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Suggest Treatment For Small Bumps Around Wrists
Question: Yes please. Yesterday I began to see small bumps around my wrists, bra strap, waist band, elbows and legs. They are quite itchy, but more at night, although my shower and calamine lotion has done nothing to stop the itching this morning. Any suggestions as to what I should do?
Brief Answer:
Oral Ivermectin, Topical permethrin
Detailed Answer:
Hello,
Thank you for posting on HCM.
It’s very difficult to approach conclusive diagnosis unless for proper physical examination, anyways from your description it seems you are suffering from scabies.
Scabies is a contagious disease caused due to mite and it spreads among people who are in close physical contact and by use of common household articles.
Treatment is pretty straight foreword.
Firstly, I would suggest treatment of your secondary infection (if any) with oral and topical antibiotics.
The key to successful treatment of scabies lies in treating everyone simultaneously in the family and others who are in close physical contact.
Your doctor would prescribe oral drugs like Ivermectin which will kill the parasite.
I prescribe single dose of oral ivermectin 12 mg tablet to be taken empty stomach in a gap of 15 days.
I would also advise you application of permethrin 5% cream. Permethrin 5% cream should be applied below neck downwards to cover whole body and should be rinsed off after 8-10 hours with lukewarm water. Repeat application of permethrin is usually not advised.
Next day onwards apply, a corticosteroid(Betamethasone) with fusidic acid cream over lesions twice a day for atleast 10-15 days.
Take antihistaminics as required to relieve itching and irritation.
Avoid sharing of clothing and toiletries and launder all you bedding and clothes in warm water.
I am sure this will take care of your issue.
Wish you best of health.
Thank you
Dr Hardik Pitroda
Oral Ivermectin, Topical permethrin
Detailed Answer:
Hello,
Thank you for posting on HCM.
It’s very difficult to approach conclusive diagnosis unless for proper physical examination, anyways from your description it seems you are suffering from scabies.
Scabies is a contagious disease caused due to mite and it spreads among people who are in close physical contact and by use of common household articles.
Treatment is pretty straight foreword.
Firstly, I would suggest treatment of your secondary infection (if any) with oral and topical antibiotics.
The key to successful treatment of scabies lies in treating everyone simultaneously in the family and others who are in close physical contact.
Your doctor would prescribe oral drugs like Ivermectin which will kill the parasite.
I prescribe single dose of oral ivermectin 12 mg tablet to be taken empty stomach in a gap of 15 days.
I would also advise you application of permethrin 5% cream. Permethrin 5% cream should be applied below neck downwards to cover whole body and should be rinsed off after 8-10 hours with lukewarm water. Repeat application of permethrin is usually not advised.
Next day onwards apply, a corticosteroid(Betamethasone) with fusidic acid cream over lesions twice a day for atleast 10-15 days.
Take antihistaminics as required to relieve itching and irritation.
Avoid sharing of clothing and toiletries and launder all you bedding and clothes in warm water.
I am sure this will take care of your issue.
Wish you best of health.
Thank you
Dr Hardik Pitroda
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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