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  • Do you Flush every Evening at the Same Time ?

    Photos of my evening flush (principally nose) :



    I would like to know if some of you have the same symptoms as me.
    I start to wonder if what I really have is rosacea or if it is a completely different disease because Innever had pimples and I never had the impression that my problem was just a skin thing.

    In fact, the only thing I always had is intense flushes on the nose and cheeks. I really feel that it is an internal problem and not just a dermatological problem (I almost certain that it is not the demodex).

    I have long thought that I may have SIBO or an allergy to histamine or other foods but the fact is I flush even when I eat nothing or that I have an extremely strict diet (gluten-free, without milk, without histamine, etc.).

    I flush after meals (especially lunch) and in situations of stress, emotion or sport but my biggest flush occurs in the evening around 6pm. Every evening. Without exception. Accompanied by a feeling of intense fatigue and an impression of very unpleasant hot flash. I really don't know what causes this flush, it happens even when I'm on vacation, with good sleep and even hen I'm not too stressed ... It's like my body is overheating. In general it calms down around 9 p.m.

    FYI, I tried a lot of things (vitamins, probiotics, any type of supplement and diet). I also did blood tests and tested for lupus, thyroid, hemoglobin and quite a few other analyzes, all normal.

    So, who on this forum flushes every night or has symptoms similar to mine? When I read your testimonials I often feel like I don't have the same thing as you.

    (I also have a circulation problem in my hands, they are always cold and they are red or purple. I don't know if it's Raynaud, I don't have the white finger like in Raynaud)
    Last edited by Ryohiku; 11 February 2020, 06:54 PM.

  • #2
    Originally posted by Ryohiku View Post
    Photos of my evening flush (principally nose) :



    I would like to know if some of you have the same symptoms as me.
    I start to wonder if what I really have is rosacea or if it is a completely different disease because Innever had pimples and I never had the impression that my problem was just a skin thing.

    In fact, the only thing I always had is intense flushes on the nose and cheeks. I really feel that it is an internal problem and not just a dermatological problem (I almost certain that it is not the demodex).

    I have long thought that I may have SIBO or an allergy to histamine or other foods but the fact is I flush even when I eat nothing or that I have an extremely strict diet (gluten-free, without milk, without histamine, etc.).

    I flush after meals (especially lunch) and in situations of stress, emotion or sport but my biggest flush occurs in the evening around 6pm. Every evening. Without exception. Accompanied by a feeling of intense fatigue and an impression of very unpleasant hot flash. I really don't know what causes this flush, it happens even when I'm on vacation, with good sleep and even hen I'm not too stressed ... It's like my body is overheating. In general it calms down around 9 p.m.

    FYI, I tried a lot of things (vitamins, probiotics, any type of supplement and diet). I also did blood tests and tested for lupus, thyroid, hemoglobin and quite a few other analyzes, all normal.

    So, who on this forum flushes every night or has symptoms similar to mine? When I read your testimonials I often feel like I don't have the same thing as you.

    (I also have a circulation problem in my hands, they are always cold and they are red or purple. I don't know if it's Raynaud, I don't have the white finger like in Raynaud)
    I think a lot of people on here have the same symptoms and agree they seem to be related to rosacea but not the "typical" case. The evening flush could be a lot of things- but in general people's body temp spikes in the evening. For a long time I thought it was something I was doing or eating at that time of day but eventually I realized it was just the time of day itself that was the trigger. I do feel like the lighter I eat in the evening, the less intense these "time of day" flushes are. If you poke around this forum you'll find some meds you can try for flushing too.

    Comment


    • #3
      I have similar symptoms (although also accompanied with more 'traditional' rosacea symptoms). I used to flush after lunch everyday, like clockwork at 2:00PM without fail, then that oddly switched to after dinner for a year or so, before recently switching back to lunch...

      Comment


      • #4
        Afternoon Flushing

        Originally posted by Ryohiku View Post
        Photos of my evening flush (principally nose) :



        I would like to know if some of you have the same symptoms as me.
        I start to wonder if what I really have is rosacea or if it is a completely different disease because Innever had pimples and I never had the impression that my problem was just a skin thing.

        In fact, the only thing I always had is intense flushes on the nose and cheeks. I really feel that it is an internal problem and not just a dermatological problem (I almost certain that it is not the demodex).

        I have long thought that I may have SIBO or an allergy to histamine or other foods but the fact is I flush even when I eat nothing or that I have an extremely strict diet (gluten-free, without milk, without histamine, etc.).

        I flush after meals (especially lunch) and in situations of stress, emotion or sport but my biggest flush occurs in the evening around 6pm. Every evening. Without exception. Accompanied by a feeling of intense fatigue and an impression of very unpleasant hot flash. I really don't know what causes this flush, it happens even when I'm on vacation, with good sleep and even hen I'm not too stressed ... It's like my body is overheating. In general it calms down around 9 p.m.

