Over 90% of the cases of ringworm of the scalp are caused by Trichophyton tonsurans, a fungus that infects the hairs and causes them to break. A worm does not cause ringworm. Make appointments at your convenience, complete pre-visit forms and medical questionnaires and find care or an emergency room. Low strength selenium sulfide preparations are available from your pharmacy or supermarket. In some countries, higher strength preparations are only available on a doctor's prescription. How to use selenium sulfide preparations

Head and Shoulders Clinical Strength Dandruff Shampoo, 13.5

Some children develop a kerion, which is a boggy (soft), tender swelling of the scalp that can drain pus. Kerions are an allergic reaction to the fungus, not a bacterial infection. They get better when you use antifungal medicine. First and foremost, it's worth establishing the fact that both shampoos are intended to "control the symptoms of dandruff". What mainly sets them apart, though, is the difference between their active ingredients (with the Head & Shoulders Shampoo containing Zinc Pyrithione—or Piroctone Olamine in Europe—and the Selsun Blue Shampoo instead containing Selenium Sulfide). In essence, this comparison boils down to a question of "which anti-fungal ingredient works best against dandruff?", but there are a couple of other differences to explore first. Tufts Medical Center Community Care and Tufts Medicine MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford do not discriminate on the basis of race, color, national origin, citizenship, alienage, religion, creed, sex, sexual orientation, gender identity, age or disability. If you wash your child’s hair with a nonprescription antifungal shampoo, he will be less contagious and able to return sooner to child care or school. A shampoo such as Nizoral or Head and Shoulders Intensive kills ringworm spores. Lather and leave it on your child’s scalp for 10 minutes before rinsing. Use the antifungal shampoo twice a week for 1 month. On other days, use a regular shampoo. Avoid putting any oil or ointment on the scalp because it increases contagiousness of the ringworm. Ringworm of the scalp is not dangerous. Without treatment, however, hair loss and scaling may spread to other parts of the scalp.

It is very important that you use selenium sulfide preparations strictly as directed on the label or as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than recommended. Less than 10% of cases are caused by a fungus from infected animals, such as kittens and puppies. The animal-type of fungus causes more scalp irritation, redness, and scaling. If your child has the animal-type of fungus, he is not contagious to other children. How long does it last?

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Use 1% or 2.5% shampoo twice a week for the first 2 weeks, then once weekly for 2, 3 or 4 weeks, and then only when necessary

Antifungal creams or ointments are not an effective treatment because they can’t reach the fungus deep in the hair roots.

Head and Shoulders Intensive Treatment Shampoo 400ml

Do not use if your scalp or the skin to be treated is cut or scratched. Do not leave on hair, scalp or skin for periods longer than directed and ensure all selenium sulfide is rinsed off well. Head & Shoulders anti dandruff Shampoo targets the root cause of dandruff, for up to 72h protection from flakes dryness and itch (visible flakes, with regular use; itch due to dandruff). Its advanced formula is dermatologically tested, pH balanced and boosted with antioxidants for gentle care of hair and scalp and gives up to 100% flake free, clinically proven (with regular use). The Head & Shoulders Classic Clean would almost certainly be the better choice to keep *mild* flakiness and dandruff at bay (due to its weaker—but still effective—active ingredient), and for most people this will be the case. It offers 72 hour protection from flakes, dryness, and itchiness, and is suitable for regular use. Head & Shoulders also happens to be the #1 shampoo brand in the world (*according to P&G), so you know that you're in safe hands whenever you invest in their hair care products.

Selenium sulfide is an anti-infective agent and is available as a shampoo. What is selenium sulfide used for? In people prone to dandruff, an uninflamed form of seborrhoeic dermatitis, the fungus Malassezia can cause irritation, itching and increased shedding of dead skin cells in areas of the scalp. This shedding may occur every 5 days rather than once a month as it would in people without dandruff.Selenium sulfide treats the excess shedding and irritation by eliminating excess scalp fungus and controlling the rate of shedding of dead skin cells. Help relieve dandruff symptoms with Selsun Blue Medicated Antidandruff Shampoo. This medicated dandruff shampoo contains cooling menthol to provide a soothing and invigorating sensation to your scalp and 1% selenium sulfide for maximum strength dandruff control. View your health information including your medications, test results, scheduled appointments, medical bills even if you have multiple doctors in different locations. In 6 weeks return to your healthcare provider’s office to be certain the ringworm has been cured. If the ringworm is not yet cured, your child will need to take a different medicine.