He have white pimples on his back but after some time it turns into black dead skin.
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Most important is hygeine. Keep your body clean and scrubbed, wear cotton clothes. Bathe twice with anti bacterial soap like cetaphil or sebamed. Improve your diet, leave junk food. Eat lots of fruits and vegetables home made ubtans have also been found to work effectively on back spots and pimples. Mix gram flour, haldi, yogurt and olive oil and scrub your back. After scrubbing wash with lukewarm water and apply alomd + olive oil. This week take 2 weeks to show results but results are permanent.
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Local application of coconut oil or mustard oil or some soothing and calming lotion may provide relief in itching. Neem is one among the best blood purifier and detoxifier known to ayurveda. It enhances immune system and neem oil is an antiseptic in itself. Leaf extracts are used in antiseptics and can be effectively used in treating skin diseases. It destroys fungus and bacteria and is best for almost all kinds of skin diseases including redness of skin and itching.
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