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I remember when I was in eighth grade in school years ago and listening to Pink Floyd. I heard a song way back then that became a favourite of mine at the time and still is today. It was called Comfortably numb. At the time of listening to it back then, I thought it was all about heroin abuse. A year or so later I heard another song by an Australian band called the Choirboys that had lyrics that said: “You don’t need anyone, no you don’t need anyone; when you run the paradise.” Once again I saw this as the paradise that is found by the injection of heroin. In the movie Pulp Fiction, just a few years ago, I saw the absolutely mind blowing rush one can get from the injection of a needle, and how heroin really is like the big daddy of them all. For even the name itself boasts of its awesome ability and power and how it should be worshipped. We all know about branding and the power of a brand name, if it’s used properly. Just think of Coke, Mc Donald’s, and Disney and suddenly you have an emotion and hopefully a positive emotion come to mind. The word heroin is no mistake. It’s available when you need the ultimate peace and numbness, and you put the father of all drugs into your arm like a doctor gives medicine, you go and put the Hero in. I am fortunate in one way. I am sure it was an act of God and nothing short of it. As I was growing up, our house was a halfway house for recovering heroin addicts. They came around to our house on rainy Sundays for lunch and when they were healed often stayed with our family until they could find a permanent place of accommodation. They came to us raw and fresh out of rehabilitation. It was their words, and their tears that showed me heroin had its costs on a personal life and wasn’t just the hero in these guy’s life, but their master for many years. They who worshipped the drug and fought, begged borrowed and stole to inject it, were broken individuals who readily cried and told of the horror the drug demanded of them. Yes, heroin is a powerful drug and I’ll admit that it will make you leave this world we are in, and you will float and kick back into a comfortable numbness. Yes. You won’t need anyone when you run to paradise. But it comes with a price. I thank God I saw the pain in the drug and never injected it myself. Oh boy I came close and yes I mixed in all the right circles, but I never succumbed to its tantalizing beckoning. And how glad I am that I didn’t! But that isn’t to say those who do are bad people. I just found a better way for myself to find a release. If it’s comfortable being numb…how can there be comfort in pain? This was the confusing part for me to work out. How could I enjoy the release which was very pleasurable sleeping with prostitutes, and yet still enjoy the pain of it all in eating breakfast cereals and milk for days because I had no money left? I read an interesting article once in a psychology magazine. I had never picked one up before that day and have never picked another up since. But in this magazine on this day, whilst I sat in some Doctors surgery for half an hour, I truly learnt the key to the whole puzzle. We who have addictive tendencies, don’t get a choice in what we become addicted to. What? I hear you say. Yeah well its strange isn’t it? It’s not all that hard to grasp really. You know that song that you hear and you just can’t get it out of your head. Every time the radio plays it, you spend half a day singing it to yourself. Even years later when “Run to paradise” comes on, I still get caught up with the emotions I was feeling that day. I absolutely love that song. Well that’s how a habit is formed. Repetition. The more I hear it, the more stronger my emotional response, the more I am addicted to it, or attracted to it. Even if it’s a not so pleasurable experience. Even if that experience is being beaten by your father in a fit of rage. The more he does it, the more I emotionally respond, the more I begin to crave that negative emotion. You become addicted to the pain. And in some ways when life is going along fine, if you are missing that pain in your life, you actively seek it out. It's sad really. That’s why a woman stays with a man who beats her up. That’s why a junkie sells his soul for the junk he puts up his arm and that’s why a person will ritually cut themselves to feel the rush of pain. We are addicted to the pain, just as much as to the pleasure. And just like light follows darkness, after the pleasure we seek the pain, and when we are in pain we seek the pleasure, and we continue to exist. We all enjoy feeling comfortable. We all enjoy being safe and secure where we are. Take us away from what we know, take us to another state or city suddenly and tell us to deal with it and we have a problem. We need to change slowly, but given the choice we like to stay with what we know. Why else would a country approve of a president who blatantly lies to his people? We don’t like change and we only do it if forced upon us. It’s only when a wife is beaten so very badly that the authorities step in and keep her from her husband by locking him up, that the wife accepts separation. But she has no choice in this