Scalp Acne – Why It Happens and How to Treat It

When we think of acne, we usually imagine pimples on the face, chest, or back. But did you know acne can also appear on your scalp? Many people mistake it for dandruff, allergy, or even insect bites. Scalp acne is real—and yes, it can be itchy, painful, and embarrassing. Let’s understand why it happens and what you can do about it.

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Why Does Scalp Acne Happen?

Just like the skin on your face, your scalp also has oil glands. When these oil glands get blocked, bacteria and yeast can grow, leading to pimples.

Common causes include:

• Excess oil production – Oily scalp traps dirt and blocks pores.

• Sweating – Wearing helmets or caps for long hours makes the scalp warm and damp, creating a perfect environment for breakouts.

• Poor hair hygiene – Not washing hair regularly or using heavy hair oils can clog pores.

• Hair products – Shampoos, gels, or sprays with harsh chemicals may irritate the scalp.

• Hormonal changes – Just like facial acne, hormones can also trigger scalp breakouts.

• Stress and diet – High stress or oily, spicy foods may worsen the condition.

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Signs of Scalp Acne

• Small red bumps or whiteheads on the scalp

• Itching, tenderness, or pain

• Pimples that bleed or form crusts when scratched

• Sometimes hair fall around the acne-affected area

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How to Treat Scalp Acne

✅ Choose the right shampoo – Use mild, medicated shampoos with ingredients like salicylic acid, ketoconazole, or zinc pyrithione to reduce oil and fungus.

✅ Wash hair regularly – Especially after sweating.

✅ Avoid heavy oils and sticky products – They can worsen blockage.

✅ Rinse thoroughly – Shampoo or conditioner residue can clog pores.

✅ Don’t pick or scratch – It increases infection and scarring.

✅ Balanced diet & hydration – Fresh fruits, vegetables, and plenty of water keep oil production in check.

For severe or persistent scalp acne, a dermatologist may prescribe oral antibiotics, antifungal medicines, or special medicated lotions.

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Prevention Tips

• Wash pillowcases, helmets, and caps regularly.

• Keep hairbrushes clean.

• Manage stress with regular exercise and good sleep.

• If you have oily skin, avoid over-washing as it can trigger more oil production.

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Bottom Line

Scalp acne is more common than you think. The good news is—it can be controlled with the right care, good hygiene, and sometimes medical help. Don’t ignore it, especially if it’s painful or causing hair loss. A dermatologist can help you get back to a healthy, itch-free scalp.

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