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🌸 ACNE & PIMPLES: A COMPLETE PATIENT GUIDE 🌸කුරුලෑ ගැන ඔබ දැනගත යුතුම දේ!Acne is extremely common and affects teenagers ...
29/01/2026

🌸 ACNE & PIMPLES: A COMPLETE PATIENT GUIDE 🌸

කුරුලෑ ගැන ඔබ දැනගත යුතුම දේ!

Acne is extremely common and affects teenagers and adults of all ages. It can impact confidence, but the good news is that acne is treatable.
කුරුලෑ කියන්නේ ඕනෑම වයසක කෙනෙකුට ඇති වෙන්න පුළුවන් සාමාන්‍ය තත්ත්වයක්. නිවැරදි ප්‍රතිකාර මඟින් මෙය පහසුවෙන් පාලනය කරගන්න පුළුවන්. ✅

1️⃣ What Causes Acne? | කුරුලෑ ඇති වෙන්නේ ඇයි? 🔍

👦 Teenage Acne (නව යොවුන් වියේ කුරුලෑ)
During puberty, hormones increase oil production, leading to blocked pores and bacteria growth.
වියෙදී සිදුවන හෝමෝන වෙනස්කම් නිසා සමේ තෙල් නිෂ්පාදනය වැඩි වී සිදුරු අවහිර වීමෙන් කුරුලෑ ඇති වේ.

👩‍🦱 Adult Acne (වැඩිහිටි වියේ කුරුලෑ)
Caused by stress, lack of sleep, hormonal issues (PCOS), or wrong cosmetics.
ආතතිය, නින්ද නොයාම, හෝමෝන ගැටලු හෝ වැරදි ආලේපන නිසා මේවා ඇති විය හැකියි.

2️⃣ Acne Myths vs. Facts | මිත්‍යා මත සහ ඇත්ත ❌

🚫 Myth: "Chocolate causes acne."
✅ Fact: No direct link. A healthy diet helps, but chocolate alone isn't the culprit.
චොකලට් නිසාම කුරුලෑ එන්නේ නැහැ.

🚫 Myth: "Acne means your face is dirty."
✅ Fact: It's about hormones and oil, not dirt. Over-washing makes it worse!
කුරුලෑ එන්නේ අපිරිසිදුකම නිසා නෙවෙයි. නිතර මුහුණ සේදීමෙන් කුරුලෑ වැඩි වෙන්න පුළුවන්.

🚫 Myth: "Toothpaste dries pimples."
✅ Fact: Toothpaste can burn the skin and leave permanent marks.
දත් බෙහෙත් ගෑමෙන් සම පිලිස්සී කැළැල් ඇති විය හැකියි.

3️⃣ Do’s & Don’ts | කළ යුතු සහ නොකළ යුතු දේ ✅
✔️ DO’s:

• Wash face twice daily with a gentle cleanser. (මෘදු ක්ලෙන්සර් එකක් භාවිතා කරන්න)
• Moisturize even if you have oily skin. (තෙල් සහිත සමටත් මොයිස්චරයිසර් අවශ්‍යයි)
• Be consistent — results take 6–8 weeks! (ප්‍රතිඵල ලැබීමට සති 6-8 ක් ඉවසන්න)

❌ DON’Ts:

• Don’t pop or squeeze pimples. (කුරුලෑ මිරිකන්න එපා!)
• Don’t use random home remedies. (අහන අහන අත්බෙහෙත් ගාන්න එපා)
• Don’t share towels or makeup. (වෙනත් අයගේ තුවා හෝ මේකප් පාවිච්චි කරන්න එපා)

🌟 When to see a Doctor? | වෛද්‍යවරයෙක් හමුවිය යුත්තේ කවදාද?

If acne is painful, leaving scars, or affecting your mental health, seek medical advice. Early treatment = Clear skin.
කුරුලෑ අධිකව වේදනාකාරී නම් හෝ කැළැල් ඇති වේ නම් වහාම වෛද්‍ය උපදෙස් ලබා ගන්න. ඉක්මන් ප්‍රතිකාර මඟින් කැළැල් වළක්වා ගත හැකියි.

💚 Key Take-Home Message

Acne is a medical condition, not a hygiene problem. Consistent skincare matters more than expensive products!
කුරුලෑ කියන්නේ වෛද්‍යමය තත්ත්වයක්. මිල අධික නිෂ්පාදන වලට වඩා නිවැරදි සත්කාරය වැදගත් වේ.

