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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Extremely Itchy Scalp In A Teenager Suggest?

I ll try but your site keeps closing. I have a 15 year old who appears to have folleculitis (I had as a teen) but doctor prescribed wash, cream did not help and he didn t think much of it but I (mom) do see little red dots. 15 year old (girl) refuses to stop shaving so that I know does not help, but now for few weeks she has very itchy scalp. I have looked for lice (which unfortunately she had at 5 and I know what to look for) but there is none of the telltale signs and I see abolutely nothing (looked extensively). She tried dandruff shampoo which helped a little. She s losing sleep and pretty cranky (but that could be because she s 15, who knows) There is no drug use (I m a stay at home mom and around her and her friends a lot). There is and has never been any boyfriend so there is no chance of any contact (very pretty but too smart and snarky for teen boys). She has a decent diet because my kids eat what I serve and don t get a choice and we try to eat clean bla bla, have a balanced diet with fruit and veggies. Overall she s the picture of health and active. Just really itchy, I m at a loss....
Thu, 28 May 2020
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General & Family Physician 's  Response
Hi,

Itchy and scaly bumps on hair can occur due to dandruff or seborrheic dermatitis. Both these conditions can cause increased oil and sebum which irritates the scalp and cause scaling and flaking on hairline. Washing the hair every other day with ketoconazole and zinc pyrithrone lotion or shampoo is essential. These can also be applied on the shoulder and back and washed after 5 minutes. In case of severe itching, mild steroid creams may be needed.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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What Does Extremely Itchy Scalp In A Teenager Suggest?

Hi, Itchy and scaly bumps on hair can occur due to dandruff or seborrheic dermatitis. Both these conditions can cause increased oil and sebum which irritates the scalp and cause scaling and flaking on hairline. Washing the hair every other day with ketoconazole and zinc pyrithrone lotion or shampoo is essential. These can also be applied on the shoulder and back and washed after 5 minutes. In case of severe itching, mild steroid creams may be needed. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician