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Scalp itch - 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 : 2005
Answered : 2408 Questions
User :   My hair is etching mainly on the bottom of my head, it is getting difficult to comb my hair since the scalp is becoming crusted. I started using Scalpicin and does help but now my hair smell. I am also getting a rash around my ear and neckline. If I need to see a doctor what kind of doctor do I see ?
Doctor :   Hi
Doctor :   Ok.
Doctor :   Do you see any bumps on the scalp ?
User :   I feel them but I am unable to see anything
User :   Hair is very crusted
Doctor :   I shall answer your queries one after the other. You need to see a Trichologist/Specilaised Dermatologist on Hair for this.
Do you have a previous history of this problem ?
User :   No this just started about week ago
Doctor :   Ok. That is a good sign, Do you have a history of dandruff ?
User :   No
Doctor :   Do you have any blood oozing out ?
User :   No
Doctor :   Is your skin oily or dry ?
User :   both
Doctor :   Most of the times it is Seborrheic dermatitis .
User :   what is that
User :   I am diabetic
User :   I only charge 15 minutes could you please speed up your response. Thank you
Doctor :   It is due to sebum , from sebaceous glands and it causes itching , scaling .
Doctor :   I would recommeend the following steps to help you better : Doctor :   1. Regular head wash almost once two days.
Doctor :   2. Proper drying afetr a head bath
Doctor :   3. Using a ketaconazole shampoo, rather than any other shampoo.
Doctor :   4. Please avoid dust or too much sweating in the hair.
User :   could you recommend a name of a shampoo
Doctor :   NIZORAL is the shampoo.
User :   I started using Psoriasis medicated shampoo plus conditioner
Doctor :   Have you been diagnosed for Psoriasis ?
User :   No
Doctor :   Please dont start on anything like clobex until diagnosed.
User :   I bought it because the box indicated helps eliminate scalp itch
Doctor :   I would still recommend a Proper Trichologist/Dermatologist's physical examination and a test.
User :   I will stop using Psoriasis and purchase NIZORAL.
Doctor :   Yes scalp itch is releived but initially you have to use a ketaconazole and then clobetasol as it is a steroidal shampoo.
Doctor :   If it is seborrheic dermatitis.
User :   Nizoral should clear this problem
Doctor :   Please use nizoral on every alternate days for 4 weeks.
Doctor :   And follow all the steps advised.
User :   thank you
Doctor :   In most of the cases it will releive you.
Doctor :   Thank you for consulting me
Doctor :   Take care
User :   bye
Doctor :   Bye for now.
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