How Can I Stop Itching Psoriasis on Head?
Itching psoriasis on the head can be intensely frustrating, but stopping it is possible through a combination of medicated treatments, gentle scalp care, and trigger avoidance. Implementing a consistent routine, tailored to your specific needs, is key to long-term relief.
Understanding Psoriasis on the Scalp
Psoriasis is a chronic autoimmune disease that causes the rapid buildup of skin cells. This buildup forms thick, silvery scales and dry, itchy patches. When it occurs on the scalp, it can be particularly bothersome due to the density of hair and the sensitivity of the scalp skin. Managing scalp psoriasis involves understanding its triggers, recognizing its symptoms, and employing effective treatment strategies.
Identifying Triggers
While the exact cause of psoriasis is unknown, certain factors can trigger or worsen flare-ups. Identifying and avoiding these triggers is a crucial part of managing the condition. Common triggers include:
- Stress
- Infections (strep throat, skin infections)
- Cold weather
- Dry skin
- Certain medications (lithium, beta-blockers)
- Skin injury (cuts, scrapes, insect bites)
- Alcohol consumption
- Smoking
Keeping a journal to track potential triggers and their impact on your psoriasis can be very helpful.
Effective Treatment Strategies: Topical Medications
Topical medications are often the first line of defense for scalp psoriasis. These are applied directly to the affected areas and can help reduce inflammation, scaling, and itching. Common options include:
- Corticosteroids: Reduce inflammation and itching. Available in various strengths, from over-the-counter to prescription.
- Vitamin D analogs (calcipotriene): Slow down skin cell growth.
- Tazarotene (a retinoid): Normalizes skin cell growth.
- Salicylic acid: Helps loosen and remove scales. Often combined with other treatments.
- Coal tar: Reduces inflammation, itching, and scaling. Available in shampoos, lotions, and ointments.
Always follow your doctor’s instructions regarding the frequency and duration of topical medication use.
Shampoos and Scalp Care
Choosing the right shampoo and adopting a gentle scalp care routine can significantly impact psoriasis symptoms.
- Use a gentle, fragrance-free shampoo to avoid irritating the scalp.
- Medicated shampoos containing coal tar or salicylic acid can help loosen scales and reduce inflammation. Rotate medicated and non-medicated shampoos.
- Avoid harsh scrubbing, which can worsen irritation. Gently massage the scalp.
- Use lukewarm water for washing. Hot water can dry out the scalp.
- After washing, apply a fragrance-free moisturizer to the scalp.
- Pat hair dry instead of rubbing it vigorously.
- Limit the use of styling products, especially those containing alcohol.
Systemic Medications and Biologics
In cases where topical treatments are ineffective, systemic medications or biologics may be necessary. These medications work throughout the body to suppress the immune system and reduce inflammation.
- Systemic Medications: methotrexate, cyclosporine, acitretin. These are usually prescribed for more severe cases of psoriasis.
- Biologics: target specific parts of the immune system. Examples include etanercept, infliximab, adalimumab, ustekinumab, secukinumab, ixekizumab, brodalumab, guselkumab, tildrakizumab, risankizumab. These are often very effective, but carry certain risks.
These treatments are typically prescribed and monitored by a dermatologist.
Light Therapy (Phototherapy)
Light therapy, also known as phototherapy, involves exposing the skin to controlled amounts of ultraviolet (UV) light. This can help slow down skin cell growth and reduce inflammation. It’s often administered in a doctor’s office or clinic.
There are different types of phototherapy, including:
- UVB phototherapy: Uses broad-band or narrow-band UVB light.
- PUVA phototherapy: Combines UVA light with a medication called psoralen, which makes the skin more sensitive to UV light.
Diet and Lifestyle Modifications
While there’s no specific “psoriasis diet,” certain dietary and lifestyle changes can help manage symptoms.
- Anti-inflammatory diet: Focus on fruits, vegetables, whole grains, and lean protein.
- Omega-3 fatty acids: Found in fatty fish, flaxseed, and walnuts, these can help reduce inflammation.
- Limit processed foods, sugar, and saturated fats.
- Maintain a healthy weight: Obesity can worsen psoriasis.
- Manage stress: Practice relaxation techniques like yoga, meditation, or deep breathing.
