I'm dealing with psoriasis for the past two years, and it just doesn't seem to get better. I've tried different treatments, but nothing seems to work. I'm also losing a lot of hair, and my scalp has red patches. It's even affecting my nails now. Does it ever fully go away, or will I always have to manage it? Should I be watchful about my diet? What precautions should I be taking in my daily life to help manage these symptoms?

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

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Psoriasis is a chronic skin condition that can be managed with proper treatment. To help control your symptoms, you can use topical treatments such as corticosteroids like Clobetasol (0.05%) cream for the affected skin areas. In severe cases, oral medications like Methotrexate or Acitretin may be prescribed. It is important to follow your doctor's advice regarding the dosage and duration of these medications. For scalp psoriasis, you can use medicated shampoos containing coal tar, salicylic acid, or ketoconazole. Brands like T-Gel, T-Sal, or Nizoral can be effective in managing scalp psoriasis. To address hair fall associated with psoriasis, you can try using minoxidil solution like Rogaine to promote hair growth. Additionally, incorporating biotin supplements can also help in improving hair health. In terms of food control, maintaining a healthy diet rich in fruits, vegetables, and omega-3 fatty acids can help in managing psoriasis symptoms. Avoiding trigger foods like red meat, dairy, and processed foods may also be beneficial. Precautions to take include avoiding skin injuries, managing stress levels, and protecting your skin from extreme weather conditions. Using a moisturizer regularly can also help in preventing flare-ups. It is important to note that psoriasis is a chronic condition that may require long-term management. The duration of treatment varies for each individual, so it is best to follow up with your healthcare provider for personalized care.

Answered 04/07/2025