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How to care itchiness and pimple on the scalp and near hairline?
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Skin & Hair Concerns
Question #10745
279 days ago
413

How to care itchiness and pimple on the scalp and near hairline? - #10745

Arpit

Since two months, My scalp is very itchy and i have pimples on the scalp and hairline which causes more hairfall. I changed my shampoo which is a mild one now. I haven't tried any medication yet. I have tried ketoconazole shampoo once a week.

Age: 22
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Dr. Aakash Shah
I am someone who's sorta grown into emergency medicine through a mix of intense training, sharp turns, and long nights that just don’t let up. I did my MBBS from SN Medical College, which gave me the base, but things really picked up during my DNB in Emergency Medicine at RTIICS, Kolkata—those years? hectic. You don't forget the pressure of working through back-to-back codes or handling trauma cases that change within seconds. Later, at AIIMS Delhi, during my senior residency, I got to see how clinical decision-making works in high-stakes, real-time setups. I had to push myself—mentally, technically, even emotionally. AIIMS was hard, but it kinda redefined how I approach chaos... you know, how to be calm when nothing else is. Right now, I’m working as a Consultant & Asst. Professor at Kiran Hospital and Medical College. Which is weirdly satisfying, coz I get to flip between clinical practice and teaching. Like one hour I’m in resus managing a poisoned patient, next I’m guiding a batch of med students through triage protocols. It’s demanding, but it keeps me sharp. I try not to get stuck in patterns—I mean emergency medicine is always shifting. I stay updated with new guidelines, courses, journals—some of it sticks, some doesn’t haha. But that’s how you keep growing. My thing is blending strong protocols with some human stuff—listening better, watching closer, explaining things in a way people can actually get. And yeah, mentoring’s important to me. Watching younger docs or interns go from nervous to confident... feels good. I’m all for building that bridge between practice and teaching, science and instinct. Maybe I don’t always get it right—but I care, a lot. That counts right?
279 days ago

Your Symptoms:

Itchy scalp for 2 months

Pimples on the scalp and hairline

Increased hair fall

Using a mild shampoo now

Tried ketoconazole shampoo once a week


🔍 Probable Diagnosis:

Your symptoms suggest seborrheic dermatitis or folliculitis (scalp inflammation due to excess oil, fungal growth, or bacterial infection), which are common causes of:

Scalp pimples

Itching

Hair fall due to inflamed follicles


âś… Treatment Plan:

1. Medicated Shampoo Routine:

Ketoconazole 2% shampoo (e.g., Nizoral): Use twice a week – leave on scalp for 5–10 minutes before rinsing.

On other days, use a mild sulfate-free shampoo (e.g., Sebamed, Baby shampoo, or Ducray Extra-Doux).

2. Topical Treatment (Apply directly to pimples & itchy areas):

Clindamycin gel 1% OR Nadifloxacin cream – apply twice daily on scalp pimples.

If severe: You may need a steroid+antibiotic lotion like Elocon lotion (Mometasone) or Clobetasol + Neomycin lotion, but only under doctor’s supervision.

3. Oral Medication (if not improving):

Doxycycline 100 mg once daily for 7–10 days (for scalp folliculitis) – needs a doctor’s prescription.

Antihistamine like Levocetirizine 5 mg at night for 7–10 days to reduce itching.


🥗 Diet Tips:

Avoid oily, fried, spicy food

Drink 2–3 liters of water daily

Add zinc-rich foods (pumpkin seeds, eggs) and vitamin A & C sources (carrots, amla, citrus fruits)


⚠️ Avoid:

Scratching the scalp (worsens inflammation)

Oiling your hair too often (traps dirt & fungus)

Using hot water for hair wash


📌 When to See a Dermatologist:

If no improvement in 2–3 weeks

If scalp lesions become painful or ooze pus

If hair fall becomes excessive (more than 100 strands/day)

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
278 days ago
5

Hello dear Please follow below instructions Nicodaril twice a day for 1 month Terbinafine 250 mg twice a day for 1 week Clomed antifungal powder In case of no improvement contact dermatologist Regards

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It’s worth exploring the potential causes and solutions for your itchy scalp, pimples, and associated hairfall. These symptoms could be due to a range of factors including folliculitis, seborrheic dermatitis, or an allergic reaction, among others. Starting with what you’ve already tried, ketoconazole shampoo is a good step; it targets fungal causes like dandruff but should be used consistently, typically two to three times a week, to be effective. Be sure not to overuse it as it can dry out the scalp, potentially worsening irritation. For now, maintain its use and balance with the mild shampoo you’re using.

Consider if you have changed any other hair products or habits recently, such as conditioners, styling products, or hair treatments. Allergic or irritant contact dermatitis may result from new products, especially those containing alcohol, sulfates, or fragrances. You might want to eliminate these temporarily to observe any change. Make sure to rinse your hair thoroughly to avoid product residue, which can irritate the scalp.

If pimples are persistent, they might indicate folliculitis, which could benefit from gentle over-the-counter treatments like topical benzoyl peroxide, but use sparingly to avoid further irritation. If bacterial involvement is suspected, your doctor might prescribe topical antibiotic solutions. Minimizing stress and maintaining a balanced diet rich in essential nutrients will support scalp health.

Since the issue has been persistent for two months despite initial interventions, consider reaching out to a dermatologist. They may perform tests to pinpoint the root cause, possibly recommending treatments like topical steroids or oral medications. If any symptoms such as severe pain, significant redness, or a fever develop, it’s essential to seek medical attention promptly as it might suggest an infection.

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