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HomeAnswersDermatologyscabiesI have a rash on my stomach that is spreading. Please help.

Can insecticides manage scabies effectively?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At March 16, 2024
Reviewed AtMarch 16, 2024

Patient's Query

Hello doctor,

I have had a rash on my stomach for one and a half weeks. It started as one pimple-like bump and has developed across my stomach, between my right armpit and breast, and a bit on my lower back. The urgent care doctor told me it was an allergic reaction and gave me Triamcinolone acetonide 0.1 percent. I facetimed my primary care physician, who thought it was scabies, and I will receive that medication in two days via mail. A nurse thought it was shingles. I also have seen a bug on my bed (could be a coincidence). What do you think this is? It burns, itches, and feels needle-like at the same time.

Please help.

Thank you.

Answered by Dr. Suvash Sahu

Hello,

Welcome to icliniq.com.

I understand your concern, and I have seen the attached picture (attachments removed to protect the patient's identity).

It does not seem to be shingles; it looks like scabies. Scabies is an intensely itchy skin infestation caused by mites. The diagnosis of scabies can often be made clinically with a pruritic rash where the itching occurs predominantly at night, and characteristic linear burrows appear over limbs. Other family members can be affected.

Regarding treatment, on day one, you can use a single application of 5 percent Permethrin cream below the neck all over the body during the night. Leave it on for 10 to 12 hours and then take a bath (use Permethrin soap for daily bathing for seven days). Also, take a single dose of tablet Ivermectin 12 mg on the same day, wash your used clothes thoroughly, and use fresh clothes after bathing the next day. On day two, apply Fluticasone 0.05 percent cream twice daily for five to seven days, and take one tablet of Levocetirizine once daily for the same duration after consulting your general practitioner. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent. Get a review after one week.

I hope this information is helpful. Please do not hesitate to reach out if you need further assistance.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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