Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
189 Doctors are Online

Recurrence of scabies and medicines for treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3145 Questions
User :   There are 2 blisters on my hands, each one 1/4 inch dorsal to the finger webbing. They itch a little bit, and not especially at night. The left-hand blister showed up about 2 weeks ago. The right-hand one I just noticed today.Last year I had scabies and was successfully treated. Could it be something other than scabies?
Doctor :   Hi
Doctor :   Dr XXX here
User :   hi
Doctor :   Most probably its scabies which has recurred
Doctor :   The site os very specific and most commomn site for scabies to occur
User :   I have the premethrin already. I suppose I should use it as prescribed, Yes?
Doctor :   I guess follwing treatment of previous infection were all house hold articles washed in hot water and dried in sun
User :   not yet.
Doctor :   Unless that done it will have high rates of reoccurance
User :   Oh, I see what you're asking. Yes, they were washed and dried in the dryer.
Doctor :   Yes and dried in hot sun
Doctor :   You should along with permethrin use scabex cream
User :   Doctor, the sun is no longer very hot, why isn't long time in trhe dryer good enough?
Doctor :   Whole body applicartion for overnighjt and washed nextday
Doctor :   Its advisable to get a hot wash then with extra drying
User :   Yes, that was the prescription and action last year. Also, we had bedbug in the house recently. I had a dog sniff out 2 places bedbugs were, and we removed the linen and chair+cushions.
Doctor :   Do change all your beddings and carpets , screens
User :   Window sceens?
Doctor :   Yes
User :   Please explain why.
Doctor :   As per scabies is concerned they are deposited everywhere you involve in ( physical contact)
Doctor :   and screen/ carpet being the least chnaged or washed they tend to get deposited there for long periods dormant and when conditions flare up they reinfect you
User :   We have no carpets, only wood floors. So will vacuum thoroughly, Yes?
Doctor :   That will do, But be sure to change all your beddings
Doctor :   And hot wash all your clothes after treatment
User :   I certainly will. Could diagnosis be anything other than scabies?
Doctor :   Probably no other
Doctor :   Let me ask few more questions to confirm your finding
User :   What about computer keyboard. Might it harbor scabies? I hope not.
Doctor :   Do you have the itching sensation more in the night
User :   no
Doctor :   Is it having trails in the skin
Doctor :   Crack like appearance in between webs
User :   no. Only the hard. small blister.
User :   no cracks
Doctor :   Is it present anywhere in the body
User :   no. only the 2 blisters on my hands, one on each hand.
Doctor :   Ok
Doctor :   Then most probably it s an reoccurance os scabies i guess
Doctor :   But you will need skin scrapings to confirm the diagnosis
User :   I'm sure it's scabies. I'm trying to avoid $50 dermatologist fee, since it's most probably scabies, and I already have the medicine.
Doctor :   Then you can use them
Doctor :   It a single application overnight but see to that all items u use are washed after treatment
User :   Is there any danger with using the premethrin unnecessarily?
Doctor :   No
Doctor :   You can use it but not frquently
User :   Last yr dr told me to use it,head to toe,once. And wash the next morning. Then to apply again after 7 days.
Doctor :   second application once i sufficient
Doctor :   Not head to toe its below neck
User :   ok. I will use it tonight. ok. only below neck. Got it.
Doctor :   Do check the drugs Expiry date before application
User :   Will check date.
Doctor :   Wishing you a speedy recovery
Doctor :   Is there anything else i can help you with?
User :   Thanks. Now, how much more time do I have?
Doctor :   Last three minutes the timer starts in your chat window
User :   This was already 30 min.?
Doctor :   You have some more time i guess
Doctor :   unless the timer comes you have time
Doctor :   You can proceed with medical queries if any
User :   Plus, I don't see chat window timer? can u help me find it?
Doctor :   It comes only in the last three minutes
User :   Can I call again, another time to use up the remaining mins?
Doctor :   Sorry you cant
User :   ok. Then I should ask other questions. OK?
Doctor :   You can use it only within the alloted time
Doctor :   Max three times within thirty minutes
User :   OK. Now let me think.
User :   I have lower back pain, now and again. What can u suggest?
Doctor :   Do you use proper working ergonomics
Doctor :   ]Try sitting upright with proper posture avoid using bean bags or cushions
User :   I think so. I should strengthen core muscles.
Doctor :   And was an x ray taken
Doctor :   Are you there?
User :   No. Multiple MRIs of lumbar spine though. Also, EMG with Diagnoses of inflames pelvis plexus.I had ? disc 2 yrs ago. In April a nastsy case of shingles that attacked the thigh muscles as well as skin on the calf. I'm
Doctor :   Ok
Doctor :   Then probably are you still on chiropractise
User :   The MRIs and EMG taken subsequent to shingles event.
Doctor :   Ok
Doctor :   Then you will need more to tone up your muscles under supervision of chiropracter
User :   I go to Phys. Therapy and doing v well.\there. But I still can't climb stairs. Leg is too weak.
Doctor :   Then continue with physio it does take time for improvement
User :   PT gives me pelvic press excercise.
Doctor :   Yes that should help
Doctor :   Thanks for consulting me
Doctor :   Bye for now
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor