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Painful Scalp, Some Hard Spots Near Crown Region, At The Back Of Head. What Is This ?

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Posted on Fri, 6 Jul 2012
Question: Over the past three days I have a painful scalp and I have noticed that there are some hard spots which have developed and are painful to touch.
As of now these spots are concentrated near the crown region, though i can feel a few of them on the lower side at back of my head.
It also pains while sleeping on pillow and when I press my palm against my head.
doctor
Answered by Dr. Swapnendu Sekhar Ghosh (11 hours later)
Hi,

Thank you for the query.

The painful spots on the scalp may be furuncles. It refers to inflammation of follicles. The cause is generally staphylococcal infection.

You need to be started on antibiotics like broad spectrum cephalosporin like cefpodixime along with clavulanic acid for a week. Your surgeon/dermatologist can prescribe you the antibiotics. So I suggest you to see them.

In the mean time, non steroidal antiinflammatory drugs like motrin will take care of pain and inflammation. Warm compresses will also benefit you. And do not use hair oils till the condition become normal.

Blood sugar examination to rule out diabetes is important as high blood sugars are usually associated with large furuncles. Discuss with your doctor and get fasting and 2 hr post prandial blood sugar tests done if required.

Hope this helps and you get well soon. Let me know if you have any more concerns.

Best Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Swapnendu Sekhar Ghosh (14 hours later)
Hi,

Thank you so much for taking out time to reply. I don't have diabetes, I have had my blood test done last month. Is there any cream or lotion you would recommend (OTC or otherwise) ? This condition has appeared out of nowhere in past 3 days, is there any danger of hair loss ? Thanks in advance
doctor
Answered by Dr. Swapnendu Sekhar Ghosh (8 hours later)
Hi,
Thank you for writing back.
You can apply soframycin ointment and neosporin powder locally. If the condition subsides without pus formation, there is a less chance of hair loss. I would suggest you see your general physician and get an evaluation done.
Hope this helps.
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
Answered by
Dr.
Dr. Swapnendu Sekhar Ghosh

General Surgeon

Practicing since :1974

Answered : 1750 Questions

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Painful Scalp, Some Hard Spots Near Crown Region, At The Back Of Head. What Is This ?

Hi,

Thank you for the query.

The painful spots on the scalp may be furuncles. It refers to inflammation of follicles. The cause is generally staphylococcal infection.

You need to be started on antibiotics like broad spectrum cephalosporin like cefpodixime along with clavulanic acid for a week. Your surgeon/dermatologist can prescribe you the antibiotics. So I suggest you to see them.

In the mean time, non steroidal antiinflammatory drugs like motrin will take care of pain and inflammation. Warm compresses will also benefit you. And do not use hair oils till the condition become normal.

Blood sugar examination to rule out diabetes is important as high blood sugars are usually associated with large furuncles. Discuss with your doctor and get fasting and 2 hr post prandial blood sugar tests done if required.

Hope this helps and you get well soon. Let me know if you have any more concerns.

Best Regards