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Alternative medication for scalp psoriasis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Psoriasis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   My 19 year old girlfriend has scalp psoriasis, currently she is using homeopathic medicine
Doctor :   Ok
User :   is there any other alternative solution to this?
Doctor :   Psoriasis is a chronic condition and most often the treatment is only to prevent and not to cure it completely.
User :   other than steroids, what is the best option?
User :   i read about this aurvedic oil called 777oil , will this help
Doctor :   There are other non steroidic medications that can be used.
Doctor :   These are however prescription only medications and need prescription from a doctor.
Doctor :   Hi
User :   And how effective are they?
Doctor :   As I had mentioned earlier, the treatment most often is prevention of new lesions from occuring and preventing the stigma.
Doctor :   If these can be achieved the treatment is 75% acheived.
Doctor :   Any mode of treatment can be tried.
Doctor :   I am a allopathic doctor, hence my knowledge is very restricted to homeopathic medications and their treatment options.
Doctor :   Scalp psoriasis are treated with steroid/non steroidal medications and by means of a few home measures.
User :   do you know any hospitals in .... that i could go to for teatment?
Doctor :   There are various institute where the treatment is possible.
Doctor :   One of the good institutes are ...
Doctor :   If you are looking for homeopathic, then Dr Batra's clinics are good.
Doctor :   You may choose which ever form of treatment that you want.
Doctor :   You need to consult a dermatologist for the proper treatment measures.
Doctor :   You can try the medications as prescribed.
Doctor :   If you are not wishing for the steroid therapy then there are few non steroidal shampoo as well as moisturisers which can be used instead.
Doctor :   I would suggest you to use this form of treatment only if your previous homeopathic medications are not effective enough.
Doctor :   As any treatment would take time to give results and the same would apply here.
Doctor :   Are you following what I am saying?
User :   The main problem she faces with the treatment is the restiction on the food she is allowed to eat, so i was looking for a treatment that is effective and doesnot have much restriction on the diet
Doctor :   If you are not happy with the treatment, then you can try the alternative treatment as suggested.
User :   The treament is working but the restriction on the food is the problem.
Doctor :   You can consult a dermatologist to avail the prescription of these medications, and in the mean time follow with these home measures too.
Doctor :   As I said earlier, since my knowledge is restricted on the homeopathic treatments, i cannot comment on this query.
Doctor :   My personal opinion would be if the food restriction is not too much and if it is not affecting her condition too much
Doctor :   you can follow up with her present homeopathic doctor and check if the treatment can be modified.
User :   Are there any food restrticitions on the non steroid treatment
Doctor :   There are no restrictions with these measures.
Doctor :   On the contrary a good healthy diet is recommended unless she is allergic to any food.
User :   currently there is a high restriction on the food she is allowed
Doctor :   Ok
Doctor :   You would have to take the call on this, my opinion was a personal one.
Doctor :   I shall suggest you a few home measures that can help the condition though.
Doctor :   1. Avoiding scratching and repeated bruishing.
Doctor :   2. Frequent washing of the hair and keeping the hair moist.
Doctor :   3. Keeping the scalp dandruff free.
Doctor :   Use the appropriate shampoo.
User :   which shampoo would you recommend?
Doctor :   Dermatologist recommend coal tar shampoo.
Doctor :   Alternatively you can use Nizaral shampoos.
Doctor :   The instruction as mentioned in the shampoo have to followed strictly.
User :   ok, thank you. is there anything else that i neeed to keep in mind?
Doctor :   4. While going to bed wear a night cap and preferably oil your scalp before going to bed and washing the scalp with those shampoo the next day.
Doctor :   5. Avoiding infection or sun burns.
User :   i should put oil on the head everyday before i go to bed, correct?
Doctor :   6. Lastly since there is a psychological component that can cause aggravation of these symptom mind relaxing exercises, yoga, meditation, regular sleep and reduced stress can all contribute significantly in the proper control of the psoriasis.
Doctor :   Yes, regular oiling and washing of the scalp is useful.
Doctor :   Have you followed what I suggested?
Doctor :   Are you there?
User :   I put oil only about once a month, guess i need to make it more frequent
User :   Yes i follow you doctor
Doctor :   Yes, for better effectiveness, warm oil for a few minutes,
Doctor :   do not over heat it, let it be just warm so that you do not burn the skin.
User :   Ok
Doctor :   Apply the oil and wrap a cloth around your hair so that they soak in it.
Doctor :   Follow up with washing with the recommended shampoo.
Doctor :   * soaking in the cloth can be done for 15 to 30 minutes.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   Yes
Doctor :   Do you have any other query? If so please proceed.
User :   my mother has a knee problem and the doctor said that her knee needs to be replaced. Is this necessary?
Doctor :   Depending on the state of the knee and the cause for the condition, the treatment becomes a necessiity.
Doctor :   A knee replacement is done to prevent further damage to the knee and to help in stability and motility of the knee.
Doctor :   If the knee is severely damaged, then she would need complete rest, that would mean incapacitating her.
User :   he mentioned something about there being friction and the bone getting degraded. I dint really understand what he meant.
Doctor :   It probably refers to osteoarthritis.
Doctor :   There are various forms of treatment.
Doctor :   As I have mentioned, one of the conservative/medical management is complete rest.
Doctor :   That would mean immobility.
User :   yes, what are the other treatments available?
Doctor :   Surgical option is the best.
Doctor :   Among the surgical options there are different form of treatment and in them.
Doctor :   The knee replacement is the best.
Doctor :   The other options are the conservative treatment which is done by the use of complete rest, pain killers and calcium drugs.
User :   ok, and approximately how much does it cost?
Doctor :   The cost depends on the institute where you are getting the procedure and type of implant that is going to be used.
Doctor :   On an average, the cost can come up to Rs 50,000 to 75000.
Doctor :   Have you followed?
Doctor :   Are you there?
Doctor :   Do you have any other query?
Doctor :   Are you there?
User :   Thank you. That is all for now.
User :   Net seems to be giving problems. Sorry about that.
User :   Yes i understood doctor]
Doctor :   Please fill the feed back form too.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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