How to care itchiness and pimple on the scalp and near hairline? - #10745
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.
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Doctorsâ responses
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
đ 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
â Treatment Plan:
1. Medicated Shampoo Routine:
Ketoconazole 2% shampoo (e.g., Nizoral): Use twice a week â leave on scalp for 5â10 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 â 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 doctorâs supervision.
3. Oral Medication (if not improving):
Doxycycline 100 mg once daily for 7â10 days (for scalp folliculitis) â needs a doctorâs prescription.
Antihistamine like Levocetirizine 5 mg at night for 7â10 days to reduce itching.
đ„ Diet Tips:
Avoid oily, fried, spicy food
Drink 2â3 liters of water daily
Add zinc-rich foods (pumpkin seeds, eggs) and vitamin A & C sources (carrots, amla, citrus fruits)
â ïž Avoid:
Scratching the scalp (worsens inflammation)
Oiling your hair too often (traps dirt & fungus)
Using hot water for hair wash
đ When to See a Dermatologist:
If no improvement in 2â3 weeks
If scalp lesions become painful or ooze pus
If hair fall becomes excessive (more than 100 strands/day)
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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