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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes tingling and itching on scalp?

Hi, I ve had a lingering/worsening illness for a long time now and I can t seem to get any diagnosis or relief. I had my first child July 2013, and about 8 months later began experiencing extreme tingling of my scalp and face. I suspected lice from how constant and excessive the crawling sensation was, but no doctor could find anything wrong with my scalp or any bugs. After months of this I noticed my hair was rapidly shedding. I also noticed an extreme weight loss and almost complete loss of appetite. I m about 6 months past this original scalp tingling and I have 50% less of my hair. I ve seen a dermatologist who confirmed I have thinning hair all over the scalp but could not recommend anything but vitamin deficiency tests. I have been unable to get my weight up to 100 pounds no matter what I eat (I am only 5 0 tall). My weight fluctuates from 94 pounds to 97 pounds depending on my appetite. I also have extreme cold sensitivity and only seem to want sweet foods. I have horrible fatigue but can never fall asleep until 3 or 4 in the morning. I also have a swollen, dry tongue and sometimes get white painful sores on the sides or tip, along with a few small warts on my fingers that I had frozen and haven t had trouble with since. But I do have trouble speaking and my thought process seems slower and foggier. My memory is poorer as well. I have vaginal dryness and an odor to my urine, and have had chronic bladder infections throughout my life that I routinely treat. Im also very panicky, anxious, and depressed. Social interactions don t feel natural and I find myself being reclusive out of my own preference. I have heart palpitations occasionally, and a very rapid heart beat that doesn t necessarily help my anxiety. I feel like something is very wrong with me all over and I m slowly decaying. You can tell by my gaunt face and loss of color. Other things to know: I had a Tylenol overdose a year ago of 100+ tablets and have tried two different antidepressants for a very short period of time, but haven t been on medication since summer of this year. (Zoloft and wellbutrin). I also have a paraguard birth control. My scalp is still itchy, tingly and now feels sandy. But I try not to mess with it for fear of more hair loss. I can already see my scalp through my hair and I m worried it will continue until im bald. Please help, I m not myself at all and it continues to get worse.
Fri, 23 Jan 2015
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Dermatologist 's  Response
I can understand your concern for tingling and itching on scalp along with so many of other issues.

You have not mentioned your age and related medical history which is quite very important in diagnosing the exact cause of the condition.

In all your kind of cases of uncontrolled scalp itching I suggest to go for routine hematological examination and other biochemistry examination of blood. It is of utmost importance to see general physician to rule out any cause related to increased blood sugar in your kind of cases. I generally go for blood sugar examination along with glycated hemoglobin in our kind of cases.

A thorough psychological examination is also important to see any cause related to stress factor and any psychological issues.

Meet a dermatologist to get your scalp analyzed for any skin issues.

All the best.
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