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The mite Sarcoptes scabiei causes scabies which is a very itchy dermatosis. Scabies is transmitted by direct skin-to-skin contact. A patient with typical scabies rash may have 12 mites on average, whereas those with crusted scabies may have thousands. The infection affects people of all ages, but it is more common in youngsters. It’s a common public health issue in impoverished areas, and it’s prevalent in many underdeveloped nations.
Scabies symptoms and signs include:
Scratching the itchy rash can result in sores. It’s easier for the sores to get infected.
The persistent scratching can be caused by a significant itch. An infection might develop as a result of the constant scratching. Continuous scratching can lead to sepsis, a potentially fatal illness that develops when an infection enters the bloodstream.
Mites like to burrow between the fingers and around the nails on the hands.
Mites that live in the elbows and wrists.
Mites are most prone to burrow in the buttocks, belt line, penis, and skin surrounding the nipples. Mites will burrow in skin that is covered by a bracelet, watchband, or ring.
Creams and lotions
Scabies is usually treated with lotions and creams. Your doctor, pharmacist, or nurse can help you decide which treatment is best for you.
Even if they don’t have any symptoms, all members of your family and any close contacts, including recent sexual partners (see diagnosing scabies for more information), should be treated at the same time as you to avoid reinfection.
Except for your head, the cream or lotion should be applied to all of your body’s skin. Make sure your skin is cool and dry before applying it. It should not be used after a hot bath. It will swiftly sink into your skin and will not remain in the area where the scabies burrows are if you apply it when your body is hot.
You should also pay attention to the tips listed below.
All bed linen, nightwear, and towels should be washed at a temperature above 50C on the day you first apply the cream or lotion. Sheets, pillowcases, and blankets, as well as apparel worn adjacent to the skin (underwear, T-shirts, socks, and pants), should be washed and dried on a hot cycle.
If you don’t have access to hot water, seal all linen and apparel in plastic bags and store them away from family members and close contacts for five to seven days. The mite cannot live for more than four days without coming into contact with human skin.
If you have crusted scabies, you should clean your floors and vacuum your carpets and furniture, particularly armchairs and sofas, completely.
If you’ve been diagnosed with scabies, stay away from others for as long as possible until you’ve taken your medication. You should also stay away from other members of your home until their therapy is finished.
After the initial treatment, both children and adults can return to school or job.
Your doctor should be able to provide anti-itch medications, such as a moderate steroid cream. Menthol cream or gel, available without a prescription from pharmacies, can also help to soothe irritated skin.
Oral sedative antihistamines are also available at your local pharmacy and can be used to relieve itching and improve sleep quality.
If you’re taking antihistamine, you should avoid driving or using heavy machinery if you’re feeling drowsy.
Scabies itching is not relieved by non-sedating antihistamines. If you’re unsure, consult your doctor or pharmacist.
It’s possible that you’ll be irritated for a few weeks after your therapy is over because your immune system is still reacting to the presence of dead mites and their droppings.
If you’re still itchy six weeks after finishing your therapy, see your doctor.