Brief Answer:
Scalp Pimples (Folliculitis)

Detailed Answer:
hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query.

I would like to gather some more information from you in order to be able to help you better.

-Do you suffer from dandruff OR Seborrheic Dermatitis?
-Do you use Hair Oil Or Similar products?
-Do the bumps Itch Or Pain? Do they resolve by themselves and new ones keep appearing?
-Do you have Acne on face or back?

The problem that you mention is commonly seen in those who have an excess of oil secretion or oily scalp. This can manifest as seborrheic dermatitis(itchy greasy adherent scales in the scalp) and also as itchy bumps. A yeast called Malasezzia furfur which is a common commensal (resident flora) is responsible for initiating or perpetuating inflammation as it feeds on the oil that is produced.

The goal is to keep the scalp as clean as possible and not to use any hair oil.

An Oral antifungal rather than oral antibiotics, specially Itraconazole 100mg capsules, 2 capsules once daily(after meal) for a week would help in seborrheic dermatitis and itchy bumps over the scalp by decreasing the resident flora(Malasezzia furfur) which is implicated as one of the factors for causing scalp seborrheic dermatitis and itchy bumps.

I would suggest that you use a 2% ketoconazole shampoo once daily or every alternate day as well. Ketoconazole is antiinflammatory antifungal as well as antiseborrheic. Lather it well into the scalp skin and leave it for 5 min before you rinse.

Regards

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Brief Answer:
Recurrent scalp infection

Detailed Answer:
Hi.

Thanks for the additional information

You have been given oral antibiotics previously (refzilo, divaine, T-bact cream etc)

I would rather suggest an Oral antifungal rather than oral antibiotics, specially Itraconazole 100mg capsules(Sporanox capsules 100mg), 2 capsules once daily(after meal) for a week.

Also use a 2% ketoconazole shampoo (Nizral 2% solution) once daily or every alternate day as well. Ketoconazole is antiinflammatory antifungal as well as antiseborrheic. Lather it well into the scalp skin and leave it for 5 min before you rinse.

Regards

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