Used for generations for skin ailments, witch hazel is safe and effective for a myriad of hair and skin conditions, including folliculitis. Witch hazel fights bacteria while soothing irritation, including itching and inflammation, according to a study published in the International Journal of Trichology.
In many cases of bacterial folliculitis, an over-the-counter (OTC) antibacterial wash, such as chlorhexidine (Hibiclens) or benzoyl peroxide, can provide relief. Avoid using Hibiclens above the neck. If you suspect yeast is causing your folliculitis, try an OTC antifungal cream.
MEASURES YOU CAN TAKE TO HELP TREAT YOUR FOLLICULITIS:
A holistic treatment may include soaking the affected area in a tub of diluted white vinegar (1 part vinegar to 4 parts of water) or soaking in a bathtub with very diluted Clorox bleach (1/4 cup of Clorox bleach in a bathtub of water).
Treatment of Folliculitis
Because most folliculitis is caused by S. aureus, clindamycin 1% lotion or gel may be applied topically 2 times a day for 7 to 10 days. Alternatively, benzoyl peroxide 5% wash may be used when showering for 5 to 7 days.
- Apple Cider Vinegar known as an antimicrobial agent can also be used to manage the problem. Mix 1 tablespoon of ACV with ½ a cup of water. Dip cotton balls in the mixture and apply onto the affected areas for twenty mins, repeat twice a day.
There isn't a cure for folliculitis decalvans. But treatments can reduce inflammation and prevent scarring and further hair loss. The condition sometimes goes into remission (no symptoms) but can return and cause a flare (active symptoms). Treatment is often an ongoing process.
In less severe types of folliculitis, like Pseudomonas folliculitis (hot tub rash), your symptoms will typically fade within a few days without treatment. If they don't, reach out to your healthcare provider. When you have a more severe case of folliculitis, oral antibiotics may be needed to treat the condition.
Folliculitis is often caused when hair follicles are infected with bacteria, commonly Staphylococcus aureus (staph). It may also be caused by viruses, fungi, parasites, medications or physical injury. Sometimes the cause isn't known.
Hydrogen Peroxide
It works just as well for folliculitis. The chemical mix will immediately kill off bacteria and fungus, and the excess can be wiped off with disposable towels. You can repeat applications of hydrogen peroxide.
The rash appears as small red bumps or pus bumps that can itch or be mildly painful. Folliculitis is common on the buttocks, arms and legs - especially the thighs. Most improve in 7 to 10 days.
Topical antibiotic ointments, such as Neosporin or generic neomycin, bacitracin, and polymyxin b triple antibiotic ointment, may help scalp folliculitis heal up faster. Apply the ointment to the affected area a few times daily.
A five- to 30-day course of an oral antibiotic like cephalexin (Keflex), dicloxacillin (Dynapen), doxycycline, minocycline (Dynacin, Minocin), ciprofloxacin (Cipro), or levofloxacin (Levaquin) may be used for folliculitis that is more resistant.
Folliculitis initially causes small, red bumps that look similar to an acne breakout. Over time, it may spread to other follicles and the bumps may get larger and more inflamed. While it can affect any part of your scalp, it often begins along your hairline.
Folliculitis isn't considered a sexually transmitted infection, though in some cases it can transfer via close skin contact. However, the herpes simplex virus is spread through sexual contact. In rare cases, this virus can cause folliculitis.
Bacterial folliculitis treatment
Severe cases may require topical antibiotic treatment, for example, with mupirocin or clindamycin. Deep folliculitis (furuncles or carbuncles) may require treatment with oral antibiotics like dicloxacillin or cephalexin.
However, using a regular loofah or scrub may be too harsh, especially for those with inflamed or tender skin. Using a regular soft washcloth or nylon shower scrubber to wash and exfoliate will help prevent irritation and inflammation.
Diagnosis of folliculitis
They may take a swab of the infected skin to test for which bacteria or fungus is the cause of the folliculitis. In rare cases, a doctor may order a skin biopsy to exclude the possibility of other causes.
Treatment depends on the type of folliculitis and its severity. But usually some form of topical cream or antibiotic pill will be used to kill the bacteria. Laser hair removal can help prevent a spread of the infection.
It may be helpful to use a moisturiser (emollient) which contains an antibacterial agent - for example, Dermol® cream or lotion or Emulsiderm®. This will improve the condition of the skin and soothe it. It may help the folliculitis to clear more quickly and reduce the risk of it becoming worse.
Follow these tips when applying medication to your skin.
You may reduce the risk of developing folliculitis by: Applying the medication in the same direction in which your hair grows. Not covering the treated area with a bandage or clothing, when possible.
Resist the temptation to squeeze or pop a folliculitis boil. While you might manage to express the pus and other infected fluid, you also run the risk of pushing those toxins more deeply into the skin, to the point that they may enter your bloodstream. Instead, let your dermatologist diagnose and treat the problem.
Bacterial folliculitis: The most common form, this type causes itchy white bumps filled with pus. You can get it if you cut yourself and bacteria (usually staphylococcus aureus, also called staph) gets in.
There are many things you can do to prevent folliculitis or keep it from spreading. Bathe or shower daily with a mild soap. Also, bathe or shower after you exercise and after you work around chemicals.