How to Stop Itching at Night and Scalp Itching from Psoriasis: A Comprehensive Guide by Dr. Rajendra Sonawane
Psoriasis is a chronic skin condition that often brings about severe itching, especially at night and on the scalp. The constant urge to scratch disrupts daily routines, disturbs sleep, and can even worsen the condition by causing further damage to the skin. With over 38 years of experience in treating psoriasis, I, Dr. Rajendra Sonawane, have helped thousands of patients manage and alleviate itching. In this guide, I will explore why psoriasis causes itching, especially at night and on the scalp, and provide effective strategies to relieve these symptoms.
Why Does Psoriasis Cause Itching?
Understanding the reasons behind psoriasis itching, including nighttime and scalp itching, is crucial in managing the discomfort:
1. Dry Skin: Psoriasis leads to dry, cracked skin, particularly at night when skin tends to lose moisture. This dry skin intensifies the urge to scratch.
2. Build-up of Skin Scales: Psoriasis causes rapid skin cell turnover, forming thick scales of dead skin. These scales can detach from the skin, causing irritation and triggering itching sensations.
3. Inflammation: Psoriasis is an autoimmune disorder marked by skin inflammation, which further aggravates itching.
4. Scalp Itching: Psoriasis on the scalp can create flakes and dryness, leading to persistent itching and discomfort, especially at night when sweat and oil accumulation can worsen the situation.
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How to Stop Psoriasis Itching, Especially at Night and on the Scalp
Here are some proven ways to stop psoriasis-related itching, whether it’s at night or on the scalp:
1. Take Regular Baths to Remove Scales
Bathing regularly helps eliminate dead skin cells and reduces itching. To relieve itching, especially on the scalp, follow these guidelines:
- Use lukewarm water, not hot, which can dry out the skin.
- Use gentle, fragrance-free cleansers or medicated shampoos designed for psoriasis, especially for the scalp.
- Gently pat your skin dry, avoiding harsh rubbing.
2. Moisturize Immediately After Bathing
After a bath, apply a high-quality moisturizer within three minutes to lock in moisture and prevent skin from drying out. This is particularly important for nighttime itching. Look for moisturizers containing:
- Shea Butter
- Ceramides
- Hyaluronic Acid
For the scalp, consider using a scalp-specific moisturizer or oil treatment.
3. Apply Cold Compresses
Cold compresses can provide instant relief by numbing the itching. This is especially helpful during flare-ups, including at night. Apply a cold compress to the itchy area to reduce irritation and inflammation.
4. Divert Your Focus
Nighttime itching can be more intense when you’re unwinding or trying to sleep. Engaging in activities like reading, listening to music, or even meditation can distract you and help reduce the urge to scratch, especially before bed.
5. Use Anti-Itch Creams and Lotions
Topical treatments, including creams and lotions with ingredients like menthol or camphor, offer a cooling effect and can help relieve itching. Look for psoriasis-specific treatments or consult your dermatologist for recommendations.
6. Gentle Scratching Techniques
If scratching is unavoidable, try rubbing the area softly instead of using your nails. Use soft cotton gloves or mittens to prevent further skin damage during sleep, especially for scalp itching.
7. Stay Hydrated
Proper hydration keeps your skin moist and reduces dryness and irritation. Drink plenty of water throughout the day to help reduce itching, especially at night.
8. Manage Nighttime Itching
To alleviate nighttime itching, especially on the scalp:
- Take a lukewarm bath before bed.
- Moisturize your skin and scalp before sleeping.
- Wear cotton gloves to prevent scratching while you sleep.
- Consider using anti-allergic medications like Atarax or Cetirizine (under your doctor’s supervision) to help with itching and improve sleep quality.
9. Stress Management
Stress is a significant psoriasis trigger, worsening both inflammation and itching. Manage stress through:
- Yoga
- Meditation
- Breathing exercises
By reducing stress, you can help reduce both daytime and nighttime itching.
10. Homeopathic Remedies
In my practice as a psoriasis homeopath, I’ve seen excellent results with individualized remedies that address the underlying causes of psoriasis, including itching. These remedies can help reduce inflammation and improve overall skin health. Consult a qualified homeopath for personalized treatment options.
Preventing Psoriasis Itching
Preventing psoriasis itching, particularly at night and on the scalp, is possible with a few consistent strategies:
1. Maintain a Healthy Skincare Routine
- Use gentle, fragrance-free skincare products.
- Protect your skin from the sun and avoid sunburns, which can trigger flare-ups.
2. Identify and Avoid Triggers
Common psoriasis triggers include stress, certain foods, and environmental changes. Keeping a daily journal can help you track and avoid these triggers.
3. Eat a Balanced Diet
A diet rich in omega-3 fatty acids, antioxidants, and vitamins can reduce inflammation and improve skin health, helping to alleviate itching over time.
FAQs About How to Stop Psoriasis Itching
1. Can home remedies help with psoriasis itching?
Yes, simple home remedies such as applying aloe vera, oatmeal baths, or coconut oil can help soothe itching. However, these should complement your prescribed medical treatments.
2. What is the best moisturizer for psoriasis itching?
Look for moisturizers that are fragrance-free and contain ingredients like ceramides, shea butter, or urea. These ingredients deeply hydrate the skin, reducing dryness and itching.
3. Is it safe to scratch psoriasis patches?
Scratching can worsen psoriasis by causing skin damage and increasing the risk of infection. Instead, try gently rubbing the area or using a cold compress for relief.
4. How does stress affect psoriasis itching?
Stress can trigger psoriasis flare-ups, increasing inflammation and intensifying itching. Managing stress through techniques like yoga or meditation can help reduce symptoms.
5. Can homeopathy completely cure psoriasis itching?
While psoriasis is a chronic condition, homeopathy can effectively manage symptoms by addressing the root causes and reducing inflammation. It helps in controlling flare-ups and preventing the recurrence of itching.
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you may also like to read this happy case of psoriasis: Chronic Plaque Psoriasis Treatment Guidelines