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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Dry Scalp, Dandruff, Pimples With Itching Be Treated?

Dear dr. Since Last few months I have dry scalp, lot of dandruff, small pimples which are itching. Whenever applied coconut oil to the hair it will be comfortable. Used 20nex-T shampoo 2. Keraglo AD Shampoo but no relief. I am 65 yrs old male and diabetic since last 5 years under control with Metformine 500mg twice a day. Kindly advise me. Thanking you. Krishna, Bangalore
Mon, 1 Dec 2014
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Dermatologist 's  Response
Hello,

Welcome to healthcare magic.

I understand from your query that your are having dandruff and boils on your scalp.

The shampoos that you have mentioned are good shampoos for dandruff.

However, do not oil your scalp. Oiling your scalp worsens dandruff. Dandruff is caused by a yeast like fungus which grows well using the oil in the skin secretions. Oiling your scalp will further promote its growth. You could apply oil only before bathing and wash it off completely with a shampoo.

The small pimples which you have described are called as folliculitis. It is an infection of the hair follicles which also could be due to excessive oiling.

Use an antibiotic cream with 2 % mupirocin twice a day for 5 days.

If this also does not help, you could consider a course of oral antifungal called itraconazole. This has to be prescribed by your doctor.

You may also have to consider scalp psoriasis as a possibility.

Please discuss with your doctor.

Hope this helps you.

Take care
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How Should Dry Scalp, Dandruff, Pimples With Itching Be Treated?

Hello, Welcome to healthcare magic. I understand from your query that your are having dandruff and boils on your scalp. The shampoos that you have mentioned are good shampoos for dandruff. However, do not oil your scalp. Oiling your scalp worsens dandruff. Dandruff is caused by a yeast like fungus which grows well using the oil in the skin secretions. Oiling your scalp will further promote its growth. You could apply oil only before bathing and wash it off completely with a shampoo. The small pimples which you have described are called as folliculitis. It is an infection of the hair follicles which also could be due to excessive oiling. Use an antibiotic cream with 2 % mupirocin twice a day for 5 days. If this also does not help, you could consider a course of oral antifungal called itraconazole. This has to be prescribed by your doctor. You may also have to consider scalp psoriasis as a possibility. Please discuss with your doctor. Hope this helps you. Take care