matter. So she quickly goes out to a pub and finds another guy to beat her up. She can’t help it. She doesn’t like getting beaten up. And her friends can’t understand her for going back. But that’s the only sort of love she knows and that’s the only love her daddy taught her. He regularly beat her mother up and in between beating her he made love to her mother and brought her presents home from work. And if he was a fine example of an alcoholic father he even made special visits to his daughter’s room to comfort her and run his filthy hands over her and molest her. Oh yes She remembers the love, and she remembers the pain, and somehow they melded into one, and that was called life. To her, or to the heroin addict or to you the reader, life is all about feeling comfortable with our lot and coping as best we can in the circumstances. How do I know about pain…. Have you ever had a man shove his penis up your behind? I mean shove it right in there so you can feel the tears flowing down your cheeks. Have you ever had to lay down and push your bum in the air and let a beast put it into you with all his might? It’s not fun. Its not love, and if you’ve been there, it’s not something you forget real easy. Worse still is the guilt you feel for putting yourself in the position that allowed it. Oh what a fool you were. If only you weren’t so craving pain in your life, things like this wouldn’t happen. And soon you believe it is all your fault. And then you begin to take comfort in the pain. One day you are seeking the pain. One day you become comfortably numb. You go through the motions, you allow the lightning pain, and you switch off to it by a sheer act of will power. It seems as you lie there and let a man rip your insides with his penis that Pink Floyd may have been singing about this pain when they were singing. Maybe it wasn’t heroin, but the pain, and you’re switching off to it all, that makes you numb. Maybe you weren’t as smart as you thought you were when you are young, and the wisdom of a life half lived has served to give your life a richer and more rewarding tapestry. It’s a sad cycle. The addicted are addicted to the week of poverty and no food after one night down at the pokies or one night with the prostitutes. We feel lonely, hopeless and we have no hope in life, so we confirm what a sad person we are when we live in poverty and prove with cheap clothes a free charity meals that we really are a loser like everyone things we are. It’s not fun eating cereal for a week. It’s not fun nursing a black eyes once very few weeks, it’s not fun having to go up the street everyday saying can people spare you change for a bus fare, it’s not fun, but we are so useless and we are so lacking in self worth we just love the feeling of shame, guilt and stupidity and we beat ourselves up with it. We make all our promises. If he beats me up one more time I will leave. If that girl does not kiss me this time I am never going to see her again. If this jockey does not ride that horse in next week that is it for me and punting. We are weak, we are hopeless and we are addicted to feeling that way. The hardest thing about not sleeping with a prostitute for three months is not feeling the week of guilt after we have partaken of that sin. Especially when you are a Christian. It’s fine not to get the high, but how am I going to get that rush of guilt each week that I am in love with and addicted to? And then there is the high. It’s in the paper ringing private escorts working in their own rented apartments and interviewing them one by one a few days before you get the money. You narrow it down and pick one and then five hours after you have been paid you are in bed with her. No matter how much you cry to God about your wicked sin, here you are trying to bring pleasure to a professional so that you can feel like a man and have a good time, and if she’s a professional she’ll have you convinced you did bring her to orgasm. If this is all to crude for you, you can jump to the next paragraph. In twenty years of this addiction, I have only been convinced of about three orgasms of the prostitutes I have been with. And boy, twenty years worth of once a week, or once every two weeks of seeing a sex worker, you do the maths, that’s why I don’t own a house. You see I am poorly dressed and poor in assets and have never had any reason to really write a will because most of my life my addiction kept me broke. Boy I can relate to people in addictions. The only way I came out of my addiction the time the original of this piece was written in 2005 and now in 2006 my two successful times of reprieve from the addiction was when I repented with many tears before God with all my heart and not wishing with all my heart to ever go back to these ladies. I had to love the girls and stay away and not abuse them, I had to love God enough not to break His heart with my sin with sleeping with a girl I was not married to, and I had to love myself enough not to degrade my self esteem by becoming a sex starved brute. The only way out of my addiction was to hate it. The problem with many of us is this addiction to the highs and the lows. Oh I know about the rush of horse racing I did that for