Title : Scalp Psoriasis: What You Need to Know
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Scalp Psoriasis: What You Need to Know
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Scalp Psoriasis: What You Need to Know
Scalp Psoriasis: What You Need to Know
What Is Scalp Psoriasis?
When the immune system sends faulty signals and skin cells grow swiftly, Scalp Psoriasis take place and heap up in red patches, normally with silvery scales. Normally psoriasis is seen on the scalp but in some cases it is seen on the forehead, behind the ears, and down the back of the neck also.
Who Can Get It? Grab affect.
Scalp psoriasis is not infectious but it is a hereditary and cannot catch from others who have it. It is somewhat passing along the genes of the family. It is seen that most people who get psoriasis have at least one person in their family with the disease.
Symptom: Red and White Patches
Plaque psoriasis is the common form of this disease. Thick, swollen, red patches and well-defined edges are seen in the affected areas with silvery-white scales on top of these areas. There is possibility to knock them off and cause bleeding while combing, putting on and taking off hats and shampooing, so take care while doing such things.
Symptom: Dry and Flaky Scalp
As the skin cells grow tremendously on a faster pace and then rush towards the surface of the skin they start building up and then flake off. It may seem like dandruff. But psoriasis which appears on scalp cause a silvery sheen and dry scales. Whereas, dandruff looks greasy.
Shampoo for a Dry and Flaky Scalp
For thin plaques, try selenium sulfide (1%) or tar-based ones.
For thicker scales, salicylic acid shampoos are very effective. The effect of these may vary from person to person. After few weeks use if it does not work, one can choose another and see the effect.
Try the medicated shampoo first when you would usually lather up. Use of regular shampoo and conditioner afterward is also advisable. Tar-based options may be a little bit stinking.
Symptom: Itchiness
Itchiness is one of the inconsiderate conditions of having psoriasis which may be intense and non-stop. It feels like a burning sensation in some cases. Make sure not to scratch, how bad it gets because it may feel relaxed while in the moment, but there are chances to break open the skin and start bleeding leading to possible infection and hair loss situation.
Moisturize and Cool to Stop the Itch
One can try lotions, moisturizers, or even heavy ointments like petroleum jelly as the first things to get relief of itch. For getting an extra soothing effect chill them in the refrigerator before use. Cool water or cold packs can also give relief to some extent.
Try an Overnight Treatment
Other options are using Mineral oil-based Baker P&S solution or Derma-Smoothe FS scalp oil (a prescription corticosteroid). Put on either at night and cover with a shower cap to loosen scales then shampoo off in the morning.
Cut the Itch with Apple Cider Vinegar
Due to its disinfectant properties apple cider vinegar has been used for long to cure various skin problems; it might burn a little when you apply. For a lighter version mix it with equal amount of water. Some people like to use it unmixed and then rinse it as it dries off. But if there is open skin or cracks then make sure to dilute it. Otherwise it will really burn! It might take few weeks for the results to show up. But before your try any natural remedies consult with your physician.
Tea Tree Oil
There is no proof that it will help cure this skin condition. But people say that it gives some relief. Some people are allergic to tea tree oil so try a little patch test before applying it onto your scalp. There are various options available in the market like tea tree oil or shampoo which has tea tree oil in it. You can choose any of them.
Medication for Itchiness
Consult a physician about the products that contain capsaicin and other anesthetics that can numb the itching. Antihistamine pills can also help.
When severe itching sensation exists talk to dermatologist about different medications available to help calm down neurological pain like gabapentin and antidepressants (known as "NaSSAs")
Symptom: Pain
A flare-up can be painful, it may be because the scalp gets too dry or because of continuous itching due to which the scalp gets cracks. But there are some remedies you can try.
Solutions for Pain
Proper treatment and control of psoriasis is necessary to keep it away. Before the scales start to flake out and crack try scale softening product (keratolytic). Ingredients list should contain urea, salicylic acid, lactic acid, phenol. Moisturizing is vital. Discuss with your doctor for other option. Strength numbing cream which can be a combination of lidocaine and prilocaine may help.
Symptom: Depression
Being positive is what you do. There can be continuous itching, pain and flakes. Working everyday to control it is necessary. At one time pessimism can overpower even if you are positive person, when medications show no results, when other people are being judgmental about you it becomes difficult to handle. But always think that there are number of treatment option available.
What You Can Do: Reach Out
Consider consulting a counselor if feeling low and depressed. A mental health professional can help. Motivation is highly needed to get going. Build a support system; consider joining a psoriasis support group through National Psoriasis Foundation. It will help you to open up on your condition as they would be able to understand your condition. It will also help you being optimistic throughout this journey.
Hair Loss
Hair loss can occur if scales start to thicken. But once psoriasis starts to cure the skin heal and the hair start to grow back.
Using salicylic acid in any of the products can cause hair loss and breakage. It will stop as soon as the treatment stops, this happens with retinoid as well.
Feel confident about yourself; consider it as a new chance to wear a scarf, headwear, hat or wig.
More You’re Doctor Can Do
If nothing seems to work for you like shampoos, gels, creams or sprays then doctor can suggest some other ways, like Ultraviolet B phototherapy may work for some where light is directly aimed at lesions. It is done in doctor’s office.
Other medications involve biologics. It may be injected through vein (IV) or as a shot. This is done to suppress the immune system. Consult the doctor and discuss about this.
Other Things You Can Do: Keep It Moist
Always keep the place where you are moist, keep humidifier handy. Dry air can worsen this condition. Anything which you apply, gently rub on to your scalp than to your hair¸ in this way it shows better results. Remember to condition your scalp after you shampoo.
De-stress
Stress is one of biggest reasons for psoriasis and many other health related problems. Involve in something you enjoy, take some time for yourself, exercise, and meditate regularly. Patients who went through UV phototherapy showed less improvement than patients who undergone phototherapy and listened to meditation tapes. Consultation with a therapist can also prove beneficial. Patients with other skin problems have seen betterment in their condition. It has helped to combat them with anxiety and stress which is cause for other skin diseases as well.
What to Avoid: Medicines, Sunburn, and More
Ingredients like sulfates in shampoos, medicines like lithium or malaria drugs can cause irritation.
People experience different problems like when:
• Living in relatively dry climate (it helps to moisturize)
• When there is continuous exposure to sun (walk in shade, wear a large hat and apply sunscreen before stepping in sun)
• Avoid blow drying hair (Air drying is best)
• Flares can also be avoided by quitting smoking and alcohol.
What Else You Can Do
Another way is consult your doctor regularly and stick on to the treatment even if it takes time to see visible results. Talk to the doctor if you can’t notice any change and you think the treatment is not working. If you don’t get any relief consider a second option. Together a common solution can be reached upon.
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