        FYI, I tried a lot of things (vitamins, probiotics, any type of supplement and diet). I also did blood tests and tested for lupus, thyroid, hemoglobin and quite a few other analyzes, all normal.

        So, who on this forum flushes every night or has symptoms similar to mine? When I read your testimonials I often feel like I don't have the same thing as you.

        (I also have a circulation problem in my hands, they are always cold and they are red or purple. I don't know if it's Raynaud, I don't have the white finger like in Raynaud)

        Comment


        • #5
          Originally posted by Ryohiku View Post
          (I also have a circulation problem in my hands, they are always cold and they are red or purple. I don't know if it's Raynaud, I don't have the white finger like in Raynaud)
          Have you ruled out Erythromelagia (EM)?
          Brady Barrows
          Blog - Join the RRDi


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          • #6
            The thing that also makes me think of a different disease of rosacea is that my flushes are concentrated on the nose (mainly the upper nose, between the two eyes) while for most of you it is often the cheeks who are most affected.
            Compared to the photos, do some of you think you have the same type of flushes?

            I forgot to specify: I often have red patches in the neck, upper back and upper torso at the same time as the facial flushes.

            Originally posted by Brady Barrows View Post
            Have you ruled out Erythromelagia (EM)?
            I did not know this disease. But I don't feel any pain, just a slightly unpleasant feeling of warmth. Erythromelagia appears to cause severe pain.

            After all the research I have done, the 3 diseases that seem to me the most plausible are:
            - neurologic rosacea
            - mast cell activation syndrome
            - carcinoid syndrome (I did the urine test, I'm waiting for the results this week ...)

            Comment


            • #7
              Originally posted by Ryohiku View Post
              After all the research I have done, the 3 diseases that seem to me the most plausible are:
              - neurologic rosacea
              - mast cell activation syndrome
              - carcinoid syndrome (I did the urine test, I'm waiting for the results this week ...)
              Looks like you have done your research. Here is a more exhaustive list for your consideration if you want more, and don't forget the variants of rosacea. I haven't seen mast cell activation syndrome (what papers do you have for this one?).
              Last edited by Brady Barrows; 12 February 2020, 12:43 PM.
              Brady Barrows
              Blog - Join the RRDi


              Comment


              • #8
                Originally posted by Brady Barrows View Post
                Looks like you have done your research. Here is a more exhaustive list for your consideration if you want more, and don't forget the variants of rosacea. I haven't seen mast cell activation syndrome (what papers do you have for this one?).

                Wow, the list goes on ... Lots of illnesses that I have never heard of. You who seem to have experience, would you have an opinion on the cause of my symptoms?

                for mast cell, I just read that it could give flushes and redness.

                EDIT :

                I have just received the results of my 5-HIAA. Perfectly normal. So normally I don't have a carcinoid tumor. it is a delivery and at the same time a disappointment ... I still do not know what I have ...
                Last edited by Ryohiku; 12 February 2020, 05:10 PM.

                Comment


                • #9
                  I get something a bit similar. My peak times are around 2-3pm - when in the office, and around 8pm in the evening, particularly after food. And it's pretty much just my nose too.

                  My triggers are heat/humidity, which is the main one. But also sport (but only sometimes), and hot (temperature) foods especially soup. Also, sitting down can be an issue. I can also get it lying down - so going to bed can cause it to happen, but it calms down after a while and in the morning it's fine.


                  I'm learning to manage it. At work I've all but beaten my afternoon flush simply by having a desk fan blowing on me most of the afternoon. The evenings are more tricky, but I find eating less hot soupy/stewy foods has helped. And getting up and walking around, and splashing water on my face if I feel a flush coming on. Prevention is definitely better than cure; once a flush has taken hold I often have to wait it out for a while (hours?) for it to go, but if I can prevent it from happening I can go all day flush free.

                  I also take 22.5mg of mirtazapine in the evenings. I'm only partially convinced that this has helped; starting taking it seemed to coincide with a good spell, stopping it coincided with it getting worse, and starting it again coincided with it getting a bit better again. But this problem ebbs and flows of its own accord too, so I can't be sure. It's definitely worse in the winter, which I assume is to do with central heating, and having more fluctuating temperatures throughout the day; going from cold to hot particularly. In the summer time it is much less of a problem, but I do still have to manage it and be vigilant on what I eat and avoid being trapped in a hot stuffy place.

                  It's exhausting to manage, but I'm just about on top of it. Most of the time.

                  Good luck

                  Geoff
                  Last edited by Geoff1; 18 February 2020, 10:53 PM.