many years. There’s nothing like buying a car from your winnings one week. There’s nothing like seeing your horse win the race and it’s because you were a smart little punter watching all of that horses races since it first started racing and knowing that it can only win certain races at certain distances according to the track, the rider, the breeding and the time in the current campaign it is in. There’s a skill of knowing which race the owner and trainer are wanting to win with the horse and what races the horse is only racing to stay fit. There’s knowing which jockey will ride the horse when the horse has got to look like its trying to win the race and it’s the race favourite, but the owner, the trainer and the serious in the know punters connected to the stable want it not even to run a place and definitely at all costs do not want it to win the race. There really are so many factors to consider as a horse punter, it’s no wonder big high profile people in the business world are kings and respected for placing million dollar bets. Racing stroked my ego on the high side when I won, and when I had a big loss on a big punt it made me feel like the loser I was when I lost. So how could I lose? lol And what about today five years on? I am comfortable and I am not addicted any more. I attend a church where I am loved and I have began to preach in a few churches. My Lord Jesus trusts me today to help strangers find their way to Him and to healing and I am in love with myself. I am quite impressed with what articles I have written five years ago and a lot has happened in my life since then. I have been Baptised and now have some giftings that Jesus has given me so that I can better witness to people. He has given the ability to "Know" a person's pain and their struggle and know things about them that they haven't told me. He gives me the ability to give strangers a message from Him and that just makes me so happy to be out and about doing that. I have not seen my son in six years and that is sad but it was his mother's wish and I didn't fight it. I have had another breakdown and now am wiser and have stayed on my medication for four years without a serious incident. It seems the more hard balls life throws at me the more confident I am in the power and the love of Jesus to pull you through anything. I really enjoy sharing a message with a person through prophecy when Jesus speaks through me as I really enjoy seeing Him speak. He is such a magnificent, wonderful, caring and patient God that was man. It is so good to have a God in heaven called Jesus who thinks and reasons like a man but with all the power of God behind Him. Jesus is just so real to me. I have seen Him in visions close to ten times now and some of them have been so very memorable. He told me once that I was his hidden treasure and if you are reading this I am sure He would tell you the same also. He is so sweet, I do not need another person to sustain me. He is my everything and He is such a loyal and honest and caring friend. With much love, penis enlargement before and after pennis enlargement excersizes best penis enlargment surgery penis enargement cream herbal penile enlargement pills penis enlargement pump pnis enlargement procedure penile enlargment photo

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A Guide to Testosterone Cream Have you ever imagined that one day if you were suffering from low levels of testosterone you could just rub on some testosterone cream, which then becomes absorbed through your skin boosting your levels of this vital hormone? Testosterone therapy using cream is a mixed bag. Though very effective as a form of testosterone replacement, there are possible testosterone cream negative side effects. Other remedies exist such as patches, injections, oral androgens, and the implantation of time release pellets under the skin that might serve better. The testosterone cream negative side effects fall into three classes. Some are well known. Another class happens occasionally and a third category of t negative side effects occurs only rarely. The negative consequences that happen from testosterone cream for women are often different than those for men. The first class of side effects can occur from testosterone cream for women and for men. These negative side effects can include masculinizing effects such as increased hair growth, deepening of the voice, weight gain and acne. In men, prostrate problems can develop and difficulty in urinating can occur. Enlarged, swollen or tender breasts can result from using testosterone cream for women. Irritation of the skin is another commonly encountered side effect occurring where the testosterone cream is applied. The use of too much testosterone cream can express itself as the blood level rises to a toxic level. The second class of testosterone cream negative side effects contains those that occur less often but are also a consideration. These consequences of using testosterone cream include depression, anxiety, and possible mood disorders. High blood pressure can result from using testosterone cream as well as gastrointestinal problems and headaches. Additional testosterone cream side effects include