Pyogenic granuloma on the scalp: treatment options

This lesion is often a red, shiny, moist, or crusted bump that can catch on a comb, brush, hat, or hair. The scalp’s hair and frequent friction can make bleeding seem sudden. A dermatologist checks whether the appearance fits pyogenic granuloma and may send removed tissue for laboratory examination, particularly when the colour, firmness, or behaviour is unusual.

Treatment depends on the lesion’s size, depth, exact position, and how often it bleeds. Hair around the site can make a dressing harder to keep in place, so wound-care instructions should be tailored to the area.

Until review, avoid scratching the bump and use a soft comb around it. If it bleeds, press a clean pad directly against it without lifting it repeatedly to check. A clinician may recommend curettage and cautery, excision, or another approach; [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/) explains one commonly discussed option. Follow instructions about washing, ointment, and keeping the dressing dry.

Get urgent advice for bleeding that will not stop with sustained pressure, dizziness after blood loss, severe swelling, or redness spreading away from the wound. Book a prompt dermatology review if the lesion changes rapidly, becomes black, or repeatedly bleeds after minor contact.

How deep is the lesion and will the hair around it need special care? Will tissue be examined? Which treatment is least likely to interfere with combing, washing, or wearing head coverings?