💬 Do you struggle with adult acne? You’re not alone! Let’s discuss in the comments.
ඔබත් තවමත් කුරුලෑ නිසා පීඩා විඳිනවාද? ඔබේ අදහස comment කරන්න.

👍 Like | 💬 Comment | 🔁 Share to help others!

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🌿 නිරෝගී සමක් සඳහා සරල මගපෙන්වීමක්: SKIN BASICS 🌿 SKIN BASICS: YOUR ULTIMATE GUIDE TO HEALTHY SKIN 🌿ඔබේ සිරුරේ විශාලතම අ...
29/01/2026

🌿 නිරෝගී සමක් සඳහා සරල මගපෙන්වීමක්: SKIN BASICS 🌿 SKIN BASICS: YOUR ULTIMATE GUIDE TO HEALTHY SKIN 🌿

ඔබේ සිරුරේ විශාලතම අවයවය වන්නේ ඔබේ සමයි. එය දවස පුරා ඔබව බාහිර බලපෑම් වලින් ආරක්ෂා කිරීමට වෙහෙස මහන්සි වෙනවා. සම රැකබලා ගැනීම යනු ලස්සන වීම පමණක් නෙවෙයි, එය ඔබේ සමස්ත සෞඛ්‍යයටම ඉතා වැදගත් දෙයක්! 🛡️✨

1️⃣ සමේ සෞඛ්‍යය වැදගත් වන්නේ ඇයි?

සම මගින් වැදගත් කාර්යයන් රැසක් ඉටු කරයි:

🛡️ ආරක්ෂාව: විෂබීජ, බැක්ටීරියා සහ අහිතකර රසායනික ද්‍රව්‍ය සිරුරට ඇතුළු වීම වළක්වයි.

💧 තෙතමනය රැක ගැනීම: සිරුරේ ඇති ජලය පිටවීම වළක්වයි. සම දුර්වල වූ විට එය වියළී, පැලී කැසීම ඇති වේ.

🌡️ උෂ්ණත්ව පාලනය: දහඩිය සහ රුධිර ගමනාගමනය මගින් සිරුරේ උෂ්ණත්වය නිසි මට්ටමක තබා ගනී.

🧠 සංවේදනය: ස්පර්ශය, රස්නය, සීතල සහ වේදනාව හඳුනා ගැනීමට උපකාරී වේ.

👉 සම අසනීප වූ විට: තදබල කැසීම, රතු වීම, තුවාල වීම් හෝ කුරුලෑ වැනි ගැටලු රැසකට මුහුණ දීමට සිදු වේ.

2️⃣ ඔබේ සමේ වර්ගය හඳුනා ගන්න (Skin Types) 🔍

වැරදි ආලේපන භාවිතය සමේ රෝග උත්සන්න වීමට ප්‍රධාන හේතුවකි.

🔹 වියළි සම (Dry Skin):
• ලක්ෂණ: ඇදෙන ගතිය, රළු බව, සේදූ පසු ඇතිවන කැසීම.
• විසඳුම: සබන් රහිත Gentle Cleansers සහ ඝනකම් මොයිස්චරයිසර් (Creams/Ointments) භාවිතා කරන්න.

🔹 තෙල් සහිත සම (Oily Skin):
• ලක්ෂණ: තෙල් සහිත දිලිසෙන ගතිය, ලොකු සිදුරු (Pores), කුරුලෑ සහ බ්ලැක් හෙඩ්ස්.
• විසඳුම: Oil-free මොයිස්චරයිසර් සහ මෘදු ක්ලෙන්සර් භාවිතා කරන්න. (සම තදින් ඇතිල්ලීමෙන් වළකින්න).

🔹 මිශ්‍ර සම (Combination Skin):
• ලක්ෂණ: නළල, නාසය සහ නිකට තෙල් සහිත වන අතර කම්මුල් වියළි ස්වභාවයක් ගනී.
• විසඳුම: සමේ විවිධ කොටස් වලට ගැලපෙන සමබර සත්කාර අවශ්‍ය වේ.