actually reducing sex drive rather than enhancing it. Often changes in cholesterol levels from the use of testosterone cream are detected. Menstrual irregularities and enlargement of the clitoris can result from testosterone cream for women. The use of this topical gel can be continued in some of these cases under the supervision of a doctor. Men who have prostrate problems should not use the cream. A fear of initiating prostate disease, or even prostate cancer in some cases, exists as a concern among the medical community. Using testosterone cream for women in pregnant women or mothers who nurse their babies should not be performed. The testosterone can pass from the mother to the baby. Likewise, people using testosterone cream with a history of liver disease, kidney disorders, cardiac problems or known hypersensitivity to testosterone should not use it. The testosterone cream negative side effects in these cases should be obvious. The rare effects from using testosterone cream for women and men include liver complications. These cream negative side effects can manifest themselves as yellowing of the skin or eyes, nausea, abdominal pain, unusual bleeding, abnormal bruising or severe fatigue. Prolonged erections in men also occur. Breathing disturbances, including those associated with sleep, can result from using testosterone cream for women and men. Nausea or vomiting can also occur from the use of testosterone cream. Swelling of the ankles and changes in skin color are other rare possible negative side effects. Allergic reactions are testosterone cream negative side effects that might result in difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives. In any case, if these serious symptoms from using testosterone cream for women and men emerge seek emergency care immediately. Although unlikely, these offshoots of using testosterone cream are dangerous enough to warrant immediate attention. The use of testosterone cream for testosterone replacement therapy has the advantage of being convenient and effective. However, the testosterone cream negative side effects from using testosterone cream for women and men may outweigh the advantages for some. This article is not intended to scare anyone using or considering using testosterone cream. By and large, many of the cream products are very safe and many people won't experience any discernible side effects. Talk to your doctor carefully about the cream and other testosterone replacement therapies. penis enhancement testimonials herbal natural penis elargement vimax review penis enlargement pill penis elargement excercises prosolution penis enlarement pills guide to pnis enlargement do penis enlargement pills really work penis enlagement exercise

Your grandma just left you an oil painting and you need a few copies; one for appraisal purposes and two for your siblings who would love to have a copy, too. A trip to the professional photographer involves a set up fee, print cost, and a negative that is unavailable for sale. The painting is too big for a flat bed scanner so digital copies are not feasible. One solution is to copy it yourself. A good 35mm SLR camera with a normal lens will probably focus to two and one half feet. Even better is a six or eight megapixel DSLR or EVF camera. Use an ISO setting of 100 or slower. Critical is the correct use of lighting. Allowing the surface texture to show in your copies prevents displaying the true color and values of the picture. Ideally, two identical incandescent lamps in reflectors angled at forty-five degrees will minimize surface reflections. Place the painting vertically and line up the camera on a tripod exactly perpendicular to the painting. An alternative is to use the sun at a forty to fifty degree angle. Any other unbalanced source (single) is to be avoided. Fill the view finder to about 80% of the viewfinder and check to see that all edges are parallel. The circle of light cast by the lamps determines the distance from the lights to the picture. Make sure all of the painting surface is evenly lit. Use an 80B filter with outdoor film or set your digital white balance at incandescent. A filter is not needed if electronic flash is the source of light. Electronic flash must be metered with a flash meter or calculated using the guide on the back of the flash. Equalize the distance from each flash to the center of the painting and aim the center of the cone of light at the furthest edge of the painting. Bracket your exposure one stop over and under the recommended F stop. F8 or F11 are the sharpest F stops. The resulting proofs are NOT a good guide to choosing the negative with the best quality. If a digital camera was used then print a small test picture before making the enlargement. When viewed over a well lit white surface, it is not too difficult to choose the negative with the best color and contrast. A slight increase in contrast is generally considered a plus. When done properly, it is difficult for the average person to tell the difference between the copy and the original when viewed from a normal distance. vigrx for men penis enlagement patch free penis enlarement technique cheap vigrx pills natural pnis enlargement penis enlargment forum buy vig rx mp4 vimax penis enlagement exercise

