

Question:
Brief Answer:
Kindly post your medical query
Detailed Answer:
Hello and welcome to Ask A Doctor service.
Kindly post your medical query so that I am better able to help.
Dr Vaishalee
Kindly post your medical query
Detailed Answer:
Hello and welcome to Ask A Doctor service.
Kindly post your medical query so that I am better able to help.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Somehow my question got erased. My question is:
I'm having Pus Pimples on my head and am getting them very regularly. Though I do head bath ever day I face this problem constantly. I consulted few doctors in the last 3 years but the problem did not go. Have been asked to use Ketoconazole 2% every time I visit them, but the problem still persists.
I'm having Pus Pimples on my head and am getting them very regularly. Though I do head bath ever day I face this problem constantly. I consulted few doctors in the last 3 years but the problem did not go. Have been asked to use Ketoconazole 2% every time I visit them, but the problem still persists.

Sorry I did not mention my details. I'm XXXXXXX 28/M
Brief Answer:
It seems acne
Detailed Answer:
Hi again
Thanks for posting your query.
This seems to be acne. Ketoconazole works if there is dandruff or fungal overgrowth. Since its not working, it means that its not a fungus. Its rather a bacterial infection causing scalp acne, and hormonal changes related to young age may play a role. Antibiotics are usually not effective in scalp acne.
My recommendations are as follows
- Benzoyl peroxide cream specifically on the rash. If this does not work then stronger antibiotic like clindamycin or retinoids maybe tried
- Avoid shampooing the hair daily as it washes out the scalp oil and normal flora. Twice a week is good enough.
- Avoi dusing hasrh chemicals on scalp like hair dyes, medicated shampoos etc. You may use milder routine shampoos.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
It seems acne
Detailed Answer:
Hi again
Thanks for posting your query.
This seems to be acne. Ketoconazole works if there is dandruff or fungal overgrowth. Since its not working, it means that its not a fungus. Its rather a bacterial infection causing scalp acne, and hormonal changes related to young age may play a role. Antibiotics are usually not effective in scalp acne.
My recommendations are as follows
- Benzoyl peroxide cream specifically on the rash. If this does not work then stronger antibiotic like clindamycin or retinoids maybe tried
- Avoid shampooing the hair daily as it washes out the scalp oil and normal flora. Twice a week is good enough.
- Avoi dusing hasrh chemicals on scalp like hair dyes, medicated shampoos etc. You may use milder routine shampoos.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


1) I have them all over my head, so do i need to apply on all of them ?
2) How many times do I need to apply in a day?
3) Can you please suggest some mild shampoo's available in the market ?
2) How many times do I need to apply in a day?
3) Can you please suggest some mild shampoo's available in the market ?
Brief Answer:
Apply on the acne
Detailed Answer:
Hi again
It can be cumbersome to apply on whole head. I will suggest that you apply in on acne that have pus.
You can apply upto 2 times a day for 1 week.
By mild shampoo I meant routine shampoos like pantene, tresemme, L'oreal etc. Avoid medicated shampoos that contain special chemicals or medicines like ketoconazole etc.
Dr Vaishalee
Apply on the acne
Detailed Answer:
Hi again
It can be cumbersome to apply on whole head. I will suggest that you apply in on acne that have pus.
You can apply upto 2 times a day for 1 week.
By mild shampoo I meant routine shampoos like pantene, tresemme, L'oreal etc. Avoid medicated shampoos that contain special chemicals or medicines like ketoconazole etc.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


One last question.
- Do I need to wash my hair before/after applying the cream ?
- Do I need to wash my hair before/after applying the cream ?
Brief Answer:
Wash hair twice a week
Detailed Answer:
Hi
Wash your hair twice a week. Apply a drop of cream on the acne. It dries out and removes by itself. No need to wash before or after as such. Washing after applying will wash away the medicine also so do not wash right after applying. Allow it to be on for atleast 8 hrs.
Dr Vaishalee
Wash hair twice a week
Detailed Answer:
Hi
Wash your hair twice a week. Apply a drop of cream on the acne. It dries out and removes by itself. No need to wash before or after as such. Washing after applying will wash away the medicine also so do not wash right after applying. Allow it to be on for atleast 8 hrs.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Thank You Doctor!
Brief Answer:
Thanks
Detailed Answer:
Thanks and take care
D Vaishalee
Thanks
Detailed Answer:
Thanks and take care
D Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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