3️⃣ අපි නිතර කරන වැරදි කිහිපයක් 🚫

• ❌ වැඩිපුර සේදීම: දිනකට දෙවරකට වඩා සේදීමෙන් සමේ ස්වාභාවික තෙල් ගතිය ඉවත් වී සම විනාශ විය හැක.
• ❌ සැර සබන් වර්ග: සුවඳ වැඩි, ඇල්කොහොල් අඩංගු සබන් වර්ග සමට හානිකරයි.
• ❌ වැරදි ආලේපන: වියළි සමට ලෝෂන් (Lotions) පමණක් ප්‍රමාණවත් නැත. තෙල් සහිත සමට අධික ඝනකම් ක්‍රීම් වර්ග සුදුසු නැත.
• ❌ අධික උණු වතුරෙන් ස්නානය: උණු වතුර නිසා සම ඉක්මනින් වියළී යයි. මඳ උණුසුම් වතුර (Lukewarm water) භාවිතා කරන්න.

🌟 නිරෝගී සමක් සඳහා සරල උපදෙස්

✅ දිනකට 1-2 වතාවක් මෘදු ලෙස සම පිරිසිදු කරන්න.
✅ ස්නානය කළ විගස මොයිස්චරයිසර් ආලේප කරන්න.
✅ කසන විට සම තදින් සීරීමෙන් වළකින්න.
✅ කපු රෙදි (Cotton) වලින් මැසූ ඇඳුම් අඳින්න.
✅ අධික හිරු රශ්මියෙන් සම ආරක්ෂා කරගන්න.

🩺 වෛද්‍ය උපදෙස් ලබාගත යුත්තේ කවදාද?

• සමේ ගැටලු සති 2-3 කට වඩා පවතී නම්.
• සම රතු වී, වේදනාවක් හෝ සැරව ගැලීමක් පවතී නම්.
• කැසීම නිසා නින්දට බාධා වේ නම්.
• කුඩා දරුවන්ට පවතින සමේ රෝග සඳහා.

💚 නිරෝගී සමක් ලබා ගැනීමට මිල අධික නිෂ්පාදන අවශ්‍ය නැත, අවශ්‍ය වන්නේ නිවැරදි සත්කාරයයි!

👍 මෙම පණිවිඩය වැදගත් යැයි සිතේ නම් Like කරන්න, Share කරන්න!
________________________________________

🌿 SKIN BASICS: YOUR ULTIMATE GUIDE TO HEALTHY SKIN 🌿

Your skin is more than just what you see in the mirror—it’s your body’s largest organ and its first line of defense! Taking care of it isn’t just about "beauty"; it’s a vital part of your overall health. 🛡️✨

1️⃣ Why Your Skin Health Matters

Your skin works 24/7 to keep you safe by:

• 🛡️ Acting as a Shield: Guarding against germs, pollution, and harsh chemicals.
• 💧 Locking in Moisture: Preventing dehydration. Damaged skin leads to cracks, dryness, and itching.
• 🌡️ Regulating Temperature: Managing heat through sweat and blood flow.
• 🧠 Connecting You to the World: Allowing you to feel touch, heat, and cold.

Healthy Skin = Total Comfort. When your skin barrier is weak, you face redness, rashes, and flare-ups like eczema or acne.

2️⃣ Know Your Type (The Secret to Results!) 🔍

Using products that don't match your skin type is the #1 reason skin issues don't improve.

🔹 Dry Skin
• Signs: Feels tight, rough, or flaky. Itchy after washing.
• Need: Soap-free gentle cleansers & thick moisturizing creams/ointments.

🔹 Oily Skin
• Signs: Shiny appearance, enlarged pores, frequent breakouts.
• Need: Lightweight, oil-free moisturizers. Avoid harsh scrubbing (it actually triggers more oil!).

🔹 Combination Skin
• Signs: Oily "T-zone" (forehead, nose, chin) but dry cheeks.
• Need: Balanced care or different products for different zones.

3️⃣ Are You Making These Common Mistakes? 🚫

• ❌ Over-washing: Washing too often strips natural oils, causing irritation. (Twice a day is plenty!)
• ❌ Harsh Soaps: Avoid heavy fragrances or "antiseptic" soaps that damage the skin barrier.
• ❌ The Wrong Cream: Don't use heavy creams on oily skin or thin lotions on very dry skin.
• ❌ Scorching Hot Showers: Hot water is the enemy of moisture! Stick to lukewarm water.