Signs and Symptoms of Acne Rosacea There are certain contrasts between acne rosacea and acne vulgaris. As you probably know, acne vulgaris is the most common form of acne which seems to start with the onset of puberty and is characterized by the formation of whiteheads and blackheads. Acne rosacea, on the other hand, usually makes its first appearance between the ages of 30 and 50, is confined to the face -- mostly the nose, cheeks, chin, forehead and eyelids -- and is not associated with overactive oil glands. The lesions seen in acne rosacea consist of erythema, minute dilated blood vessels, papules and pustules. The color of the skin in the affected areas varies from bright to dull red, or it can even take on a purplish hue. At first the redness may last for just a few hours, but later as the condition progresses and recurrences continue, the color persists and can become permanent. The hypertrophy of the sebaceous glands, especially on the nose, leads to thickening of the skin, increased visibility of the expanded follicles and an enlargement of the nose, so often associated with acne rosacea. Although most commonly seen in women, men have the most severe cases and are the ones that usually develop the disfiguring bulbous nose, known as rhinophyma. Oddly, sometimes rhinophyma is the only sign of the condition. People suffering from acne rosacea come to realize what aggravates their particular outbreaks and avoid them, if possible. The most common stimulants are hot, spicy foods, hot beverages and alcohol. Exposure to the sun and to heat also seems to be aggravating factors. Acne rosacea is not life-threatening, but it certainly does severely alter a person's appearance. Complications Associated With Rosacea There are few complications associated with acne rosacea. Sometimes, eye irritations can occur due to inflammation of the eyelashes or outer surface of the eyes. The membrane covering the lens (cornea) can become inflamed leading to impaired vision, but this rarely happens. Treatment Options for Acne Rosacea Topical and Oral Medication. There is no proven cure for rosacea since the exact cause of the disease is not known. Successful treatment is based on controlling the acne-like symptoms with the same topical and systemic medications used in treating regular acne. The most effective treatment to date includes long term use of topical and oral antibiotics such as tetracycline which does seem to control the eruptions. The dosage of the antibiotic is slowly lowered to maintain control. In most cases, it can eventually be discontinued altogether without recurrence of the rosacea pimples. Of course, tetracycline should never be taken during pregnancy since the medication does affect the unborn child. Laser and Surgery. Laser treatment has been successful in eliminating the enlarged facial blood vessels. This is a treatment that causes very little discomfort. Also, surgery can be used to remove the excess tissue associated with rhinophyma. Other Treatment. The psychological and stress problems associated with acne rosacea should always be assessed and treated. easy enlargement free pnis surgery way pennis enlargement tip penis enlarement picture vimax extender penis enlargement device penis enlargement before and after picture pennis enlargement traction device natural penis enlargement exercise penis enlagement exercise

KNOWING ROSACEA Rosacea is a disorder of the blood vessels. It is a common skin disorder. Approximately 48 percent of the world population suffers from Rosacea. However, Rosacea is one of the most misunderstood states of the skin. FAMOUS PERSONS SUFFERING FROM ROSACEA If you are having Rosacea, you are then in the august company of eminent persons. A few of the noted personalities suffering from Rosacea are JP Morgan, WC Fields, Cameron Diaz, Bill Clinton, Prince Harry of England, besides the late princess of Wales and mother of Prince Harry – Diana. ROSACEA SYMPTOMS The common symptom of rosacea is transformation of the skin color into red. The body portions most affected by rosacea are the cheeks, nose and forehead. At times, such redness and flushing of skin can also spread to the ears, scalp, chest or the neck. As Rosacea progresses, the reddish tinge can turn into a permanent condition. There can also be a marked visibility of the small blood vessels particularly at the skin surface, stinging or burning skin sensation, eyes turning gritty and reddish, and pus-filled or simple bumps that appear red. Among these severe symptoms are bulbous noses. The maiden rosacea symptoms are nagging redness which is often wrongly attributed to cleansing, exercising or temperature changes. SIMILAR SKIN DISORDERS Many confuse rosacea with seborrheic dermatitis or/and acne vulgaris. Mentionably, rosacea can co-exist with acne vulgaris and seborrheic dermatitis. THE ROSACEA VULNERABLE SECTION It has been generally noticed that the people with fair skin are the most vulnerable section with reference to rosacea. Therefore, rosacea does have a hereditary strain. Those having a descent from the Celtic or the fair-skinned European stocks are genetically inclined to suffer from