                  Comment


                  • #10
                    Originally posted by Ryohiku View Post
                    Wow, the list goes on ... Lots of illnesses that I have never heard of. You who seem to have experience, would you have an opinion on the cause of my symptoms?
                    No. I have done a lot of investigation into rosacea but can't offer an opinion on what you may be suffering from. As you have pointed out the list of differential diagnosis of other skin diseases that present with erythema is quite extensive and the list keeps growing. Wish I could be of more help but, don't give up, keep searching and you will find.
                    Brady Barrows
                    Blog - Join the RRDi


                    Comment


                    • #11
                      Mine seems to come on between 6 - 7 PM every night.. but I'm always pink/red. Usually it's intense in my ears at this point and just more red on my face.

                      Comment


                      • #12
                        I normally feel hot between 6pm and 8pm, more so if I have a hot meal.

                        I try to do all my eating for the day between 12pm and 6pm.

                        By around 10pm, my body is generally much cooler. If I can resist the urge to go to checking my skin i nthe mirror, I'm less likely to get irritated, annoyed and subsequently hot.

                        After using Mirvaso, my face was always red from around 5pm for a LONG time. I've had several laser treatments, and it generally stays the same colour now.

                        Changing my diet to get rid of sugar and other such inflammation drivers seems to have helped.
                        I'm recovering from Mirvaso-induced skin damage. Ask me about it if you are too.


                        T-Shirt: "Laser skin treatment. That's what it is if you're wondering. Yes, it hurt."

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                        • #13
                          Can flushing be caused by Demodex?

                          Flushing occurs after meals, in the evening with fatigue, when you are stressed, when you exercise, or with the other usual triggers.

                          My question is: How a small demodex mite can cause flushes at these specific times? I mean, the mites created an inflammation, ok; they cause pimples, ok; but why would the emotions give flushing? demodex don't give a damn that we are stressed or exercising, they live their lives on our skin and basta.

                          This is why I wonder, in your opinion: can demodex be the cause of flushes? Or "flushing rosacea" is just a totally other condition with other cause ?


                          Did people who had recurring flushes and who eliminated their demodex heal their flushes?

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                          • #14
                            Can it be sinus related?

                            I have similar symptoms - night flushing and a hives like itchy rash on neck (the latter seems to have disappeared since I gave up dairy and sugar). I can sense it when a flush is coming beforehand, first my eyes feel warmer, nasal passageways get dry and swollen and there it is - a burning nose and sometimes cheeks. My ophtalmologist said I've got blepharitis and exluded ocular rosacea. Maybe I need to go to an otolaryngologist too. I agree that it's an internal disease. I thought it could be a dust allergy or sinus infection. What do you do to caml down the flare-up? I use green tea leaves as a mask; sheet masks with green tea aren't that effective. Please, keep me posted on your findings. I'll also appreciate it if anyone could suggest something.

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                            • #15
                              Originally posted by Ryohiku View Post
                              Flushing occurs after meals, in the evening with fatigue, when you are stressed, when you exercise, or with the other usual triggers.

                              My question is: How a small demodex mite can cause flushes at these specific times?
                              Demodex mites are part of the flushing process - you will also know if you have a lot of untreated demodex mites due to itchiness which may well be stronger around flush times. However, when you eat a meal involving heavy carbohydrates such as potatoes or sugar, this also increases the blood pressure which has an impact on flushing (hence medicines such as moxonodine which control blood pressure and keep it stable can be very helpful to significantly reduce mealtime flushing, particularly if you have average to high blood pressure).

                              I mean, the mites created an inflammation, ok; they cause pimples, ok; but why would the emotions give flushing? demodex don't give a damn that we are stressed or exercising, they live their lives on our skin and basta. Mites do become more active the higher the temperature up to about 40C, so if you get warmer through exercising this is likely to activate them.

                              This is why I wonder, in your opinion: can demodex be the cause of flushes? Or "flushing rosacea" is just a totally other condition with other cause ?

                              You have to tackle all the causes of your flushing, not just demodex (but if you don't tackle demodex, which are much harder to tackle than most people think, then you'll never get as much relief as you could by severely controlling their population on your body). If you have significant emotionally related flushing you might consider propranolol. For meal time flushing, moxonodine and hydroxychloroquine are really helpful. Aspirin can also help dampen down a flush but for me are a bit useless without alpha blockers (moxonodine or clonidine).

                              Did people who had recurring flushes and who eliminated their demodex heal their flushes?
                              Controlling the demodex mites with zhongzhou cream reduced flushing and redness by about 30% for me. Medicines reduced flushing about about 30-40%.
                              I've answered the questions above where you asked them.
                              Last edited by antwantsclear; 24 February 2020, 02:56 PM.

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