Hi doctor,Ive been dealing with this issue for over 17 years. It started with a couple of pimple-like bumps filled with pus on my scalp. Now, these pus-filled bumps have gotten bigger and appear almost everywhere on my scalp except for the bald spots. Ive seen multiple doctors over the years. The problem goes away with medication but comes back as soon as I stop. Ive had tests done, but nothing really helps long-term. One doctor mentioned a powerful medicine that could affect my kidneys, so he suggested continuing the current meds. Ive been on and off antibiotics like Gudcef CV 200 and Azithromycin, and shampoos like Candid TV, Ketone, Nizoral, and Ketoconazole, but the bumps always come back. Last year, I consulted a doctor hoping for a permanent solution, but he seemed more interested in money and kept me on the same repeated meds. Is there anything else I can do for permanent relief?

Your 17-year struggle with a chronic scalp condition, characterized by pus-filled bumps, is concerning. Despite consulting multiple doctors and using various medications, including antibiotics and antifungal shampoos, you've experienced only temporary relief._Possible Underlying Conditions_1. Folliculitis: An inflammation of the hair follicles, which can cause pus-filled bumps.2. Seborrheic dermatitis: A skin condition that can cause inflammation, flaking, and pus-filled bumps on the scalp.3. Psoriasis: An autoimmune condition that can cause red, scaly patches and pus-filled bumps on the scalp._Concerns and Recommendations_1. Kidney concerns: The doctor's warning about potential kidney damage from powerful medications is a concern. Monitor your kidney function regularly.2. Antibiotic resistance: Frequent use of antibiotics may lead to resistance. Explore alternative treatments to reduce antibiotic dependence.3. Comprehensive diagnosis: Seek a second opinion from a dermatologist or a specialist in scalp conditions. They may perform a thorough examination, take a detailed medical history, and potentially conduct diagnostic tests (e.g., skin scraping, biopsy) to determine the underlying cause.4. Holistic treatment approach: Consider a comprehensive treatment plan that includes:- Topical treatments (shampoos, creams, ointments)- Oral medications (if necessary)- Lifestyle changes (diet, stress management, hygiene practices)- Alternative therapies (e.g., phototherapy, acupuncture)_Permanent Recovery_To achieve permanent recovery, it's essential to:1. Identify the underlying cause: Accurate diagnosis is crucial for effective treatment.2. Develop a comprehensive treatment plan: Work with a healthcare professional to create a personalized plan.3. Make lifestyle changes: Adopt healthy habits to support your treatment plan.4. Monitor progress and adjust: Regularly follow up with your healthcare professional to assess progress and make adjustments to your treatment plan as needed.