rosacea. Notably, both the sexes can fall prey to rosacea. People of all ages can be affected by rosacea. It has also been noticed that people in the age group of 30-50 are easily affected by rosacea. Nonetheless, women in their middle ages are the most vulnerable section of the populace. The reason is, of course, menopause-abetted hot flushes. However, rosacea symptoms are more severe with reference to men. CAUSES OF ROSACEA There is no unanimity among the medical researchers as to the exact rosacea pathogenesis. Nonetheless, there is a concurrence in views insofar as to the cause of rosacea. Rosacea occurs when stimuli repeatedly dilate the blood vessels, and as a result of which the blood vessels get damaged. The damaged blood vessels dilate rather easily. Besides they either remain permanently dilated or stay dilated for a considerably long time. The consequence is redness of the affected portion and its flushing. ROSACEA PAPULES OR INFLAMMATORY PUSTULES The papule or inflammatory pustule can be I the form of a boil, or a pimple, or an eruption for that matter. In rosacea (papulopustular), the mediators (inflammatory ones) as well as immune cells ooze out from the skin bed that is basically micro-vascular by nature. This, in turn, leads to the inflammatory pustule or papule. OTHER CAUSES OF ROSACEA Various conditions can also lead to rosacea. One thing is for sure: strenuous movements cause blushing and flushing. A few of the situations where such flushing or blushing can be formed are as follows: Stress, cold weather, acute sunburn, and extreme heat exposure especially from the sun. Rosacea can also be caused by sudden changes in temperatures while traveling, or in heated rooms especially in winter. FOODS CAN ALSO CAUSE ROSACEA Certain food items that contain very high quantity of histamine have been identified as responsible for the eruption of rosacea symptoms in many people. Similarly, spicy food besides alcoholic substances can definitely trigger off rosacea. MEDICATIONS TOO CAN LEAD TO ROSACEA Several topical irritants and medications may at times cause rosacea. Take for example several drugs people take to hide wrinkles or to deal with acnes. Among these chemicals those particularly responsible for causing rosacea are tretinoin, benzoyl peroxide, isotretinoin, microdermabrasion, and certain chemical peels. Obviously, one should immediately stop the use of any such irritants the moment any rosacea symptoms appear. INDUCED (STEROID) ROSACEA The term ‘steroid induced rosacea’ points to such rosacea symptoms that are caused by steroids, particularly nasal and topical. Notably, these types of steroids are generally prescribed for patients suffering from seborrheic dermatitis. First aid: In such circumstances, immediately consult the physician. Moreover, one should begin the medication discontinuing process over a period of time. Decrease the dosages slowly. Else there may be a flare up of the rosacea symptoms. MITES & BACTERIA CAN CAUSE ROSACEA AS WELL A considerable number of rosacea people have been found to possess the species of mites known as demodex. This is more so the case with those people who have rosacea from steroids. Mentionably, the presence of a large number of these demodex mites can only cause rosacea. But, they cannot by themselves cause the rosacea condition. The demodex mites will have tom act in conjunction with other factors to be able to trigger off the rosacea states. Bacteria, especially the intestinal bacteria, can cause rosacea. These intestinal bacteria reside in our digestive highways. This is a neurological dysfunction. Such rosacea conditions can erupt after the intestinal bacteria activate the plasma kakllikrein-kinin system. THE KAKLLIKREIN-KININ SYSTEM The kakllikrein-kinin system or the kinin-kallikrein system or just the kinin system is a not well delineated structure of blood proteins. The blood proteins have a major role to play in causing pain, coagulation, control of blood pressure and inflammation. Mentionably, the major mediators of the kinin system are bradykinin and kallidin. Both of them act on different cell types. Both are vasodilators DIFFERENT FORMS OF ROSACEA Researchers have identified four forms of rosacea. Each of these subtypes can have its typical symptoms. More importantly, one person can have more then one of the subtypes at the same time. THE ROSACEA SUBTYPES The four rosacea subtypes are Ocular rosacea, Phymatous rosacea, Papulopustular rosacea and Erythematotelangiectatic rosacea. OCULAR ROSACEA Ocular rosacea mainly affects the eyes. The Ocular rosacea symptoms are burning and itching besides sensations as if there are foreign bodies within the eyes. When anyone is affected by ocular rosacea, the eyes and the eyelids turn dry and red. Irritation of the eyes and the eyelids is also very common. PHYMATOUS ROSACEA Phymatous rosacea affects the nose, ears, cheeks, forehead, chin and the eyes. Phymatous rosacea is also linked with the nose enlargement dysfunction called rhinophyma. Another disorder closely connected with phymatous rosacea is the visibility of small blood vessels near the skin surface. Other symptoms of phymatous rosacea are appearance of irregular surfaces on the skin