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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hair Fall, Dandruff, Itchy Scalp With Pimples Be Treated?

hello doctor im anaz,22,m frm India .i got itchy scalp when exposed to sunlight.it feels severe tht i cldnt resist.i got acne sort of things on shoulders and fore head.the scalp too got pimple like..i got high hair fall & some r begun greying in ths early age.i believe the scalp got dandruff,tht when i itch the scalp gives out some powder like stuff.my scalp alwys felt like sandy to me .i use head & shoulders thrice in a week.bt its of no use. is ths pimple like stuff & the itch [sunlight] is due to dandruff ?.i did consult doctor abt the pimples on the shoulders .i dnt told him abt the dandruff ,bcoz i dnt saw relation between both. until i saw ths forum.i m nt alergic to any medicine can you help me
Tue, 27 Sep 2016
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Dermatologist 's  Response
Hello anaz and welcome to HCM
You do seem to be suffering from dandruff, also called seboerrheic dermatitis. It affects scalp and other oily areas like face,chest and back.
When this gets infected with fungal infection, you get itching and pimple like swellings.
Firstly you need to keep the scalp oil free. Dont apply oil, gels, styling products till it clears.
Use a medicated anti dandruff shampoo with antifungal like Keto-B ,2-3 times weekly and then reduce to once weekly when you see good improvement. It is advisable to continue at least once a week as your scalp is prone to dandruff.
For the pimples and itchy area use an antibiotic steroid ointment till they heal.Use similar antifungal soap or body wash over these areas for bath.
If you have severe itching you can take an antihistamine like levocet for itching for a few days daily.
Once this is in control you will see an improvement in acne as well. But since your skin is oily, you will still have a few acne breakouts now and then. If you have many pimples on face, you may need to take antibiotics and treatment for acne.
Consult a dermatologist and they will advise you regarding the same after checking your skin and improvement with dandruff treatment.
Drink lot of fluids, avoid too much oily food, pollution and sun exposure.
Hope this helps you.
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How Can Hair Fall, Dandruff, Itchy Scalp With Pimples Be Treated?

Hello anaz and welcome to HCM You do seem to be suffering from dandruff, also called seboerrheic dermatitis. It affects scalp and other oily areas like face,chest and back. When this gets infected with fungal infection, you get itching and pimple like swellings. Firstly you need to keep the scalp oil free. Dont apply oil, gels, styling products till it clears. Use a medicated anti dandruff shampoo with antifungal like Keto-B ,2-3 times weekly and then reduce to once weekly when you see good improvement. It is advisable to continue at least once a week as your scalp is prone to dandruff. For the pimples and itchy area use an antibiotic steroid ointment till they heal.Use similar antifungal soap or body wash over these areas for bath. If you have severe itching you can take an antihistamine like levocet for itching for a few days daily. Once this is in control you will see an improvement in acne as well. But since your skin is oily, you will still have a few acne breakouts now and then. If you have many pimples on face, you may need to take antibiotics and treatment for acne. Consult a dermatologist and they will advise you regarding the same after checking your skin and improvement with dandruff treatment. Drink lot of fluids, avoid too much oily food, pollution and sun exposure. Hope this helps you.