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Recurrence of scabies and medicines for treatment - 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 : 2008
Answered : 3632 Questions
User :   There are 2 blisters on my hands, each one 1/4 inch dorsal to the finger webbing. They itch a little bit, and not especially at night. The left-hand blister showed up about 2 weeks ago. The right-hand one I just noticed today.Last year I had scabies and was successfully treated. Could it be something other than scabies?
Doctor :   Hi
Doctor :   Dr XXX here
User :   hi
Doctor :   Most probably its scabies which has recurred
Doctor :   The site os very specific and most commomn site for scabies to occur
User :   I have the premethrin already. I suppose I should use it as prescribed, Yes?
Doctor :   I guess follwing treatment of previous infection were all house hold articles washed in hot water and dried in sun
User :   not yet.
Doctor :   Unless that done it will have high rates of reoccurance
User :   Oh, I see what you're asking. Yes, they were washed and dried in the dryer.
Doctor :   Yes and dried in hot sun
Doctor :   You should along with permethrin use scabex cream
User :   Doctor, the sun is no longer very hot, why isn't long time in trhe dryer good enough?
Doctor :   Whole body applicartion for overnighjt and washed nextday
Doctor :   Its advisable to get a hot wash then with extra drying
User :   Yes, that was the prescription and action last year. Also, we had bedbug in the house recently. I had a dog sniff out 2 places bedbugs were, and we removed the linen and chair+cushions.
Doctor :   Do change all your beddings and carpets , screens
User :   Window sceens?
Doctor :   Yes
User :   Please explain why.
Doctor :   As per scabies is concerned they are deposited everywhere you involve in ( physical contact)
Doctor :   and screen/ carpet being the least chnaged or washed they tend to get deposited there for long periods dormant and when conditions flare up they reinfect you
User :   We have no carpets, only wood floors. So will vacuum thoroughly, Yes?
Doctor :   That will do, But be sure to change all your beddings
Doctor :   And hot wash all your clothes after treatment
User :   I certainly will. Could diagnosis be anything other than scabies?
Doctor :   Probably no other
Doctor :   Let me ask few more questions to confirm your finding
User :   What about computer keyboard. Might it harbor scabies? I hope not.
Doctor :   Do you have the itching sensation more in the night
User :   no
Doctor :   Is it having trails in the skin
Doctor :   Crack like appearance in between webs
User :   no. Only the hard. small blister.
User :   no cracks
Doctor :   Is it present anywhere in the body
User :   no. only the 2 blisters on my hands, one on each hand.
Doctor :   Ok
Doctor :   Then most probably it s an reoccurance os scabies i guess
Doctor :   But you will need skin scrapings to confirm the diagnosis
User :   I'm sure it's scabies. I'm trying to avoid $50 dermatologist fee, since it's most probably scabies, and I already have the medicine.
Doctor :   Then you can use them
Doctor :   It a single application overnight but see to that all items u use are washed after treatment
User :   Is there any danger with using the premethrin unnecessarily?
Doctor :   No
Doctor :   You can use it but not frquently
User :   Last yr dr told me to use it,head to toe,once. And wash the next morning. Then to apply again after 7 days.
Doctor :   second application once i sufficient
Doctor :   Not head to toe its below neck
User :   ok. I will use it tonight. ok. only below neck. Got it.
Doctor :   Do check the drugs Expiry date before application
User :   Will check date.
Doctor :   Wishing you a speedy recovery
Doctor :   Is there anything else i can help you with?
User :   Thanks. Now, how much more time do I have?
Doctor :   Last three minutes the timer starts in your chat window
User :   This was already 30 min.?
Doctor :   You have some more time i guess
Doctor :   unless the timer comes you have time
Doctor :   You can proceed with medical queries if any
User :   Plus, I don't see chat window timer? can u help me find it?
Doctor :   It comes only in the last three minutes
User :   Can I call again, another time to use up the remaining mins?
Doctor :   Sorry you cant
User :   ok. Then I should ask other questions. OK?
Doctor :   You can use it only within the alloted time
Doctor :   Max three times within thirty minutes
User :   OK. Now let me think.
User :   I have lower back pain, now and again. What can u suggest?
Doctor :   Do you use proper working ergonomics
Doctor :   ]Try sitting upright with proper posture avoid using bean bags or cushions
User :   I think so. I should strengthen core muscles.
Doctor :   And was an x ray taken
Doctor :   Are you there?
User :   No. Multiple MRIs of lumbar spine though. Also, EMG with Diagnoses of inflames pelvis plexus.I had ? disc 2 yrs ago. In April a nastsy case of shingles that attacked the thigh muscles as well as skin on the calf. I'm
Doctor :   Ok
Doctor :   Then probably are you still on chiropractise
User :   The MRIs and EMG taken subsequent to shingles event.
Doctor :   Ok
Doctor :   Then you will need more to tone up your muscles under supervision of chiropracter
User :   I go to Phys. Therapy and doing v well.\there. But I still can't climb stairs. Leg is too weak.
Doctor :   Then continue with physio it does take time for improvement
User :   PT gives me pelvic press excercise.
Doctor :   Yes that should help
Doctor :   Thanks for consulting me
Doctor :   Bye for now
Question is related to
Diseases and Conditions
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