An itchy scalp with scabs is uncomfortable and frustrating. Certain health conditions contribute to the development of this problem. These conditions aren't usually harmful; however, treating the issue can make you more comfortable. Depending on the underlying cause, over-the-counter or prescription treatments can assist in managing an itchy scalp with scabs.
Causes
An itchy scalp with scabs is typically caused by scalp psoriasis or scalp seborrhea dermatitis, according to Mayo Clinic dermatologist Dr. Lawrence E. Gibson. Symptoms of scalp psoriasis include red patches with scales that are silver, scabs that bleed when removed and itching and soreness. Patches may also extend further than the hairline.
Seborrhea dermatitis of the scalp may include yellow or white scales that are red and greasy in appearance. Patches are confined to the scalp area and scabs are easily removed. Itching, however, is more severe with seborrheic dermatitis.
Treatment
Mild to moderate scalp psoriasis can be treating with topical medications. Corticosteroids are commonly prescribed for this condition. The medications work to slow down cell turnover and improve the immune system's ability to function, minimizing inflammation and itching, according to MayoClinic.com.
Medicated shampoos are commonly used daily to control seborrheic dermatitis symptoms. Choose over-the-counter shampoos that include active ingredients salicylic acid, tar, pyrithione zinc or ketoconazole. Once symptoms improve, cut back to a few times a week. If nonprescription shampoos aren't working, talk with your doctor about prescription-strength shampoos.
Considerations
When shampooing the hair, rinse the soap off completely, recommends MayoClinic.com. Leaving soap on the scalp may contribute to skin dryness and itching. Reduce itching by taking a warm oatmeal bath. Avoid getting the water too hot, which may cause excessive scalp drying. Loosen scalp scales by applying oil to the scalp for a few minutes and then brushing and shampooing the hair.
Misconceptions
Some people think that taking frequent baths will get rid of scalp dryness and scabs. Showing too frequently, however, makes the skin drier, making symptoms worse. Shower once a day and keep the scalp moisturized with gentle moisturizer without fragrance.
Warnings
Consult with your doctor to learn about the cause of your dry scalp with scabs. Sometimes, people with certain health conditions, such as neurological conditions, are at higher risk for developing these skin issues. Treating underlying causes will assist in managing an itchy scalp with scabs.


