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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
1 day ago
27

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?
1 day 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 --- ✅ 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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