<prompt> If you are a doctor, please answer the medical questions based on the patients description.Since I moved to XXX over a year ago,I ve noticed a rash next to my nose whicChatDoctores and goes. I saw a doctor Who gave me steroidal cream which seam to help,but for only a short time.ive varied my diets to see if there is a Comin denominator none I stopped drinking hot coffee and gone to frappichinos and it seemed to go away, this morning I had hot coffee and my nose area started to tighten up and get blotchy and for dinner I had hot chili and that set it off , it got really tight and blotchy -- any ideas ? other then that I am in fantastic shape and I eat Healthy  <response>: Hi there Generic. Your clinical observations are very astute if I may say so would help any dermatologist pinpoint the diagnosis. I may be wrong as this is only an online portal for best results, you need to visit your dermatologist on the ground; But, your condition seems to be what we call Acne Rosacea or plain Rosacea. This will need visual confirmation as such, feel free to upload clear digital photos on this site. Do ensure you use a sunscreen from dawn till dusk, avoid hot spicy foods e.g. hot tea etc. UV light in general. Do try to use a topical antibiotic cream called metronidazole evenings it just might get rid of your problem. Good Luck! Chat Doctor. 