Wednesday, May 20, 2015

Perioral Dermatitis Treatment: My Story

Hiding behind a coffee favorite place to be with perioral dermatitis.
WARNING: this is one of the stranger blog posts I've written, and a departure from my usual topic of choice. I don't typically write--or talk--about medical issues, since it's one of the (many) aspects of my life I choose to keep private. HOWEVER. After battling a frustrating and stubborn-as-all-hell skin condition for the better part of the past year, I've decided to share what I've learned about my perioral dermatitis treatment journey as a "pay it forward" thank you to all the blog posts that helped me finally find treatments that worked. 

What is perioral dermatitis? Slightly itchy, slightly bumpy, reddish and really really annoying inflammation of the skin around the mouth. It affects mostly women between the ages of 20-50 and might have a hormonal element. Ugh.

I was diagnosed with this condition about a year ago, after a stubborn, bumpy red rash under my nose and on my chin just wouldn't go away and I finally dragged myself to a dermatologist (NOT the way I'd prefer to spend my rare kid-free, work-free hours.) Though the doctor laughed when I suggested it, I'm fairly certain the perioral dermatitis was brought on by over-zealous use of my Clarisonic Mia--I've always been a huge fan of exfoliating and just couldn't help myself with all those scrubby rotating bristles...but then this rash broke out and it looked TERRIBLE and no matter what I did, it wouldn't go away. The Clarisonic just made it worse, and I finally had to stop exfoliating all together.

The dermatologist sent me home with a month's worth of oral antibiotics and a prescription for sulfur face wash. I really, really hate taking antibiotics unless it's absolutely necessary--but I also hated having a gross embarrassing rash on my face. So I took the antibiotics, I used the face wash...and nothing happened. The rash cleared up a tiny bit (maybe?) with the antibiotics, and then the minute I stopped taking them? It came right back.

I tried just the face wash. I tried drinking more water. I tried a different face lotion (typically I only moisturize with coconut oil). Nothing helped.

A few months later and fed up again, I went back to the dermatologist. This time I was given Finacea cream, Metronidazole gel, and more sulfur face wash. All of which was expensive and, for me at least, totally ineffective. I used all three as directed for several weeks and saw absolutely NO change in my POD. The label on the Finacea says it can take up to eight weeks to see results...really?! Because this rash was ON MY FACE. Where OTHER PEOPLE COULD SEE IT. Eight (more) weeks just wasn't an option.

So I went where I probably should have gone in the first place: the internet. I scoured every blog post and article and comment I could find on perioral dermatitis treatment, specifically looking for natural remedies for perioral dermatitis, since I've been trying to rid our home of as many chemicals as possible and really hoped for a cure that would not only get rid of the rash, but be as natural as possible.

Below is a breakdown of what I tried, what worked and what didn't, and what finally ended up being the cure--for me. I write this blog post with the hope that someone, somewhere, finds it helpful in beating a stubborn, truly awful condition.

After all my research, a ton of trial and error, and hundreds of treatment dollars spent, the truth about perioral dermatitis seems to be this: no one really knows what causes it. No one really knows how to treat it. But most importantly, the cause--and the cure--seem to be different for every person. So the best advice I can give anyone suffering from POD and looking for a solution is to try everything you can, keep an open mind about possible causes and treatments, and know you're not alone in the struggle.

What Didn't Work:

  • Oral antibiotics
  • Finacea
  • Metronidazole
  • Tea tree oil
  • Sulfur face wash
  • Aloe vera 
  • Oral zinc tablets
  • Evening primrose oil capsules
  • Calendula salve

What Helped (a lot!) but didn't actually fix the problem:

