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Suggest Remedy For Scalp Itching In A Person With Acute Asthma

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Posted on Wed, 4 Nov 2015
Question: I have had scalp itching , tightness, pain, small bumps since March ....sporadic....treated with Mupiricin.
seen several dermatologists, had blood work , ruled out several things, my ESR is 10, Dr has referred me to neurologist with appt date of Dec 1....yesterday it got worse, is really painful...taking 2 aspirin...am,pm. this am the small bumps on forehead are very evident and most pain I have had ....asthma seems exacerbated.
I am in good health otherwise, use the gym 3xs week,active, walk my Dog, married. Take meds for asthma only Advair 1x day, inhaler as needed (seldom) also take singular.

thank you
doctor
Answered by Dr. Neeraj Kumar (18 minutes later)
Brief Answer:
Provide more details regarding neurological complains

Detailed Answer:
Hello XXXXXXX XXXXXXX
I have gone through your question and understand your concerns.
In view of asthma and prescribed steroid possibility of fungal infection of scalp may be there.
You need to upload images of lesions for better assessment.
Referral to neurologist is for dermatological condition or some associated features.
If you are also suffering from headache then provide details about location, duration, vomiting, nausea, sleep disturbances or anxiety.
Provide details as described above.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (8 hours later)
Neglected to mention there was a culture/ smear/ wound done and returned as normal. another test ANA=normal. Very hard to get picture of sore spot, they improve and then move. I am controlling my headache right now with aspirin. It is mostly on top left spreading around crown, some areas very tender.

It did cause me loss of sleep last nite. No vomiting, or nausea, anxiety. Is there another Dr you recommend? What will the neurologist cover? Or be looking for?

Thank you,

MA
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Take advised medications for some time after prescription from a doctor

Detailed Answer:
Hello XXXXXXX XXXXXXX
The neurologist will help you in making the diagnosis of headache and treating accordingly. He will be able to make a decision whether the headache is primary or related to your skin problem.
If you don't have any vomiting then tension type headache may be one possibility and may get relieved by taking medications like amitriptyline, sertraline or escitalopram.
You can try one of these medications for some time rather than taking daily pain killers.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Neeraj Kumar (46 hours later)
Went to the dentist as I had a sore gum and roof of my mouth tender, he took X-rays and determined no tooth problem. He also eliminated a burn, but it looked similar, and believes I have a virus, possibly minor version of shingles.

I told him I am having headaches 24/7 and taking aspirin or tylenol 3xs a day. Using Hydrogen Peroxide as a mouth wash twice a day.

Does this sound consistent with my head pain? Is it possibly all the same problem?

Thank you
doctor
Answered by Dr. Neeraj Kumar (12 hours later)
Brief Answer:
Possibility of herpes zoster or temporal arteritis

Detailed Answer:
Hello,
Unilateral involvement with skin lesions, headache and burning pain may be due to herpes zoster.
Later on lesions resolve but pain persists leading to post herpetic neuralgia.

Other possibility may be temporal arteritis if pain, headache with visual involvement present unilaterally or sometimes bilaterally.
You can upload images of lesion or prescription of doctor and reports for better analysis.
You need to visit a neurologist for proper examination and evaluation.
For neuropathic pain you can start pregabalin or gabapentin.
Third possibility is less likely presenting with unilateral lightning pain, seconds with facial distribution called as trigeminal neuralgia.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Remedy For Scalp Itching In A Person With Acute Asthma

Brief Answer: Provide more details regarding neurological complains Detailed Answer: Hello XXXXXXX XXXXXXX I have gone through your question and understand your concerns. In view of asthma and prescribed steroid possibility of fungal infection of scalp may be there. You need to upload images of lesions for better assessment. Referral to neurologist is for dermatological condition or some associated features. If you are also suffering from headache then provide details about location, duration, vomiting, nausea, sleep disturbances or anxiety. Provide details as described above. Regards Dr Neeraj Kumar Neurologist