HomeAnswersDermatologyseborrhoeic dermatitisI have an itchy scalp, and white flakes appear when I scratch. What should I do?

Why is there a constant itch on my scalp with white flakes?

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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.

Medically reviewed by

Dr. K. Shobana

Published At August 24, 2022
Reviewed AtSeptember 19, 2023

Patient's Query

Hi doctor,

I have an itchy scalp. It is constant, and when I scratch, white flakes come out. What should I do about it?

Hello,

Welcome to icliniq.com.

I understand your concern. As per the history you have provided, you may have seborrheic dermatitis, which is also otherwise known as dandruff. Dandruff can be oily or dry. In your case, it may be dry. As of now, start using a combination of Salicylic acid, Ketoconazole, and Zinc Pyrithione shampoo. Use it twice a week. Apply the shampoo after taking a coin-shaped amount and diluting it with water before applying. Apply, massage, and leave it for about 5 mins on the scalp before washing it off. Use for two months. In case of recurrence of symptoms, use Ketoconazole (Nizoral) cream. It should be applied twice daily behind the ears and may be used on areas where it is very itchy and dry on the scalp. Apply and leave it just like applying a cream. Proper hydration is essential for dry scalp and eczema. Drink at least 3 liters of water daily. It will help you to reduce the dryness to a great extent. Depending on how hydrated our bodies are, the climate we are exposed to, our age, and many other factors, eczema and dry scalp can appear on and off. If symptoms recur later in life, please follow the above advice and repeat the treatment. Please consult a doctor for a local examination.

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

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty

Venereology

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