Persistent scabies itching despite treatment
I am feeling really frustrated because I’ve been dealing with this persistent scabies itching despite treatment for what feels like forever. A few weeks ago, I noticed these weird bumps on my skin and ended up at the doc who diagnosed me with scabies, gave me some cream to use, and told me to wash everything. I was super careful and did exactly what I was told, but here I am, weeks later, and the itching is still there. I mean, how can it be persistent scabies itching despite treatment? I did a second round of the cream and even tried some over-the-counter stuff but it just won't go away! I swear it feels worse at night and I can't sleep—everytime I think I'm getting better, I start scratching again. Did I not do something right? Is there something different I should try? Somebody mentioned something about prickly heat or related irritation that could cause the itch too, but is it possible that the scabies treatment is just not working for me? This is just so annoying and I can't take it anymore. Any ideas or similar experiences would be super helpful! How do I tackle this persistent scabies itching despite treatment?
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Doctors' responses
Persistent itching after treatment for scabies can definitely be frustrating, but you’re not alone in experiencing this. A key thing to recognize is that itching can continue for several weeks even after the mites have been eliminated. The inflammation caused by the initial infestation, along with any secondary skin irritation, often takes time to fully resolve. It’s crucial first to ensure the treatment was applied correctly; permethrin cream 5% is typically applied from the neck down, left on for 8-14 hours, then washed off. A repeat application is standard after one week to ensure any newly hatched mites are killed. Beyond that, make sure all household members and close contacts were treated, as scabies is easily passed. Try employing additional measures like washing bedding and clothing in hot water and vacuuming the living area to prevent reinfestation.
Since you mentioned using over-the-counter treatments without effect, see if your doctor thinks you’re experiencing post-scabies itch, which can benefit from antihistamines or corticosteroid creams. In some cases, dermatologists recommend oral ivermectin as an alternative treatment. Also, irritation from treatments themselves or even dry skin could prolong discomfort—using a gentle moisturizer might help soothe the skin. If none of these work, revisit your doctor or a dermatologist. They might want to reassess your condition, possibly considering other causes of your symptoms like eczema or contact dermatitis. Things like persistent or worsening symptoms or signs of bacterial infection necessitate a closer look. But for now, focus on consulting your healthcare provider to fine-tune your management plan and explore further treatment options if needed.
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