What to do for an itchy scalp?
Doctor, my daughter is one year and two months old and sweats a lot, her hair gets wet, especially at night while sleeping, which causes her to scratch her head.
I've noticed some red spots on her scalp and I'm not sure what to do.
Is her head shaking at night or while drinking milk due to itching?
Linda, 40~49 year old female. Ask Date: 2015/10/07
Dr. Wu Yuxin reply Dermatology
A literal description without actually seeing the lesion cannot confirm the diagnosis; it could possibly be eczema or seborrheic dermatitis.
It is recommended to have a dermatologist evaluate it for a definitive diagnosis.
Reply Date: 2015/10/07
More Info
Dealing with an itchy scalp in toddlers can be a challenging experience for both the child and the parents. It’s important to understand the potential causes of the itching and redness on the scalp, as well as effective solutions to alleviate the discomfort.
Causes of Itchy Scalp in Toddlers
1. Seborrheic Dermatitis (Cradle Cap): This is a common condition in infants and toddlers characterized by greasy, yellowish scales on the scalp. It can cause itching and discomfort, leading to scratching. The condition is usually harmless and often resolves on its own.
2. Allergic Reactions: Your daughter may be experiencing an allergic reaction to a product used on her hair or scalp, such as shampoos, conditioners, or even laundry detergents. Allergies can cause redness, itching, and irritation.
3. Dry Scalp: Just like adults, toddlers can also have dry skin. A dry scalp can lead to flaking and itching, especially if the environment is dry or if the child is frequently exposed to water.
4. Head Lice: Although less common in very young children, head lice can cause significant itching. If you notice excessive scratching and the presence of small white eggs (nits) attached to the hair shafts, it’s worth checking for lice.
5. Heat Rash: Since you mentioned that your daughter sweats a lot, especially at night, she may be experiencing heat rash. This condition occurs when sweat glands become blocked, leading to red, itchy bumps.
6. Infections: Fungal infections, such as ringworm, can also cause an itchy scalp. This would typically be accompanied by other symptoms like hair loss or a scaly patch.
Solutions for Itchy Scalp
1. Gentle Cleansing: Use a mild, fragrance-free shampoo specifically designed for toddlers. Avoid harsh chemicals that can irritate the scalp further. Look for products that contain soothing ingredients like aloe vera or chamomile.
2. Moisturizing: If dryness is the issue, consider applying a gentle, hypoallergenic moisturizer to the scalp. Natural oils like coconut oil can also be beneficial for hydration.
3. Avoid Irritants: Identify and eliminate any potential allergens. This may involve switching to fragrance-free laundry detergents, avoiding certain hair products, or even changing the type of pillowcase she sleeps on.
4. Regular Hair Washing: Regularly washing her hair can help remove sweat, dirt, and any potential irritants. However, be careful not to wash too frequently, as this can lead to dryness.
5. Cool Environment: Ensure that her sleeping environment is cool and well-ventilated to minimize sweating. Dress her in lightweight, breathable fabrics to help reduce perspiration.
6. Consult a Pediatrician: If the itching persists, worsens, or is accompanied by other symptoms (such as fever, hair loss, or significant redness), it’s important to consult a pediatrician or a dermatologist. They can provide a proper diagnosis and recommend treatments, which may include medicated shampoos or topical treatments.
Addressing Head Shaking
Regarding your concern about your daughter shaking her head while sleeping or drinking milk, this behavior can sometimes be a response to discomfort. If her scalp is itchy, she may shake her head in an attempt to relieve the irritation. However, head shaking can also be a normal behavior in toddlers as they explore their bodies and develop motor skills. If it seems excessive or is accompanied by other concerning symptoms, it’s best to discuss this with her pediatrician.
In conclusion, addressing an itchy scalp in toddlers involves identifying the underlying cause and implementing appropriate solutions. By maintaining a gentle hair care routine and monitoring for any signs of infection or allergies, you can help alleviate your daughter’s discomfort. Always consult a healthcare professional if you have concerns about her symptoms or if they persist.
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