online from anywhere in India and abroad.
This article is for general health education and is not a substitute for a medical consultation. Every person is assessed individually, and results differ from person to person. Please do not stop or change any medicine prescribed to you without speaking to your doctor. Dr. Randeep Singh Shah, D.H.M.S., AFHom (UK) Β· Reg. No. 2423-A.

