What are the methods to treat bumps due to scabies?

Question

Hello doctor,

On both of my legs, I always have bumps that mimic pimples; they do not hurt or itch, but they are there all the time. I called in an expert because I was convinced there were bed bugs but I was unable to locate them. The bumps emerge close to one another, are red, fade away like scars, and more develop over time. I believe it has something to do with the bed, but I cannot say for sure because it comes and goes. I currently have ulcerative colitis and am taking medicine for it. When I see them, I give them fucidin. I recently had blood tests done, but nothing was discovered.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

According to the details and the pictures (attachments removed to protect the patient's identity), it seems to be scabies, a reaction to an insect bite brought on by tiny mites. These insects are typically only visible under a microscope and not to the naked eye. They frequently appear on bed linens, clothing, sofa covers, and other items. As a result, it is critical to ensure that these scabies mites are dormant by washing and exposure to sunlight. If the mites are not dormant, scabies tend to return and may do so after exposure. Indirect touch or exposure to an infected individual's possessions can also spread them from one person to another. As a result, it is critical to treat your close friends and family members if they exhibit the same symptoms. Be at ease. The drugs can be used to control them. However, consult your doctor and take the medicines accordingly.

I recommend that you take the measures listed below.

Apply Permethrin (insecticide) 5 % cream to the afflicted areas (from neck to toes), except the face and head, and leave on for 24 hours without washing. After 24 hours, wash the area using the soap listed below. After one week, repeat the treatment.
Use Permethrin 1 % soap to cleanse the afflicted region. This soap can be used constantly for one week and then discontinued.
Take tablet Ivermectin (antiparasitic) 12 mg. Consume this tablet today after dinner followed by another tablet one week later after dinner. Therefore, the total number of pills to be consumed is two.
Tablet Cetirizine (antihistamine) 10 mg - The medication should be taken two hours before going to bed. This aids in the prevention of itching and pain. After ingesting this pill, do not go out or drive. Use it every night for a week. Consult your doctor and take the medicines accordingly.
Mometasone (corticosteroid) fusidic acid cream: During the one-week interval between two applications of Permethrin cream, apply this cream to the afflicted regions in a very thin layer at night for one week. Consult your doctor and take the medicines accordingly.

Before and during treatment, wash all washable items, including clothing, bed linens, pillow coverings, and so on, in hot water with detergent and air dry. After drying, the washable things should be stored in a plastic bag secured away from oneself for at least one week to allow the mites to become dormant. Non-washable objects can be sun-dried and brushed dry with a cleaning brush. Mattresses and couch sets can be sun-exposed regularly for up to a week.

I hope this was useful.