Scalp Abscess

13 min read

A scalp abscess is a localized collection of pus that forms under the skin of the scalp. It is caused by a bacterial infection, usually from a cut or wound on the scalp. Scalp abscesses can be painful and can cause swelling, redness, and tenderness in the affected area. They can also cause fever, chills, and fatigue.

Causes of Scalp Abscesses

Scalp abscesses are usually caused by a bacterial infection. This infection can be caused by a cut or wound on the scalp, or by an infection that has spread from another part of the body. Other causes of scalp abscesses include:

  • Infection of the hair follicles
  • Infection of the sweat glands
  • Infection of the sebaceous glands
  • Infection of the scalp skin

Diagnosis of Scalp Abscesses

Scalp abscesses are usually diagnosed by a physical examination. Your doctor may also order tests, such as a blood test or a culture of the pus, to confirm the diagnosis.

Complications of Scalp Abscesses

If left untreated, scalp abscesses can lead to serious complications, such as:

  • Cellulitis, a bacterial infection of the skin and underlying tissue
  • Septicemia, a serious infection of the bloodstream
  • Brain abscess, a collection of pus in the brain

Prevention of Scalp Abscesses

The best way to prevent scalp abscesses is to keep the scalp clean and free of cuts and wounds. It is also important to practice good hygiene, such as washing your hands regularly and avoiding contact with people who have infections.

Take the Scalp Abscess Assessment

Symptoms

Pain

The most common symptom of a scalp abscess is pain. This pain can range from mild to severe and can be localized to the area of the abscess or spread throughout the scalp. The pain may be worse when you touch the area or when you move your head.

Swelling

The area of the scalp affected by the abscess will usually be swollen and tender. The swelling may be accompanied by redness and warmth in the area.

Fever

A fever may accompany a scalp abscess. This is usually a sign of a more serious infection and should be treated as soon as possible.

Drainage

The abscess may eventually rupture and release a thick, yellowish-green fluid. This fluid may have a foul odor and should be cleaned up immediately.

Hair Loss

The area of the scalp affected by the abscess may experience hair loss. This is usually temporary and the hair will grow back once the infection has been treated.

Headache

A headache may accompany a scalp abscess. This is usually a sign of a more serious infection and should be treated as soon as possible.

Conclusion

If you think you may have a scalp abscess, it is important to seek medical attention as soon as possible. The symptoms of a scalp abscess include pain, swelling, fever, drainage, hair loss, and headache. Treatment for a scalp abscess usually involves antibiotics and drainage of the abscess.

Causes

Folliculitis

Folliculitis is an infection of the hair follicles that can lead to scalp abscesses. It is caused by bacteria, such as Staphylococcus aureus, and can be triggered by shaving, waxing, or other forms of hair removal. Folliculitis can also be caused by tight hairstyles that pull on the hair follicles.

Seborrheic Dermatitis

Seborrheic dermatitis is a skin condition that can cause inflammation and irritation of the scalp. It is characterized by red, scaly patches on the scalp, and can lead to scalp abscesses if left untreated. Seborrheic dermatitis is often caused by an overgrowth of yeast on the scalp.

Poor Hygiene

Poor hygiene can increase the risk of scalp abscesses. Not washing the scalp regularly can lead to a buildup of dirt and oil, which can create an environment that is conducive to bacterial growth. Additionally, not brushing or combing the hair regularly can lead to tangles and knots, which can trap bacteria and lead to an infection.

Injury

Injury to the scalp can increase the risk of developing a scalp abscess. This can include cuts, scrapes, or burns. These injuries can create an opening for bacteria to enter the skin and cause an infection.

Immune System Issues

People with weakened immune systems are more likely to develop scalp abscesses. This can include people with HIV/AIDS, those undergoing chemotherapy, or those taking certain medications. A weakened immune system can make it more difficult for the body to fight off infections.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look for signs of a scalp abscess, such as swelling, redness, and tenderness. They may also check for any other signs of infection, such as fever, chills, or swollen lymph nodes. The doctor may also take a sample of the pus from the abscess to test for bacteria.

Imaging Tests

Imaging tests such as an X-ray or CT scan may be used to look for any underlying causes of the scalp abscess. These tests can help the doctor determine if there is an infection in the bone or if there is a foreign object in the scalp.

Blood Tests

A blood test may be used to check for signs of infection, such as an elevated white blood cell count. The doctor may also order a culture of the pus from the abscess to identify the type of bacteria causing the infection.

Biopsy

In some cases, the doctor may order a biopsy of the scalp abscess. This is a procedure in which a small sample of tissue is taken from the abscess and examined under a microscope. The biopsy can help the doctor determine the cause of the abscess and rule out other conditions.

Treatment

Treatment for a scalp abscess typically involves antibiotics to treat the infection. In some cases, the doctor may also recommend draining the abscess to reduce the swelling and pain. In severe cases, surgery may be necessary to remove the abscess.

Questions for Your Doctor

Medical History

Your doctor will want to know your medical history, including any previous scalp abscesses, any other medical conditions you may have, and any medications you are taking. This information will help your doctor determine the best course of treatment for your scalp abscess.

Symptoms

Your doctor will want to know the symptoms you are experiencing. Be sure to tell your doctor about any pain, swelling, redness, or tenderness you are feeling in your scalp. Also, let your doctor know if you have any other symptoms, such as fever, chills, or nausea.

Diagnosis

Your doctor may need to perform a physical examination and order tests to diagnose your scalp abscess. These tests may include a CT scan, MRI, or blood tests. Be sure to ask your doctor about the tests they are ordering and why they are necessary.

Treatment

Once your doctor has diagnosed your scalp abscess, they will discuss treatment options with you. Treatment may include antibiotics, drainage of the abscess, or surgery. Be sure to ask your doctor about the risks and benefits of each treatment option.

