[39F] With scalp itching, hair pulling, and arthritis pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Scalp Itching, Hair Pulling, and Bumps on Scalp

1. Scalp Folliculitis: This is an infection of the hair follicles that can cause red, swollen bumps, itching, and burning sensations. It can be exacerbated by scratching or hair pulling.

   • Treatment: Typically involves topical or oral antibiotics, antiseptic washes, and sometimes corticosteroids to reduce inflammation.

2. Trichotillomania: This is a condition characterized by an irresistible urge to pull out hair, which can lead to noticeable hair loss and scalp damage.

   • Treatment: Behavioral therapy, cognitive-behavioral therapy (CBT), and medications like selective serotonin reuptake inhibitors (SSRIs) such as Luvox can be helpful.

Arthritis Flaring in Hands, Feet, and Hips

1. Osteoarthritis or Rheumatoid Arthritis: These are common types of arthritis that can cause chronic pain, swelling, and stiffness in the joints.
   • Treatment: Includes pain relievers, anti-inflammatory medications, physical therapy, and sometimes corticosteroid injections. Lifestyle changes like regular exercise and a healthy diet can also help manage symptoms.

Unifying Diagnoses

1. Autoimmune Conditions: Conditions like lupus or psoriatic arthritis can cause both skin issues (like scalp problems) and joint pain.

   • Treatment: Often involves immunosuppressive medications, anti-inflammatory drugs, and lifestyle modifications.

2. Chronic Inflammatory Response: Chronic inflammation due to an underlying condition like an autoimmune disorder or chronic infection (e.g., shingles) could be contributing to both your scalp issues and arthritis flares.

What you can do

Scalp Itching, Hair Pulling, and Bumps

• See a Dermatologist: A specialist can provide a more accurate diagnosis and recommend treatments like antibiotics or corticosteroids.
• Avoid Scratching and Hair Pulling: Try to keep your hands occupied and consider wearing gloves to minimize damage.
• Use Gentle Hair Products: Opt for hypoallergenic shampoos and conditioners to avoid further irritation.
• Document Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

Arthritis Flaring in Hands, Feet, and Hips

• Consult a Rheumatologist: They can provide a comprehensive treatment plan tailored to your specific type of arthritis.
• Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain. Always follow the recommended dosage.
• Physical Therapy: Regular exercises can help maintain joint function and reduce pain.
• Lifestyle Changes: Maintain a healthy diet rich in anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids.
• Track Symptoms: Use MDandMe to record your pain levels, triggers, and any treatments you try.

What you should look out for

Given the severity of your symptoms, it's important to seek medical care. Here are some signs that you should seek immediate attention:

• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens.
• Signs of Infection: Increased redness, swelling, pus, or fever.
• New or Unusual Symptoms: Any new symptoms that you haven't experienced before, such as sudden hair loss, severe scalp pain, or new joint swelling.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.