Scabies are small mites that dig down into the human skin and lives for a time. These mites affect all people with no regard to their age, income, race or social standings. The mites can be spread by being close to someone who already has them or by wearing their clothes and using their towels and bed sheets. There are many instances where entire families are affected at one time since the bugs can be spread so easily within a home without any symptoms being present.

The symptoms of these mites includes having lesions or skin sores as well as severe itching. The itching will generally get worse in the evening, and old persons as well as children have the worst itching reactions. It can take up to 4 weeks of having the mites under your skin before the symptoms are seen, and this is normal for those that have never contracted them before.

Diagnosis is completed by looking at all symptoms and then deciding if a person has been in close contact with another who has identical symptoms. Taking a small sample of dry skin and looking under a microscope allows a doctor to properly diagnose the mites in the most reliable way.

Treatment is required in all cases, as the mites will live and thrive without it.

Lotions and creams are the most common treatments, while some severe cases will get an oral prescription. Due to age, children and the elderly generally will not use the same medications as all other cases. Women who are pregnant or breast feeding will take special precautions while taking these medications.

Common medications include Permethrin and Crotamiton, both which are lotions or creams that have to be washed away within certain time frames. Sulfur and Lindane are also topical medications that must be wiped away after the last application. Ivermectin pills are the only oral medication at this time used, and people taking it are generally not able to spread the mites after 2 days.

Whole households are normally treated even if only one person is diagnosed due to the possibility of the mites spreading. All bed clothes, clothing, towels or wash cloths have to be washed in hot water to kill any of the eggs or mites so they cannot be spread.

Once treatment is completed, it can take up to a month for the itching to cease completely, and the body can take even longer to deal with the reaction that the mites cause. If symptoms are still present after a month, another treatment could be required.

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