Follow-up Care

Your doctor may recommend follow-up care to ensure the abscess has healed properly. This may include regular check-ups or additional tests. Be sure to ask your doctor about any follow-up care they recommend.

Questions

Be sure to ask your doctor any questions you may have about your scalp abscess. This is your opportunity to get all the information you need to make an informed decision about your treatment.

Treatment

Antibiotics

Antibiotics are the most common treatment for scalp abscess. They can be taken orally or applied topically to the affected area. Oral antibiotics are usually prescribed for more severe cases, while topical antibiotics are used for milder cases. Antibiotics can help reduce the swelling and pain associated with the abscess.

Pain Medication

Pain medications such as ibuprofen or acetaminophen can be used to help reduce the pain and discomfort associated with a scalp abscess. These medications can be taken orally or applied topically to the affected area. It is important to follow the instructions on the medication label and to talk to your doctor before taking any medication.

Surgery

In some cases, surgery may be necessary to remove the abscess. This is usually done under local anesthesia and involves making an incision in the scalp to drain the abscess. After the abscess is drained, the area is cleaned and a bandage is applied. Surgery is usually only recommended for severe cases of scalp abscess.

Home Remedies

There are also some home remedies that can be used to help reduce the pain and swelling associated with a scalp abscess. Applying a warm compress to the affected area can help reduce the swelling and pain. Applying a mixture of honey and turmeric to the affected area can also help reduce the inflammation and pain. It is important to talk to your doctor before trying any home remedies.

Drugs & Medications

Antibiotics

Antibiotics are the most common treatment for scalp abscesses caused by bacterial infections. Depending on the type of bacteria causing the infection, your doctor may prescribe oral antibiotics, such as amoxicillin, or topical antibiotics, such as mupirocin. It is important to take the full course of antibiotics prescribed by your doctor, even if the symptoms of the infection have improved.

Antifungal Medications

If the scalp abscess is caused by a fungal infection, your doctor may prescribe antifungal medications, such as ketoconazole or clotrimazole. These medications are usually taken orally or applied topically to the affected area. It is important to take the full course of antifungal medications prescribed by your doctor, even if the symptoms of the infection have improved.

Pain Medications

Pain medications, such as ibuprofen or acetaminophen, can be used to reduce the pain and inflammation associated with a scalp abscess. It is important to follow the instructions on the medication label and to take the medication as prescribed by your doctor.

Surgery

In some cases, surgery may be necessary to drain the abscess. This procedure is usually done under local anesthesia and involves making a small incision in the scalp to allow the pus to drain. After the procedure, your doctor may prescribe antibiotics or antifungal medications to help prevent the infection from returning.

Conclusion

Scalp abscesses can be painful and uncomfortable, but they can usually be treated with antibiotics, antifungal medications, or pain medications. In some cases, surgery may be necessary to drain the abscess. It is important to follow the instructions of your doctor and take the full course of medications prescribed.

Diet

What to Eat

When dealing with a scalp abscess, it is important to eat a balanced diet that is rich in anti-inflammatory foods. This includes foods such as:

  • Fruits and vegetables, especially those high in antioxidants such as berries, spinach, and kale.
  • Whole grains such as oats, quinoa, and brown rice.
  • Healthy fats such as olive oil, avocados, and nuts.
  • Lean proteins such as fish, chicken, and beans.
  • Herbs and spices such as turmeric, ginger, and garlic.

Eating a diet that is rich in these foods can help reduce inflammation and promote healing.

What to Avoid

When dealing with a scalp abscess, it is important to avoid foods that can increase inflammation. This includes foods such as:

  • Processed and refined foods such as white bread, pastries, and chips.
  • Sugary drinks and foods such as soda, candy, and ice cream.
  • Fried foods such as french fries and fried chicken.
  • Red and processed meats such as bacon, sausage, and hot dogs.
  • Trans fats found in margarine and some processed foods.

Avoiding these foods can help reduce inflammation and promote healing.

Conclusion

Eating a healthy diet can help reduce inflammation and promote healing when dealing with a scalp abscess. It is important to eat a balanced diet that is rich in anti-inflammatory foods such as fruits and vegetables, whole grains, healthy fats, lean proteins, and herbs and spices. It is also important to avoid foods that can increase inflammation such as processed and refined foods, sugary drinks and foods, fried foods, red and processed meats, and trans fats.

Lifestyle

Keep the Area Clean

It is important to keep the area around the abscess clean. Wash the area with a mild soap and warm water. Make sure to rinse the area thoroughly and pat it dry with a clean towel. Avoid scrubbing the area, as this can irritate the skin and make the abscess worse.

Apply a Warm Compress

Applying a warm compress to the area can help reduce swelling and pain. Soak a clean cloth in warm water and apply it to the area for 10-15 minutes. Repeat this several times a day to help reduce the inflammation.

Avoid Touching the Area

It is important to avoid touching the area, as this can spread the infection. If you must touch the area, make sure to wash your hands thoroughly before and after.

Eat a Healthy Diet

Eating a healthy diet can help boost your immune system and reduce inflammation. Make sure to include plenty of fruits, vegetables, and lean proteins in your diet. Avoid processed foods and sugary snacks, as these can weaken your immune system.

Get Plenty of Rest

Getting plenty of rest is important for your overall health. Make sure to get at least 8 hours of sleep each night and take regular breaks during the day. This will help your body heal and reduce inflammation.

See a Doctor

If the abscess does not improve with lifestyle changes, it is important to see a doctor. Your doctor can prescribe medications to help reduce the inflammation and pain. They can also provide advice on how to prevent future abscesses.