🌟 Pro-Tips for Daily Glow

✅ Cleanse gently (AM & PM).
✅ Moisturize immediately after bathing to lock in hydration.
✅ Wear breathable fabrics like cotton.
✅ Protect yourself from extreme sun exposure.

🩺 When to See a Professional

If your skin issues last more than 2–3 weeks, or if you notice:

• Severe pain, oozing, or signs of infection.
• Itching that ruins your sleep.
• Persistent rashes in children.

💚 Remember: Healthy skin doesn't require a 10-step expensive routine. It just needs the right care, consistently.

📢 Found this helpful?

👍 Like | 💬 Comment your skin type | 🔄 Share to help a friend!



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28/08/2025

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🦠 Understanding Ear Fungal Infections in Children (Otomycosis)

Ear fungal infections, known as otomycosis, are common in children and can cause discomfort and concern. Here's what parents need to know:

🧠 What Is Otomycosis?

Otomycosis is a fungal infection of the outer ear canal. It's more prevalent in tropical climates like Sri Lanka, especially during the monsoon and swimming seasons. The infection is typically caused by fungi such as Aspergillus and Candida.

🚨 Symptoms to Watch For

Persistent itching or pain in the ear
Redness or swelling of the ear canal
Discharge that may be white, yellow, or black
Feeling of fullness or muffled hearing
Flaky or scaly skin around the ear
Ringing in the ears (tinnitus)

🧪 Common Causes & Risk Factors

Excess moisture from swimming or bathing
Using cotton swabs or inserting objects into the ear
Skin conditions like eczema affecting the ear canal
Recent use of antibiotics or steroids
Weakened immune system due to illness or medication

🩺 Treatment Options

Consult a healthcare provider for an accurate diagnosis. Treatment may include:
Antifungal ear drops (e.g., clotrimazole, fluconazole)
Cleaning the ear canal to remove debris
Oral antifungal medications for severe cases
Pain relievers to alleviate discomfort

🛡️ Prevention Tips

Keep ears dry and clean; avoid inserting objects into the ear canal
Dry ears thoroughly after swimming or bathing
Avoid overuse of antibiotics unless prescribed
Regularly check for signs of ear infections, especially during humid seasons

📞 When to Seek Medical Attention

If your child experiences persistent ear pain, discharge, or hearing issues, consult a healthcare provider promptly. Early treatment can prevent complications and promote faster recovery.

💡 Parent Tip

Educate your child about the importance of ear hygiene and the risks of inserting objects into the ear canal. Encourage them to keep ears dry and clean to prevent infections.

24/08/2025
😎FIRST AID - BURNS
23/08/2025

😎FIRST AID - BURNS

Let’s Talk About Pigmentation & Melasma – What Really Works?Hi again! ☀️Pigmentation and melasma are two of the most com...
25/07/2025

Let’s Talk About Pigmentation & Melasma – What Really Works?

Hi again! ☀️
Pigmentation and melasma are two of the most common skin concerns we see in Sri Lanka — especially among women. And they can be stubborn, frustrating, and sometimes confusing to treat.

So today, let’s clear things up. 👇

🔬 What causes them?
Sun exposure ☀️, hormones (like during pregnancy 👶), and skin inflammation (like after acne) can all trigger uneven pigmentation and melasma.

🚫 What doesn’t work:
Harsh scrubs, whitening creams, or DIY remedies may actually worsen pigmentation and damage your skin barrier.

✅ What really helps:
✔️ Medical-grade skincare (with ingredients like niacinamide, azelaic acid, and retinoids)
✔️ In-clinic treatments like chemical peels, low-energy lasers, and microneedling
✔️ Consistent sun protection – SPF is your skin’s best friend!

💡 Every treatment should be tailored to your skin type, especially for darker or tanned skin which is more prone to hyperpigmentation.

📣 Have you tried treating pigmentation before? What worked — and what didn’t?
Let’s start a conversation in the comments 👇

Stay tuned for our next post on how to build a pigmentation-safe skincare routine at home!

With care,
Dr. Nuwan Kularathne
Family Physician | MBBS, MRCGP
Special Interest in Aesthetic Medicine

24/07/2025
Top 3 Skin Concerns in Sri Lanka – And What You Can Do About Them!Hello again from our skin health series! 🌿Living in su...
24/07/2025

Top 3 Skin Concerns in Sri Lanka – And What You Can Do About Them!

