Natural treatment for an itchy scalp

Itching may follow a new hair dye, fragranced product, sweat, dry skin, or scratching. Flaking can occur with dandruff or seborrheic dermatitis; thick plaques suggest scalp psoriasis. Tender bumps may occur with folliculitis, while intense itching with attached nits can indicate head lice. The appearance of the scalp guides treatment.

Rinse shampoo thoroughly, use lukewarm water, and avoid scratching with nails. Pause newly introduced dyes, oils, sprays, and fragranced products if they sting or trigger a rash. Keep combs and towels personal, and check close contacts if lice are suspected. Do not use kerosene or household insecticides. A clinician may recommend medicated shampoo treatment or head lice treatment when indicated.

Arrange an appointment if itching lasts, returns frequently, causes sores, or comes with hair loss, thick scale, or pus-filled bumps. Seek prompt care for facial swelling, breathing trouble, fever, rapidly spreading redness, or severe pain. A scalp examination can distinguish irritation from infection and inflammatory disease.

Does my scalp look more like dandruff, seborrheic dermatitis, psoriasis, folliculitis, or lice? Which product should I stop? Do I need a medicated shampoo, and how should I use it without irritating my scalp?