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Scalp infection and hypermotility due to stress - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi doc
Doctor :   Hi
Doctor :   Good morning
Doctor :   How can I help you?
User :   gud morning
User :   on 26 th jan i worked like 16-17 hours and since eve of 26 th i am feeling lumps on my back of head
User :   they are very itchy at first
User :   now can feel pain in them
User :   feeling uncomfortable
User :   the whole area of the back head is uneven
Doctor :   Ok
User :   as in not so much but yes i can feel collegues can feel
Doctor :   Ok
User :   what to do?
Doctor :   How big are the lumps?
User :   wait
User :   they are big
User :   as in a small humps
Doctor :   Do you still feel itchy?
User :   yes
Doctor :   Ok
Doctor :   May I know your age?
User :   25
Doctor :   Have you had similar symptoms in the past?
User :   never
User :   i relocated to xxx on 16 th jan
Doctor :   Ok
Doctor :   Are you losing hair?
User :   no ...
User :   how can i define it "losing hair"
User :   ?
Doctor :   Ok
Doctor :   Do you have diabetes, thyroid problems?
User :   no
Doctor :   Ok
User :   also doc i visited xxxxx last year in dec and this another problem also starts (did nt have time to go to hosiptal as was very busy with work) i feel something (shrinks) in the right side of stomach
Doctor :   Hair fall is considered significant if you are losing more than 100 hairs per day.
User :   like when you feel cold then its you shivers ..
User :   no i am not losing hairs like that
Doctor :   Ok
User :   so are these problem interlinked?
Doctor :   Let me explain to you.
User :   pls pls
Doctor :   The 2 symptoms may or may not be interlinked.
Doctor :   Let me explain that.
Doctor :   Bumps on the head with itching can occur due to 3 reasons.
Doctor :   1. Allergies
Doctor :   2. Scalp infection
Doctor :   3. Stress and anxiety factors
Doctor :   * causes for multiple bumps with itching.
User :   hmm
User :   for me
User :   3 point looks like relevant
Doctor :   Since you do not have any visible hair loss, or skin changes on the scalp, and the lumps are not very big to cause complete deformity, I presume the concern is not very serious.
User :   as now a days lots of work so stress and anxiety as i missed my family
Doctor :   Let me suggest you few measures that should be helping you.
User :   pls doc ..
Doctor :   1. Since you report of increased stress and anxiety, it is very necessary that you need to involve in destressing sufficiently.
User :   and
Doctor :   Good sleep, healthy eating, mild physical exercises, relaxation techniques such as deep breathing exercise, yoga and meditation are few destressing measures.
Doctor :   Diet should contain plenty of vegetables and fruits.
Doctor :   2. Watch out for any allergies to hair products that you use.
Doctor :   If you feel the symptoms are severe following certain products, then you may have to change it.
Doctor :   If you have used any new products after coming to bangalore (on your hair), you may have to stop it.
Doctor :   3. Dandruff and infection can be a cause.
Doctor :   Use good antidandruff shampoos such as Nizaral Shampoo.
User :   ok ..i have not followed any new products..
User :   ok
Doctor :   4. If itching is severe, you can use oral anti allergy medications such as benadryl syrup 1teaspoon at night only.
User :   all these products like nizaral shampoo and oral anti allergic medicine benadryl
Doctor :   5. If the symptoms are becoming severe, if you see hair fall, rapid growth in the lumps, scalp skin changes, then you will need specific prescription medications for its treatment.
Doctor :   and in such case you will need to visit a dermatologist.
User :   can i find these over medical stores?
Doctor :   Yes, these products can be obtained over the counter at any chemist or pharmacy.
User :   ok
Doctor :   The other symptoms that you reported,
User :   but why feeling pain in them?
Doctor :   Sensory disturbances such as itching, pain can occur if the cause is increased stress or infection.
Doctor :   The following measures should help in control of the symptoms.
User :   hmm
Doctor :   If you do not find them working, then you can consult a dermatologist who will prescribe you specific medications depending on the cause.
User :   ok
Doctor :   The other symptom - shrinking of the right side of stomach, no obvious medical cause is known to cause such symptoms,
User :   and what about my right side stomach uneasiness?
User :   its been for over a month now
Doctor :   It probably may be part of the stress or gut hypermotilty
Doctor :   which could be due to change in the dietary habits when compared to your home or due to increased stress.
User :   hypermotilty?
User :   but again when i went back to my home town after dec visit ..i can feel it there also..
Doctor :   If you find you have other symptoms such as increased frequency of passing stool, severe abdominal pain, vomiting, blood in the stools, then you will need to consult a gastroenterologist for evaluation.
Doctor :   Hypermotility is a condition in which food passes through the gut rapidly.
User :   oh ok
Doctor :   Normally it takes a few hours 4-6 hours for this to happen.
Doctor :   However due to certain causes such as change of food product, infection, increased stress, anxiety, this time(referrred to as intestinal transit) is reduced,
Doctor :   leading to the discomfort, gurgling sounds and so on.
Doctor :   They can be controlled by proper diet, good sleep and the adequate stress management.
Doctor :   If the symptoms are severe, and the other associated symptoms occur, then abdominal examination, colonoscopic examination may be necessary.
Doctor :   Have you followed what I have suggested?
User :   ok
Doctor :   Are you there?
User :   yes yes
User :   reading
Doctor :   Do you have any other query?
User :   what do you suggest ..for my satisafction if i go for ultra sound of my stomach?
User :   is it a good idea?
Doctor :   Since you do not report of other associated symptoms,
User :   ok i will follow what you have prescrbibed
User :   prescribed
Doctor :   I suggest that you involve in dietary modification and lifestyle modification.
Doctor :   Restrict alcohol and smoking(if any)
User :   oh ..
User :   i dont smoke but do drink at times
User :   ok
Doctor :   If the symptoms persist or you develop other associated symptoms, you may consult a gastroenterologist who after an abdominal examination will guide you through the investigations.
User :   will eat lots of fruits and follow what you said
Doctor :   Do you have any other query?
User :   no doc
User :   thanks a lot
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
User :   same to you!
User :   good bye..
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