Foods are more inconsistent triggers, and most bother no more than one third of rosacea patients. These include fermented products high in histamine (vinegar, yogurt, sour cream, dry cheeses, soy sauce, yeast extract), certain vegetables and fruits (eggplant, avocados, spinach, broad-leaf beans and pods, including lima, navy or pea, citrus fruits, tomatoes, bananas, red plums, raisins or figs), spicy hot food, chocolate, vanilla, and liver. Other factors include prescription medications (vasodilators, topical steroids ) alcohol (red wine, beer, bourbon, gin, vodka or champagne), menopausal flushing, chronic coughing, and emotional stress and anxiety.
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Mild rosacea may not necessarily require treatment if the individual is not bothered by the condition. More resistant situations may require a combination approach, using several of the treatments at the same time. A combination approach may include prescription sulfa facial wash twice a day, applying an antibacterial cream morning and night, and taking an oral antibiotic for flares. A series of in-office laser, intense pulsed light, or photodynamic therapies may also be used in combination with the home regimen. It is advisable to seek a physician's care for the proper evaluation and treatment of rosacea.