  • Switching to a fluoride-free toothpaste
  • No more sodium lauryl sulfates (SLS) in beauty or household products**
  • Switching to SLS-free makeup (and tossing out all the old stuff!)
  • Taking a daily probiotic
  • Using BB creamwith zinc oxide as the active ingredient
  • Washing my face only once a day with cleanser (I fell in love with this one) and using ONLY water in the morning/after working out
  • Aloe vera gel
    (used once daily as a toner, pre-coconut oil)
  • Coconut oil as moisturizer*
*I should note here that my perioral dermatitis has always been classified as MILD--so mild, in fact, that J continues to deny ever noticing I even had it (this, of course, is because he loves me and thinks I'm beautiful no matter what kind of creepy skin condition I have, but still...) Anyway. I DID have it, but it wasn't nearly as bad as it could have been. If you Google image POD you'll find some seriously scary stuff, and I'm blessed to have never had this condition to the full extent possible. I am 100% convinced that using coconut oil as a daily moisturizer kept the worst of my perioral dermatitis at bay. 

While it wasn't strong enough to get rid of the POD totally, coconut oil is a natural antibacterial, anti-inflammatory and antioxidant and has worked absolute wonders on my skin. And my hair. And on bug bites, sunburn, and eczema. And my cholesterol, which my doctor called "fantastic" at my last checkup. It's also amazing on toast. And in my coffee. OK, so I'm a bit of a fanatic. If you want more information on the (seriously amazing) health benefits of coconut oil before I get around to writing a love letter blog post about it, check out the book The Coconut Oil Miracle.

** for almost three years, I've been practicing something called the Curly Girl Method for Wavy hair (you can read my blog post about it here) and gave up hair products containing SLS ages ago...and I've never used those products on my kids. But I was much less diligent when it came to body wash, dishwashing liquids, hand soaps, etc...I had no idea that all those sulfates could be harming my skin just as much as they were harming my hair!

What I Never Got Around to Trying (but the internet says might work):

  • Apple cider vinegar (topically. I take a few tablespoons a day mixed with hot water and lemon for general health reasons, which I highly recommend. Using ACV as a toner is a popular suggestions for natural treatment of perioral dermatitis, but I never got around to trying it.)
  • Diaper rash cream containing zinc oxide
  • Violet extract
  • Calendula cream (different than calendula salve, above)
And finally...

What WORKED!!! (for me):

Clotrimazole cream, 1%

Yep. You read that right. After almost twelve consecutive months of frustration, trial and error, and hating the way my face looked in the mirror, the only treatment for perioral dermatitis that actually WORKED was Clotrimazole, a $4.99 tube of anti-fungal cream, most commonly used to treat athlete's foot. I found this humble suggestion buried DEEP in the comment section of another blogger's frustrated post about her battle with POD. The comment was short and to the point. It said that perioral dermatitis was nothing more than a common yeast infection, and the cure was equally as common: buy a tube of Lotrimin (or generic, which Clotrimazole is) anti-fungal cream at the drugstore and call it a day.

I ran to the drugstore basically right that minute and applied the cream that night before bed. Within hours (because yes I got up in the middle of the night and checked), the bumps had gone away and my skin was noticeably smoother. By morning, my perioral dermatitis had improved by 80%. 24 hours later? It was almost completely gone.

It's now been a full week, and other than some residual redness around my nose, my perioral dermatitis is a distant memory and I can leave the house without makeup on for the first time in a full year without feeling like everyone is staring at my weird face rash thing. I'll continue to use the clotrimazole cream for two full weeks to make sure the infection is gone, as the directions on the package suggest. Finding a cure for my POD is liberating, exciting, and such an incredible relief. Thank you, THANK YOU, anonymous internet've saved my skin.

Will clotrimazole cream work for everyone with POD? I truly don't know, and my guess is that because so many different factors contribute to and exacerbate POD (hormonal, environmental, nutrition, etc) that it probably won't work for some people. I've read blog posts that tout miracle cures for perioral dermatitis that simply didn't work for me. But if you're suffering from POD and haven't found your cure yet, this is definitely something worth trying!

