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Recurring scaly patches on the scalp and skin - 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 : 2004
Answered : 1588 Questions
Doctor :   hi
Doctor :   how can i help you
User :   good afternoon doctor
Doctor :   good afternoon xxxxxx
Doctor :   go ahead with ur medical query
User :   i have some scaly patches on my scalp, after having several times treatment, it has not been cured, reappearing again and again, i want to know what is that ???
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/No
Doctor :   how long u have this problem
User :   Age=29 yrs, gender=male, Occupation=service, Location=xxxxxx, Marital status=married, Dependents=yes
User :   suffering from this problem from last 7-8 yrs
Doctor :   do u have itching?
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
Doctor :   As this is an online consultation, I have to ask you a few questions because I cannot examine you. It will take some time so please be patient.
Doctor :   r u there
User :   sometimes itching is there
Doctor :   ok
Doctor :   Do you have any other health problems? Diabetes, Hypertension, Asthma, Thyroid disease, Allergies?
User :   not any diseases as u asked
Doctor :   ok
Doctor :   what was the diagnosis made
Doctor :   and what medicines u were taking
User :   in allopath--------nizral shampoo and miconazole cream
User :   in homoeopath--------------i dont know wat they given
Doctor :   ok
Doctor :   do u have similar patches on other parts of body?
User :   it was some 3-4 yrs back on the elbow and back of the knee, but not now, it is only on scalp now
Doctor :   ok
Doctor :   is the patches pearly white
Doctor :   or red patches of skin covered with silvery scales
Doctor :   r u there
User :   red patches of skin covered with silvery scales
Doctor :   ok
Doctor :   it could be psoriasis
Doctor :   from ur histroy
Doctor :   history
Doctor :   r u able to follow
Doctor :   but i need confirm that by clinical examination
User :   yes sir tell me
Doctor :   Psoriasis is a common skin disease that affects the life cycle of skin cells. Normally, new cells take about a month to move from the lowest skin layer where they're produced, to the outermost layer where they die and flake off. With psoriasis, the entire life cycle takes only days. As a result, cells build up rapidly, forming thick silvery scales and itchy, dry, red patches that are sometimes painful
Doctor :   Psoriasis is a persistent, long-lasting (chronic) disease. You may have periods when your psoriasis symptoms improve or go into remission alternating with times your psoriasis becomes worse
Doctor :   No cure exists, but psoriasis treatments may offer significant relief. And self-care measures, such as using a nonprescription cortisone cream and exposing your skin to small amounts of ultraviolet light, can improve your psoriasis symptoms
User :   so may i hope that it will not be curable
Doctor :   u can reduce the severity of the problem
Doctor :   i will give u tips
User :   any thing to ban in eating
Doctor :   which will help u overcome
Doctor :   this problem
Doctor :   Bathing daily helps remove scales and calm inflamed skin. Add bath oil, oiled oatmeal, Epsom salts or Dead Sea salts to the water and soak for at least 15 minutes. Avoid hot water and harsh soaps, which can make your symptoms worse. Instead, use lukewarm water and mild soaps that have added oils and fats.
Doctor :   Blot your skin after bathing, then immediately apply a heavy, ointment-based moisturizer while your skin is still moist. For very dry skin, oils may be preferable â?? they have more staying power than creams or lotions do and are more effective at preventing water from evaporating from your skin. During cold, dry weather, you may need to apply a moisturizer several times a day.
Doctor :   A controlled amount of sunlight can significantly improve lesions, but too much sun can trigger or worsen outbreaks and increase the risk of skin cancer. If you sunbathe, it's best to try short sessions three or more times a week. Keep a record of when and how long you're in the sun to help avoid overexposure. And be sure to protect healthy skin with a sunscreen of at least 15 SPF, paying careful attention to your ears, hands and face
User :   plz give me some tips
Doctor :   de stress urself
Doctor :   stress worsen
Doctor :   the condition
Doctor :   r u able to follow
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
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