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...
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.