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Bumps on scalp - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2379 Questions
User :   I have been breaking out on my scalp more towards the back of my head. It starts out like a pimple or a mosquito bite and sort of developes a scab. I do have a habit at picking at it because I run my hands through my hair and feel the bumps. These bumps are not grouped together it is scattered maye 8 spots or so. Right now my scalp at the back of my head feels very tender and aches. I have tried using dandruff shampoo and I do shampoo my hair every day because my scalp is very oily. It has been all of my life and if I don' wash my hair it will look stringy and dirty. What can I do to stop this?
                                                  
Doctor :   Hi
Doctor :  
Let me read it
Doctor :   Ok

Doctor :  
May I know your age and gender?
User :   I am 60 and female.
Doctor :   Ok

Doctor :  
Since when are you having this problem?
User :   It has been several months now. It would occur in the past but very mildly. I would get one or two bumps and then they would go away in a matter of days. Now it has been too long.
Doctor :   Ok

Doctor :  
Have the bumps increased in size?
Doctor :  
or spread in nos.
User :   It is hard for me to see them though I have tried in the mirror. I do know by feeling the bumps some are a little bigger and some can develop a scab or crust that protrudes within one day.
Doctor :   Ok

Doctor :  
Or they soft?
Doctor :  
'Are
User :   The bumps are soft but when a scab or crust develops it gets hard. I must admit that it is at that time I tend to pick at it and scratch off the scab part. It looks like large dandruff but hard and sometimes it will have blood on it especialy if I picked at it.
Doctor :  
Ok
Doctor :   Do you have pain/itching sensation over the area?

Doctor :  
Just try it now
Doctor :  
does it pain if u press it?
User :   I have at least 6 spots where I feel these bumps and there are 3 spots that are very tender and they ache even when I don't touch them.
Doctor :   Ok

Doctor :  
It does mean that it is of an infective origin
Doctor :  
could be bacterial or fungal
Doctor :  
Folliculitis is a possibility
User :   How is that contracted?
Doctor :   Could be due to minor injuries

Doctor :  
or contamination by use of hand
Doctor :  
it is commonly found in many individuals
Doctor :  
though cause is not clear
User :   I have not hit or bumped my head.
Doctor :   Ok

Doctor :  
Even excessive sweating,
User :   What can be done to correct the problem?
Doctor :  
these injuries or not major ones
Doctor :  
but minute ones which goes undetected
Doctor :  
but is sufficient for the microorganisms to attack the area
Doctor :  
Are you getting it?
User :   I understand, I shouldnt' be scratching my head.
Doctor :  
Yes
Doctor :  
that transmits the infections rather
Doctor :  
have you shown it to a doctor before?
User :   No I have not gone to a doctor. I have been trying to find a good dermotologist in my area.
Doctor :   Ok

Doctor :  
I would suggest you to apply a topical antibiotics to the area
User :   I was also trying to self medicate by using topical products for skin problems.
Doctor :   after washing it with a good shampoo

User :   What can you recommend?
Doctor :  
Have you used topical antibiotics?
User :   No.
Doctor :  
Ok
Doctor :  
I shall suggest you to use an ointment containing
Doctor :  
both an antifungal and antibacterial
Doctor :  
You can use Neosporin for the same
Doctor :  
It shall help you
Doctor :  
Apply it 3 times per day
Doctor :  
locally over the area
User :   I have used neosporin I didn't know it was antifungal. It really didn't do anything.
Doctor :  
Yes, it is mainly antibacterial
Doctor :   as you are having pain
Doctor :  
it is mainly in favour of bacterial folliculitis
Doctor :  
If neosporin has not helped you
Doctor :  
then you shall require oral antibiotics as well
Doctor :  
you can understand that such topical creams shall be helpful
Doctor :  
only if the skin is broken
Doctor :  
if the skin is intact, then there is no use of applying
Doctor :  
but just done as a preventive measure
Doctor :  
So now you shall need oral antibiotics
Doctor :  
to combat the bacterial growth
Doctor :  
in the hair follicles
Doctor :  
Are you getting it?
User :   I will most definitely will have to get a prescription after seeing a doctor.
Doctor :  
Right
Doctor :  
Oral antibiotics can be taken only after getting a prescription
Doctor :   I would also suggest you to send us a pic

Doctor :  
to YYYY@YYYY
Doctor :  
I shall reply you via mail
Doctor :  
Also if you have further queries
Doctor :  
you can consult our senior dermatologist
User :   I will have to get someone to take a picture of the back of my head.
Doctor :   Sure

Doctor :  
Take your time
Doctor :  
Here I give the senior dermatologist's link
Doctor :  
WWW.WWWW.WW Doctor :   WWW.WWWW.WW
Doctor :   You can consult either of them
User :   I will go to a clinic today. Thank you I will get someone to take a picture of the back of my head before I go see the doctor. I appreciate your help. Thank you again.
Doctor :   Is there any thing else I can help you with?

User :   No. I am very pleased with your assistance. Sometimes I have to be pushed to go see a doctor and I appreciate your giving me a little push.
User :   No. I am very pleased with your assistance. Sometimes I have to be pushed to go see a doctor and I appreciate your little push. Thank you again.
Doctor :   Please fill the feedback form.
Doctor :  
it will appear as pop up in your screen.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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