After finally finding a cure for my perioral dermatitis, I'm surprised and thrilled to say my skin looks better than it has in my entire adult life, thanks to some awesome new products I've discovered along the way. Here's a list of products I've kept as part of my daily routine that are truly outstanding...I love them all!
I suppose I should have an "after" picture to post here...and at the moment, I don't (and no "before" pictures, either...because who wants THAT documented for posterity??) But if I get around to taking one, I'll update the post. For now, you'll just have to take my word for it...

Do you suffer from POD? Did you find a perioral dermatitis treatment that worked for you? Please share in the comments below...I'd love to hear your story!

Friday, February 27, 2015


Oh. Hi, blog. Like a treasured forever friend, you're always here waiting for me when I'm ready...

Recently, I found clarity on a tough decision I've been wrestling with for far too long. Today marks the last day of an old way of life. Tomorrow will be the start of a new one.

I'm following my heart, maybe for the first real time in my life. I'm going after something big and scary and exciting, and it feels like some of my wildest dreams are a little closer with every step.

It also means I'll be able to come here again, to this space I've loved and neglected for so long. Maybe not all the time. But sometimes. Which is an improvement on never.  I'm looking forward to putting words to my journeys again.

And it means I'll have more time for other things, too...the things in this world I love the most. My family, above all, but also the passions and half-finished projects and all those things close to my heart that have been, like this blog, pushed aside in favor of other pursuits that filled every hour of my days. 

One of those things is yoga. Another is spending more time giving back my community. And as if the universe was speaking directly to me, these ends and beginnings lined up perfectly to join my yoga studio's Sweat For Change campaign, which aims to raise $150,000 for Little Kids Rock, an organization that helps brings music to children all over Los Angeles who wouldn't otherwise have instruments or music education. With the money, Little Kids Rock will be able to bring music to 6,000 students in 5,000 Los Angeles area schools.

For more information, you can check out the fundraising page here. I really hate asking people for money, since I believe people should feel good about giving what they can to the charities they believe in, so please keep reading and ignore the link if you'd like...this post was my gentle reentry into my blog, and this happened to be what came to mind when I touched my fingers to the keyboard. However, if you're inspired by Little Kids Rock and the Sweat For Change project and want to make a donation, every penny is appreciated.

There will be more on my story here soon. I'm taking small steps back into a life that lets words in more freely and more often. In the meantime, I'll be sweating and celebrating and taking big leaps toward to the next phase of life and the next version of myself I'm ready to become.

Friday, September 12, 2014

Sponsored Post: Celebrating Everyday Moments

The best thing you’ve ever done for to help me take my life less’s only life, after all.” 
--Indigo Girls

Ever since I moved back to the United States from India, celebrating small moments has been one of the most important things I do in my daily life. Gratitude is now the driving force behind my attitudes, my decisions, and my celebrations. I learned--the hard way!--that losing sight of the beauty in everyday life can mean missing out on your own incredible journey. And that taking life too seriously? Can make all the difference in all the wrong ways.

Big moments are important too, of course--the birthdays and firsts-days and great big live-out-loud milestones are fun and important and beautiful, too. But since my great Indian adventure, and the even greater adventure called parenthood, I know now that taking the time to appreciate the beauty and grace in the be here the greatest gift we can give ourselves and the people we love. 

Which is why I’m pleased to be working with American Express, and my dear friend Soleil Moon Frye, to spread awareness for the #EveryDayMoments campaign. The American Express Everyday Card is designed with moms in mind. Using the card on everyday essentials like clothing and groceries has a big payback, and it’s a great way to make it a little easier for parents to create everyday celebrations for their families.

Check out the card on Facebook here, and also Soleil’s super cute video below, where you can see how she and her adorable family turned the everyday moment of buying a (gasp!) minivan into a dance party. (And yes, I’m one of those minivan snob moms who shudders at the words “sliding door” and had made fun her of endlessly since the day she brought it home...but this video sort of just a little bit changes my mind...)

Disclosure: This post was sponsored by American Express. All opinions and statements are my own, including making fun of minivans (but secretly envying minivan dance parties...)