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What can cause itchy scalp and tiny white balls all over the head?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 28-year-old male. I have an itchy scalp and hair fall with a tiny white ball all over the head and also in the shoulder. The balls are attached to the skin and come out in nails with pressure. I have attached the photos along with this query. I am using anti-dandruff shampoo, which cures the itch for one or two days. But, the white balls are still coming out. I am facing this problem for over a year. Now, my hair fall has seriously increased. I have oily skin. Advise me on some medicine that is easily available and some techniques to care for my hair.
Answered by Dr. Avina Jain

Education:

MBBS

Professional Bio:

Dr. Avina Jain is a dermatologist, venereologist, and cosmetologist with expertise in treating skin, hair, and nail disorders. She provides advanced care for acne, allergies, infections, and sexually transmitted diseases while also offering aesthetic solutions for skin rejuvenation and cosmetic concerns. With a focus on both medical and cosmetic dermatology, she helps patients achieve healthy, confident, and radiant skin.

This doctor is not available for online consultations on the platform anymore.

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Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

According to your history and from the photos (attachment removed to protect patient identity), you are suffering from acute dandruff with folliculitis.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor, Thanks for your reply.

Could you please tell me the solution?

Answered by Dr. Avina Jain

Education:

MBBS

Professional Bio:

Dr. Avina Jain is a dermatologist, venereologist, and cosmetologist with expertise in treating skin, hair, and nail disorders. She provides advanced care for acne, allergies, infections, and sexually transmitted diseases while also offering aesthetic solutions for skin rejuvenation and cosmetic concerns. With a focus on both medical and cosmetic dermatology, she helps patients achieve healthy, confident, and radiant skin.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Do you have thyroid disease? Or got it checked anytime?

You need oral antibiotic for sometime. I hope you can get them without prescription.

The Probable causes

The white balls are pustules, occurring due to scratching and then infection.

Probable diagnosis

Seborrhea capitis with folliculitis.

Treatment plan

1. Take tablet DOXT-S Doxycycline 100 mg one tablet every day for two weeks with one full glass of water. 2. Salisia-KT shampoo (combination of Salicylic acid and Ketoconazole) every alternate day for scalp. Keep lather for 5 minutes and then wash. After two weeks, when dandruff comes under control decrease it to twice a week and then once a week.

Preventive measures

1. Avoid scratching with nail. 2. Avoid oiling the scalp. If needed, then only for an hour and then wash it off. 3. You can use other shampoo if needed on other days. 4. You should increase your fruit, protein and vegetable intake.

Regarding follow up

Revert back after two weeks for follow up to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Answered by Dr. Avina Jain
Medically reviewed by iCliniq medical review team
Published At July 19, 2017
Reviewed At October 3, 2024

Education:

MBBS

Professional Bio:

Dr. Avina Jain is a dermatologist, venereologist, and cosmetologist with expertise in treating skin, hair, and nail disorders. She provides advanced care for acne, allergies, infections, and sexually transmitted diseases while also offering aesthetic solutions for skin rejuvenation and cosmetic concerns. With a focus on both medical and cosmetic dermatology, she helps patients achieve healthy, confident, and radiant skin.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

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Companion

Itchy Scalp and Folliculitis Companion

How it works

An itchy scalp with tiny white balls can be uncomfortable and concerning. This section helps you understand common causes like dandruff and folliculitis, and what they mean for your scalp health.

1

Scalp
Issues

2

About
Dandruff

3

About
Folliculitis

4

Causes
Triggers

5

Symptoms
Diagnosis

6

Treatment
Options

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
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Dr. Avina Jain

Dermatology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Avina Jain is a dermatologist, venereologist, and cosmetologist with expertise in treating skin, hair, and nail disorders. She provides advanced care for acne, allergies, infections, and sexually transmitted diseases while also offering aesthetic solutions for skin rejuvenation and cosmetic concerns. With a focus on both medical and cosmetic dermatology, she helps patients achieve healthy, confident, and radiant skin.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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