- Avoid alcohol and smoking.
Common Mistakes
- Over-scratching: Can worsen inflammation and increase the risk of infection.
- Using harsh soaps or shampoos: Can dry out the scalp and irritate psoriasis.
- Ignoring triggers: Failure to identify and avoid triggers can lead to frequent flare-ups.
- Not following prescribed treatment: Inconsistent treatment can reduce its effectiveness.
- Self-treating without consulting a doctor: Can lead to incorrect diagnoses and inappropriate treatments.
- Stopping treatment abruptly: Always consult with your doctor before discontinuing any medication.
| Mistake | Consequence |
|---|---|
| Over-scratching | Worsening inflammation, infection risk |
| Harsh Products | Scalp irritation, dryness |
| Ignoring Triggers | Frequent flare-ups |
| Inconsistent Treatment | Reduced effectiveness |
| Self-Treating | Incorrect diagnosis, inappropriate treatment |
| Abruptly Stopping | Rebound effect, worsening of symptoms |
Conclusion
How Can I Stop Itching Psoriasis on Head? Effectively managing scalp psoriasis requires a multifaceted approach, including identifying and avoiding triggers, using appropriate topical and systemic medications, practicing gentle scalp care, and making healthy lifestyle choices. Consulting with a dermatologist is crucial to develop a personalized treatment plan and monitor your progress. With the right approach, you can significantly reduce itching and improve your quality of life.
Frequently Asked Questions (FAQs)
What are the first signs of psoriasis on the scalp?
The initial signs of scalp psoriasis often include small, raised, red bumps that may be itchy. These bumps can gradually develop into thicker, scaly patches that may flake off.
Are there any home remedies that can help with scalp psoriasis itching?
While home remedies can offer some relief, they are generally not a substitute for medical treatment. Applying cool compresses, using diluted apple cider vinegar (with caution), and moisturizing the scalp with coconut oil or aloe vera can help soothe itching.
How often should I wash my hair if I have scalp psoriasis?
There’s no one-size-fits-all answer, but generally, washing your hair two to three times a week is sufficient. Avoid over-washing, as this can dry out the scalp. Use a gentle, fragrance-free shampoo and lukewarm water.
Can scalp psoriasis cause hair loss?
While psoriasis itself doesn’t directly cause permanent hair loss, excessive scratching or picking at the scales can damage hair follicles and lead to temporary hair loss. Controlling the inflammation and avoiding harsh treatments can help minimize hair loss.
Is scalp psoriasis contagious?
No, psoriasis is not contagious. It’s an autoimmune condition and cannot be spread from person to person.
Can stress make scalp psoriasis worse?
Yes, stress is a well-known trigger for psoriasis flare-ups. Managing stress through relaxation techniques, exercise, or therapy can help control symptoms.
What ingredients should I avoid in shampoos and conditioners if I have scalp psoriasis?
Avoid shampoos and conditioners that contain harsh sulfates (like sodium lauryl sulfate), fragrances, alcohol, and dyes. These ingredients can irritate the scalp and worsen psoriasis.
How long does it take for topical medications to work for scalp psoriasis?
The time it takes for topical medications to work varies depending on the severity of the psoriasis and the specific medication used. Some improvement may be seen within a few weeks, but it can take several months to achieve significant results.
Should I see a dermatologist for my scalp psoriasis?
Yes, seeing a dermatologist is highly recommended. A dermatologist can properly diagnose psoriasis, determine the severity, and develop a personalized treatment plan that is tailored to your specific needs.
What can I do if my scalp psoriasis is not responding to topical treatments?
If topical treatments are ineffective, your dermatologist may recommend systemic medications, biologics, or phototherapy. These treatments work to reduce inflammation throughout the body.
Can diet affect my scalp psoriasis?
While there’s no specific “psoriasis diet,” adopting an anti-inflammatory diet rich in fruits, vegetables, and omega-3 fatty acids may help manage symptoms. Limiting processed foods, sugar, and saturated fats is also recommended.
Is it safe to use hair dye with scalp psoriasis?
Using hair dye can be irritating to the scalp. If you choose to dye your hair, opt for a dye that is free of ammonia and PPD (paraphenylenediamine), and always perform a patch test first. Consult with your dermatologist before dyeing your hair.