and which may be also accompanied by nodularities. The skin can get thick as well. PAPULOPUSTULAR ROSACEA Many confuse Papulopustular rosacea with acne. However, Papulopustular rosacea remain reddish while acne do not. The common Papulopustular rosacea symptoms are papules (red bumps) filled with pus. Such bumps are called pustules. Papulopustular rosacea papules with or without pustules generally dissolve within five days. People having Papulopustular rosacea usually have permanent redness of their skin. This state is described medically as erythema. Another symptom of Papulopustular rosacea is they tend to flush or blush quite easily. Moreover, the patient can also have burning or itching sensations. ERYTHEMATOTELANGIECTATIC ROSACEA Erythematotelangiectatic rosacea causes the small blood vessels to appear rather prominently near the surface of the skin. This typical state is known as telangiectasias. TREATING ROASAEA There are various treatments for rosacea people. The strategies vary depending on the acuteness and the rosacea subtype that a particular person may be suffering from. Hence, there can be different treatments for different persons suffering from the rosacea symptoms. Hence, the dermatologists opt for the sub-type-directed method to diagnose, analyze and treat rosacea. LASER TREATMENT Laser treatment in dermatology is variously known as Broad spectrum (Intense Pulsed Light), or Single wavelength (Vascular laser). Laser treatment is one of the most popular treatment methods of rosacea. In laser treatment, light is made to infiltrate the epidermis. The light hits the skin’s dermis layer. It targets the dermis capillaries. The oxy-haemoglobin gets heated up after it absorbs the light. The process heats up the capillary walls till 70 degree centigrade. This heat destroys the capillary walls. The damaged walls are then absorbed by the body via its defence mechanism. CO2 LASER TREATMENT Focused thin beams of CO2 laser are manipulated to defocus or cut (as scalpels) the tissues. Then these tissues are vaporized. CO2 lasers are used to get rid of the excessive tissues formed by phymatous rosacea. In this method, our skin directly absorbs the CO2 lasers wavelength. SIMPLE STEPS TO TACKLE ROSACEA (i) Gentle skin cleansing regime Always deal with the skin gently and lovingly. Go for only those cleansers that are non-irritating. (ii) Shielding skin from sun Never venture out in the sun-bated beach sans protection shields. Regularly use sunscreens. Choose such a sunscreen that consists of a physical blocker agent. Such active blockers are titanium dioxide or zinc oxide. (iii) Trigger avoidance It is important to maintain a diary of the foods and the climatic or other factors that generally lead to rosacea. In fact, The National Rosacea Society promotes this habit. This approach also goes a long way in identification and reduction of the triggers. Moreover, trigger avoidance is ideal to control the onset frequency of rosacea. But, all alone it cannot check rosacea. Nonetheless, the mild rosacea attacks can be effectively checked if a patient avoids the factors that triggered off the rosacea symptoms. One can get flushing after consuming red wine or food items having high quantities of histamine. Then, go for antihistamines. Some common antihistamines are loratadine or cetirizine. (iv) Eyelid hygiene Eyelid hygiene is especially recommended for persons complaining of eyelid infections. Practice eyelid hygiene frequently. Here are some easy eyelid hygiene steps. Gently scrub the eyelids daily; You can use baby shampoo in a diluted form; Or, you can also opt for any across-the-counter eyelid cleaner. Apply the cleaner in warm compresses. But, mind you, never should it be hot. Carry on the practice several times in a day. MEDICATIONS (ii) Topical & Oral Antibiotics To get instant relief from the rash, redness, inflammation, pustules and papules, you can go for topical and oral antibiotics. An effective topical antibiotic is metronidazole. Similarly, ideal oral antibiotics are the tetracycline antibiotics. Some examples of tetracycline antibiotics are minocycline, doxycycline, and tetracycline. The oral antibiotics are rather effective in treating ocular rosacea symptoms. Isotretinoin is generally given to patients who complain of persistent pustules or papules. However, there are several side effects of isotretinoin. Therefore, isotretinoin is prescribed only in acute situations. It is also given to treat acute acne. Nevertheless, for patients suffering from phymatous and papulopustular rosacea, low dosages of isotretinoin have been delivering the goods. BETA BLOCKERS OR α-2 AGONIST The commonly used α-2 agonist is clonidine. It is helpful to deal with blushing and flushing. But it has side effects. One can feel drowsy or/and one’s blood pressure may also plummet. So, to neutralize this effect, one can use monoxidine as an alternative. Monoxidine has lesser side effects. But many do not find it as effective as clonidine. Propanolol is an ideal beta blocker. It is akin to α-2 agonists. And, it has been found to be effective in dealing with recurrent social blushing rather than the general rosacea flushing. It is also ideal to tackle anxiety.