What is Scabies?

Is your child experiencing severe itching and discomfort? It could be scabies. Scabies is a common condition, especially among children, and while it can be annoying, it's easily treatable. Let's break down what scabies is, how to recognize it, and how to get rid of it.

What is Scabies?

Scabies is caused by tiny mites called Sarcoptes scabiei. These mites burrow into the top layer of your skin, where they lay eggs. This burrowing and the body’s reaction to the mites and their waste products is what causes the intense itching. It's important to remember that scabies isn't a sign of poor hygiene; anyone can get it!

Signs and Symptoms:

Symptoms typically begin three to six weeks after infestation or exposure. In those that have had a previous exposure, symptoms can begin within one to three days. The most common symptom of scabies is intense itching, especially at night. Other signs include:

• A rash: You might see tiny, raised bumps or blisters, often in lines or zig-zag patterns, where the mites have burrowed.
• Burrows: These are thin, grayish or whitish lines on the skin, where the female mite has tunneled.
• Common locations: Scabies often affects the areas between your fingers, wrists, elbows, armpits, waistline, buttocks, and genitals. In babies and young children, it can also appear on the head, face, neck, palms, and soles of the feet.
• Scratch marks: Due to the intense itching, you'll likely have scratch marks, which can sometimes lead to skin infections.

How is Scabies Treated?

Scabies requires prescription medication to kill the mites and their eggs. Here's what you can expect:

• Prescription cream: Your doctor will prescribe a cream or lotion, such as permethrin, that you'll need to apply to your entire body from the neck down and covering the soles of your feet. It's crucial to follow the instructions carefully and leave the medication on for the recommended time (usually 8-14 hours).
• Treatment for everyone: Because scabies is highly contagious and typically passed through direct and prolonged skin to skin contact, everyone in your household and close contacts needs to be treated, even if they don't have symptoms.
• Washing bedding and clothing: All bedding, clothing, and towels used within the past three days must be washed in hot water and dried on high heat or dry-cleaned. Items that cannot be washed can be sealed in a plastic bag for at least three days.
• Itching relief: Even after treatment, itching can persist for a few weeks. Your doctor might recommend antihistamines or other creams to relieve the itch.
• Follow-up: A follow-up appointment might be necessary to ensure the infection is gone.

How Can Scabies Be Prevented?

Preventing scabies involves minimizing close skin-to-skin contact with infected individuals and taking these precautions:

• Avoid sharing: Don't share clothing, bedding, or towels with anyone who has scabies.
• Treat everyone: If someone in your household has scabies, everyone needs to be treated simultaneously.
• Wash thoroughly: Regularly wash bedding, clothing, and towels in hot water.
• Educate yourselves: Understanding how scabies spreads is key to prevention.

When to See Your Doctor:

If you or your child have persistent itching and a rash, it's important to see your doctor. Early diagnosis and treatment can prevent the spread of scabies and provide relief from the discomfort.

Remember, scabies is a common and treatable condition. Don't hesitate to reach out to our office if you have any questions or concerns. We’re here to help you and your family stay healthy!