Tutaima Grace i just noticed how ghetto I am I just stick tissues in my
nose and it stops hey guys you're probably here because you want to know
all about scabies and its treatment and I'm going to answer that question along
with many other questions in this week's responding to your comments where we
look at fun questions we look at science-based questions but most
importantly we look at the evidence Lana B dude I think I have scabies what do
I do Lana B thank you for your comment this
is from the how to get rid of dandruff video for those of you who don't know
what scabies is it's a very very itchy skin infestation caused by tiny mites
they're actually so tiny that you can't see them with the naked eye you can only
see them with a microscope and they're spread by close contact so either living
with someone or sharing a bed with someone so my first bit of advice for
anyone who thinks they might have scabies is speak to your health care
professional and the reason I'm saying this is that scabies can be quite
difficult to diagnose and as with all skin conditions they all have many
similarities so you need to speak see health care professional so that they can
examine you and ask the right questions to come up with the diagnosis now the
next question probably is well what are the symptoms of scabies and now I'm
gonna go into them for you so firstly we have intense itching especially at night
time and secondly we have something called linear burrows so linear means a
straight line burrows means tunnels and this is where the mite lay their eggs
and they're usually about 2 to 10 millimeters in length their appearance
is silverish and they have a dot on one end and they're usually found on the
fingers or on the wrist you can then develop a rash and this can pretty much
develop anywhere but it's usually in the fingers the only place it won't really
develop is on the head and this rash can then slowly turn into little tiny red
spots so as you can see the symptoms of scabies well with skin conditions they
all share a lot of symptoms so it can be quite difficult to diagnose which is why
I'm saying you really need to speak to a health care professional so they can
come up with a diagnosis and ask you all the right questions in addition to this
the NHS has a really useful page on scabies talking about all the symptoms
and also it's got some really good images on there so I will leave a link
in the description below if you want more information on this so that's a
little about the symptoms but what about treatments because scabies is something
that definitely needs treating but please don't think to yourself oh well
I've been prescribed this cream and it's done the trick because there's a lot
more things that you need to do to prevent them from coming back and I'm going
to be going into lots of detail about that in this video now if it's just
normal scabies and not crusted scabies generally speaking in the UK the
first-line treatment is permethrin five percent cream and this will be
recommended to you either by a pharmacist or your doctor when you speak
to them about your scabies but always check with them that is safe and
suitable to use it and also always read the information leaflet that comes with
that medication so you know how to use it correctly because a lot of this
treatment the effectiveness of it comes down to how you're using it so you need
to use it correctly for the best outcome generally speaking you will have to
reapply it again after a week so the first time you've used it reapply again
after a week but in the information leaflet it will explain how to do this
properly so please read the information leaflet and just a quick tip if your
doctor has prescribed your child or your baby some treatment like lets say
permethrin it's also a good idea to put some socks or some mittens on their
hands this is to prevent them from either wiping it off or licking it off
so the treatment can stay on there for as long as possible
for the best effect now please remember that scabies is very infectious and it
can actually take up to eight weeks for the symptoms to appear so what does this
mean well it means that many people who are close to you are going to need
treating too so for example anyone that lives with you in the same household any
close personal contacts and any sexual partners that you've had in the past two
months all of these people will need treating as well next up we have bedding
clothes and towels on the first day of treatment all of these will need
decontaminating as well so how do you decontaminate was pretty easy you put
them in the wash on a really high temperature wash 60 degrees Celsius and
then dry them in a hot dryer for clothes or anything that can't be washed like
they're very delicate you can put them in a sealed plastic bag for 72 hours
please remember also all the people that we just mentioned who also need treating
they need to do this as well and to stop scabies from spreading please do not
have sex or close physical contact with anyone until you have finished a full
course of treatment also please do not share bedding clothing or towels with
anyone who has scabies now a common question that I do get asked by many
patients is how long does it take for the scabies treatment to work and what I
can tell you is after you've used the first course of treatment you or your
child can go back to work or back to school after 24 hours so once you've
applied the first course of treatment give it 24 hours and then you
go back to school or back to work this is completely fine you may still have
symptoms this is quite normal so the itchiness is quite normal to have for a
couple of weeks afterwards but if it does last for four weeks or more then
please make an appointment to speak to your doctor and have a follow-up I
really hope my tips help anyone who's watching this video and as always I will
leave more information in the description below I'll also leave some
really useful NHS links to articles about scabies it's treatments it's
Prevention's so check them out as well and now let's move on to the next
question - Tutaima grace I just noticed how ghetto I am I just stick tissues in
my nose and it stops to tutaima grace thank you for your comment this is from
the how to stop a runny nose video and to be honest tutaima I don't think you're
ghetto I've done it I'm pretty sure everyone's than that before when I've
got a runny nose and it didn't know what to do with it and you just end up
sticking loads of tissues in there but obviously my video is now taught you
guys what to do so I hope my tips helped and always remember your awesome Dary
Joy Son imagine him as the father of your baby you won't need to worry long
thanks for the tips though this will help my baby nephew thank you for your comment this
is from the how to get rid of nappy rash video and yeah that's a really lovely
comment but I promise you I'm really not too good with children I mean I know
about ailments and conditions and treatments but overall I'm not one of
those people that's very good with kids you know you have some people that kids
that love and they're like really happy with but some strange reason they always
cry when I come I think it's good I'm really tall
Peaches Kong LOL at your colleague at the door waiting to come in peaches Kong
thank you for your comment this is from the nappy rash video and yes I've said
it before I will say it again people that watch YouTube have such a high
attention to detail and you know I need probably one of the first people is
noticed that actually which is quite unusual because people usually notice
things very quickly on YouTube but if you haven't seen it let's have a
quick look and have a quick laugh which leads me on to tip number two clean the
nappy area thoroughly and gently either use water or use alcohol and
fragrance-free wipes so it looks like we've run out of time again in this
week's responding to your comments if I didn't answer your question I'm really
sorry but the best advice I can give you is leave another comment we are getting
so many comments nowadays that it's quite easy to miss it so the best advice
I can give is keep on leaving comments and it will catch my eye it will catch
my attention and I will include it in a future episode or responding to your
comments Oh remember you're awesome and I will see you
next week hey guys thanks for watching this week's video
make sure to click that like follow or subscribe button now to stay up to date
with new weekly videos