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Remedies for Seborrheic dermatitis of skin - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1724 Questions
Doctor :   Hi
User :   hello
Doctor :  
How can i help you
Doctor :  
Please proceed with your qurery
User :   Ok i have really bad excema on my face
User :   its inflamed
User :   ithcy
Doctor :  
ok
User :   and also lots of flakes
User :   i also have this on my head too
Doctor :  
ok
Doctor :  
can i ask few questions ?
User :   i have searched up and i think i have Seborrhoeic Dermatitis
User :   yes
Doctor :   ok
Doctor :  
wats your age ?
User :   23
Doctor :  
Since how many days do yu have this problem
User :   past 5 years i think
User :   it comes and go's
User :   sometimes really bad
User :   sometimes you cant notice
Doctor :  
ok
Doctor :   is your face oily
User :   yes
User :   itchy, red inflamed and flaky
Doctor :  
ok
User :   its mainly near the sides of my nose
Doctor :  
do yu sweat a lot ?
User :   and a little on forehead
Doctor :  
ok
User :   yes
Doctor :  
wat soap do yu use for face wash
User :   i dont use soap on my face no more
User :   just water
Doctor :  
do yu have dandruff ?
User :   yes
Doctor :  
ok
Doctor :  
as per your histroy its Seborrheic dermatitis of the scalp (dandruff)
Doctor :  
and Seborrheic dermatitis of the skin
Doctor :  
let me explain the cause of Seborrheic dermatitis
Doctor :   in the scalp its due to dandruff
Doctor :  
in face and ohter aspects of skin its due to oily face
Doctor :  
and irritation from a yeast called malessizia.
User :   is it a fungal infection
Doctor :   the malessizia fungus can grow well in the oily skind
Doctor :   and cause white flaking and yellow flaking
User :   can it cause the redness too
User :   and itching
Doctor :  
yes it will cause redness and ithching too
User :   ok
Doctor :  
redness, ithcing, yellow flakes, or white flakes
User :   i have looked up medicine called Nizoral Cream
User :   do you think this will be ok to use?
Doctor :  
dandruff, and oily skin are the predisposing factors for the seborrheic dermatitis
Doctor :   i will help u in this
User :   It says I have to get it prescribed from docto
Doctor :  
and give few medical tips to over come this
Doctor :  
first and the fore most be relaxed
Doctor :  
not to worry and tensed
Doctor :  
Seborrheic dermatitis is a chronic condition that can be controlled with treatment.
Doctor :   Treatment for seborrheic dermatitis of scalp
User :   ok
Doctor :  
1. Use Selsun blue shampoo
Doctor :  
it contains selenium sulfide and zinc pyrithione
Doctor :   which will remove the dandruff permanently
Doctor :  
use this shampoo 2-3 times in week for head bath
Doctor :  
need to be applied on the scalp region
Doctor :  
than om the hair
Doctor :  
use it for 3-4 weeks
Doctor :  
you will get very good results
Doctor :  
do yu have any doubts in this ?
User :   ive been told about nizoral though
User :   and this has all my symptons
Doctor :   Selsun is over the counter drug
Doctor :  
and has a good effect than Nizral
Doctor :  
as it does not cause hair fall, and has no side effects
User :   and what about for my face
Doctor :   let the shampoo stay on your hair and scalp for at least 5 minutes before rinsing. This will give it time to work.
Doctor :   Next is treatment of face
Doctor :  
1. Involved areas of the face may be washed frequently with Nizral soap or shampoo
Doctor :   or Nizral cream is available as 2%
Doctor :  
applied twice a day
Doctor :  
for 10- 15 days
Doctor :  
along with it 1 percent hydrocortisone cream will be added once or twice daily to affected areas and
Doctor :  
this will aid in resolution of redness and itching
Doctor :  
make sure there is a gap fof 30 min to 1 hr btw the application of 2 creams
Doctor :   is that fine
User :   hydrocortisone cream
User :   where do i get this
Doctor :   its a steroidal preparation

Doctor :  
its not over the counter
User :   ok how do i get this?
Doctor :  
1. Cleanse the affected skin thoroughly once or twice each day using a non-soap cleanser.
Doctor :   Avoid spicy and oily foods
Doctor :  
this can increase the oil productions and worsen the ithcibng
User :   ok
Doctor :  
2. consume plenty of fluids in the form of water, and fresh fruit juices
User :   Nizoral cream contains the active ingredient ketoconazole
Doctor :  
water containing furits and vegetables are very good
Doctor :  
yes you are right
Doctor :   Nizral is Ketocanazole
User :   so why would i need 2 creams?
Doctor :  
2 creams
Doctor :  
one is NIZRAl
Doctor :  
and other is Hydrocortisone cream
Doctor :  
let me warn you against alarming symptom
Doctor :  
where immediated medical intervetion is required
Doctor :  
1. severe infection by bacteria- resulting in pus fomation
Doctor :  
2. the eczema is more painful and more red in nature
Doctor :  
3. pigmentary skin changes
Doctor :  
is that fine
User :   yes
User :   so if i go to the doctor tomorrow
User :   and tell them this
User :   can they perscribe them to me
Doctor :   yes they will do it
Doctor :  
Next coming to home remedies
User :   last time i went to doctors
Doctor :   ok
User :   he gave me fucidin H ointment
User :   for my face
Doctor :   ok
User :   but this did not work
Doctor :  
Fusidin is a anti bacterial cream
Doctor :  
to prevent the infection
Doctor :  
of the skin, means super added infection on eczema
Doctor :  
how much was the relief after applying the fucidin H cream
User :   i see
Doctor :  
did he itching and redness subside
User :   it just stayed the same
Doctor :  
ok
User :   it made the face alot more oily
Doctor :  
its better to treat the cause
User :   at the moment right now
User :   my face is burning
Doctor :  
as the case is correctly diagnosed as seborrheic dermatitis
User :   and its always like this
User :   very hot temp
Doctor :   ok
Doctor :  
as the case is correctly diagnosed as seborrheic dermatitis
User :   ok
Doctor :   the correct treatment is
Doctor :  
Selsun shampoo- over the counter
Doctor :   Nizal cream or face wash
Doctor :  
and Hydrocortisone cream
Doctor :  
and diet changes will help you a lot to solve and cure this problem
Doctor :  
Reduce the fatty substance and increase fiber rich foods
User :   i eat alot of fatty food
Doctor :  
green leafy vegetables and foods rich in Vitamin E are proven helpful in shrinking the symptoms of the disease.
User :   and spicy
Doctor :  
fatty food and spicy food and carbonated drinks
Doctor :  
will increase the oil production of face
User :   i see
Doctor :   once oil is increased, the fungal infection can settele in
Doctor :  
then even if you starta proper treatment it will not work out
Doctor :  
beta carotene sources such as apricots and apples, fiber and mineral enriched foods such as broccoli, spinach and asparagus.
User :   ok
Doctor :   Keep you self hydrated by consuming more fluids
Doctor :  
be realaxed have a good diet practise
Doctor :  
and use of the above shampoo and cream will really help you
User :   so nizoral shampoo will not work?
Doctor :  
The maintenance of good hygiene is essential in dealing with the symptoms of seborrheic dermatitis.
Doctor :   it will help you but SElSUN shampoo has proved superior to it
Doctor :   most of the cases not responded to NIZRAl has well responded to SELSUN

User :   i see
Doctor :  
yes
Doctor :   Be relaxed , you will get well soon, you will clear the eczema soon
User :   Thanks
Doctor :   please fill the feed back form and comment box
Doctor :  
enjoy the good health
User :   thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   Bye
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