Hello again from our skin health series! 🌿
Living in sunny, humid Sri Lanka, our skin goes through a lot. Today, let’s explore the top 3 skin concerns I often see in clinic — and how medical aesthetic care can help.

🔸 1. Pigmentation & Melasma
Dark patches, usually on the cheeks and forehead, triggered by sun exposure, heat, and hormones.

🔸 2. Sun Damage
Years of sunlight can cause dullness, uneven tone, sunspots, and premature aging.

🔸 3. Acne & Scarring
Not just for teenagers — adult acne and post-acne scars are increasingly common due to stress, hormones, and climate.

💡 The good news? These can be treated safely with personalized care, medical-grade skincare, and modern aesthetic treatments — tailored for your skin type and concerns.

📣 Which one of these affects you the most?
Let us know in the comments — your responses will guide our next post!

Stay tuned as we next explore safe and effective treatments for pigmentation and melasma. 🌞

Warm regards,
Dr. Nuwan Kularathne
Family Physician | MBBS, MRCGP
Special Interest in Aesthetic Medicine

✨ Understanding Aesthetic Medicine – Part 2: What Does It Really Mean? ✨Hello again! 🌸Now that we’ve introduced our seri...
24/07/2025

✨ Understanding Aesthetic Medicine – Part 2: What Does It Really Mean? ✨

Hello again! 🌸
Now that we’ve introduced our series, let’s talk about what aesthetic medicine actually is — and what it’s not.

🔍 Many people think aesthetic medicine is only about “beauty” or “cosmetic changes.” But the truth is, it’s much deeper than that.

Aesthetic medicine is a branch of medical practice focused on improving skin health, boosting confidence, and treating visible skin concerns such as:
✔️ Uneven skin tone
✔️ Pigmentation and melasma
✔️ Fine lines and wrinkles
✔️ Acne and acne scars
✔️ Sun damage

These treatments are non-surgical, medically guided, and personalized — with your safety, skin type, and natural beauty in mind.

💡 Fun Fact: Aesthetic medicine combines dermatology, technology, and patient-centered care. It’s not about changing who you are — it’s about revealing your best, healthiest skin.

🌞 Living in Sri Lanka, our skin faces a lot of UV stress. That’s why understanding medical-grade skincare and safe treatments is so important.

🗣️ What do you think: Have you ever wondered if skin treatments are safe or suitable for darker/tanned skin types? Let’s discuss in the comments 👇

Next up: We’ll look at the most common skin concerns among Sri Lankans and the medical science behind treating them effectively.

Dr. Nuwan Kularathne
Family Physician, MBBS, MRCGP
Special Interest in Aesthetic Medicine

22/07/2025

Wart Removal Treatments

Send a message to learn more

✨ Welcome to "Understanding Aesthetic Medicine: Your Guide to Confident Beauty" - Our New Series! ✨Hello everyone and we...
21/07/2025

✨ Welcome to "Understanding Aesthetic Medicine: Your Guide to Confident Beauty" - Our New Series! ✨

Hello everyone and welcome to our page!

We understand the desire for healthy, radiant skin. Living in beautiful Sri Lanka means enjoying our sunshine, but it can also lead to common skin concerns like pigmentation, sunspots, and uneven complexion.

This page is excited to launch a special educational series designed just for you! We're here to demystify aesthetic medicine and show you how modern, safe, and effective treatments can help you achieve that natural, radiant glow you've always dreamed of.

In this series, we'll explore:

What aesthetic medicine truly is, explained by a medical professional.

Common skin concerns we face in Sri Lanka and how to address them effectively.

The science behind popular treatments for pigmentation, rejuvenation, and anti-aging.

How to achieve beautiful, natural-looking results tailored for you.

Most importantly: Safety, medical ethics, and choosing the right expert for your unique skin journey.

Today's Question to Kick Off Our Journey:
What's one thing you'd love to improve about your skin's radiance or evenness? Share with us in the comments! 👇

Stay tuned for our first video this week, where we'll dive deeper into how you can unveil your most confident skin!

Dr. Nuwan Kularathne.
Family Physician,
MBBS, MRCGP.
Special Interest in Aesthetic Medicine.

Cutaneous leishmanisis - patient came from kurunegala
21/07/2025

Cutaneous leishmanisis - patient came from kurunegala

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