Pimples and scabs on the head – causes, prevention

Skin changes in the form of pimples on the scalp can occur in many people. These embarrassing and troublesome symptoms may appear at different ages. The causes behind this problem can vary, and it is worth taking a closer look at them.

Pimples on the scalp as a symptom of scalp acne

Many cases of pimples on the scalp are simply a symptom of scalp acne. The scalp is almost no different from the skin on other parts of the body. Therefore, the same conditions that affect other areas can also develop here. Acne present on the face or chest can also appear on the scalp. Hidden under the hair, the pimples are less visible but still very bothersome. Pimples on the scalp are often filled with pus, and some may be painful or itchy.

Scalp acne usually appears during adolescence and is linked to excessive activity of the sebaceous glands. The condition is therefore often accompanied by oily hair. Pimples on the scalp can also occur in adults. Causes of adult acne include poor diet, inadequate hygiene, prolonged stress, and hormonal imbalances. Treatment typically involves topical or oral medications, and antibiotics may be used.

Hard, painful pimples

If hard, painful pimples appear on the scalp, this may indicate seborrheic dermatitis or folliculitis. In such cases, it is recommended to consult a doctor or dermatologist to receive proper treatment.

• For seborrheic dermatitis, treatment usually involves shampoos and other scalp care products that contain anti-inflammatory and antibacterial substances. A doctor may also prescribe oral medications or antibiotics in the form of creams or ointments if the pimples are particularly persistent or recurrent.
• For folliculitis, it is recommended to avoid washing the hair too frequently and to use mild shampoos that do not irritate the scalp. In case of infection, a doctor may prescribe topical antibiotics and advise on proper hygiene, such as using warm compresses on the affected area.

In every case, it is important to consult a doctor or dermatologist to determine the cause of the pimples and receive the right treatment.

Scabs on the scalp

Scabs on the scalp can have various causes, including skin conditions, allergies, fungal or bacterial infections, as well as irritation from harsh cosmetics or overly frequent hair washing.

To get rid of scalp scabs, it is necessary to first determine their cause through a visit to a dermatologist or trichologist. Then appropriate treatment can be applied, which may include specialized shampoos, creams, or antibacterial and antifungal medications.

It is also important to avoid factors that may irritate the skin, such as blow-drying hair with hot air or using styling products that contain harmful substances. Regular washing with a gentle shampoo and thorough rinsing are also essential steps in proper scalp care.

Folliculitis

Another cause of scalp pimples may be folliculitis. This condition is triggered by bacteria, viruses, or fungi. The scalp then develops lesions filled with yellowish pus. The scalp may also appear red. Pimples in folliculitis are often the result of poor scalp hygiene. Washing hair too infrequently leads to bacterial buildup and fosters infection. Other causes include lowered immunity, mechanical damage, and the use of poor-quality cosmetics. A quick response and specialist consultation help limit the progression of the disease. In most cases, topical antibiotics are used. For mild cases, special ointments for folliculitis may be prescribed. Read more about folliculitis.

Psoriasis

Lesions on the scalp may also be associated with psoriasis, a chronic condition. Skin cells build up too quickly, forming so-called scales. These appear as red or white patches on the skin. Psoriasis most often affects the elbows, knees, buttocks, or scalp. The course of the disease and prognosis vary widely. However, psoriasis is not contagious, as its causes are genetic. Treatment depends on the stage and severity of the condition. Psoriasis cannot be cured, but treatment aims to reduce skin lesions and induce remission. This involves keratolytic agents or systemic anti-inflammatory drugs. Phototherapy with UVA and UVB light is also effective. Learn more in this article: Scalp psoriasis – causes, symptoms, treatment.

Fungal scalp infections

Many problematic cases are caused by fungi located on the scalp. Ringworm of the scalp develops and worsens with poor hygiene, skin damage, reduced immunity, or sharing towels. One symptom is itching in the affected areas. Treatment should always be carried out by an experienced dermatologist. Initially, topical treatments with creams or ointments are used. In addition, oral antifungal medications may be prescribed. Learn more about scalp fungal infections here.

Prevention of pimples and scabs

It is very important not to squeeze or scratch pimples or scabs, as this spreads bacteria and worsens the condition. It is also recommended to avoid invasive scalp treatments, such as backcombing or blow-drying with hot air. The scalp should be cared for with high-quality natural products that strengthen both the hair follicles and the skin. Lifestyle also plays a role – reducing stress and maintaining a balanced diet are essential.

Home remedies for pimples on the scalp

Small pimples on the scalp may be caused by dandruff, acne, or seborrheic dermatitis. Depending on the cause, different treatments may be required. Below are some general home remedies that may help soothe scalp pimples:

• Wash your hair regularly: Regular washing helps remove excess sebum and dirt, which may contribute to pimples. Use gentle shampoos and avoid harsh detergents.
• Rinse the scalp with apple cider vinegar: Apple cider vinegar has antibacterial and antifungal properties that can help fight microorganisms causing scalp pimples. Prepare a solution of one part apple cider vinegar and one part water and apply it to the scalp.
• Use essential oils: Some essential oils, such as tea tree oil or lavender oil, have antibacterial and anti-inflammatory properties that may help treat scalp pimples. Always dilute them with a carrier oil, such as coconut oil, before use.
• Avoid irritants: Avoid hair care products that contain harsh chemicals, as these can irritate the scalp and worsen pimples.

For severe, persistent, or recurrent scalp pimples, it is recommended to consult a dermatologist.

Also read: Trichodynia: how to treat scalp and hair pain?