There are several possible reasons your child might have bumps on their scalp — some are minor and easily treatable, while others may require medical attention. Here are the most common causes:
1. Folliculitis
- What it is : Inflammation or infection of hair follicles, often caused by bacteria (like Staphylococcus).
- Signs : Small red bumps or pimples around hair follicles, sometimes with pus.
- Cause : Tight hairstyles, excessive sweating, or irritation from hair products.
2. Head Lice or Lice Bites
- What it is : Tiny insects that live on the scalp and feed on blood.
- Signs : Itchy scalp, red bumps, especially around the neck and behind the ears.
- Cause : Close contact with another child who has lice.
3. Ringworm (Tinea Capitis)
- What it is : A fungal infection of the scalp.
- Signs : Red, scaly, circular patches, hair loss in spots, and possibly swollen lymph nodes.
- Cause : Fungal spores from shared combs, hats, or towels.
4. Sebaceous Cysts
- What it is : Non-cancerous, fluid-filled lumps under the skin.
- Signs : Smooth, round bumps that may feel soft or firm.
- Cause : Blocked oil glands.
5. Abscess or Boil
- What it is : A deep infection that fills with pus.
- Signs : Painful, swollen, red lump that may feel warm to the touch.
- Cause : Bacterial infection, often from a cut or ingrown hair.
6. Allergic Reaction or Contact Dermatitis
- What it is : Skin irritation from hair products, shampoos, or dyes.
- Signs : Red, itchy, bumpy rash.
- Cause : Sensitivity to chemicals or fragrances.
Signs That Require Immediate Medical Attention
While many scalp bumps are harmless, some symptoms indicate that your child needs urgent care. Call your doctor or visit an urgent care clinic if:
- The bump is very red, swollen, or warm to the touch
- There’s pus or discharge
- Your child has a fever or seems unusually tired
- The bump is rapidly growing or spreading
- There’s swelling of the lymph nodes in the neck
- Your child is in significant pain or seems unwell
What You Can Do at Home (While Waiting for the Doctor)
Until you can see a doctor, here are safe, effective steps you can take to help manage your child’s discomfort:
✅ 1. Keep the Area Clean
- Wash your child’s hair and scalp gently with a mild, fragrance-free shampoo.
- Avoid harsh scrubbing or picking at the bumps.
✅ 2. Avoid Irritants
- Temporarily stop using any hair gels, sprays, dyes, or styling products.
- Use only hypoallergenic products.
✅ 3. Apply a Warm Compress
- If the bump is painful or swollen, apply a warm, damp cloth for 10–15 minutes several times a day.
- This can help reduce inflammation and promote drainage (if it’s a boil or cyst).
✅ 4. Over-the-Counter Options (Use with Caution)
- Antibiotic ointment (like Neosporin) can help if the bump is due to a minor infection.
- Hydrocortisone cream (1%) may reduce redness and itching from irritation or allergic reaction.
- Always consult a pharmacist or pediatrician before applying any medication to your child’s scalp.
✅ 5. Check for Lice
- Use a fine-toothed lice comb to check for nits or live lice.
- If found, use an over-the-counter lice treatment and wash all bedding, hats, and brushes.
When to Expect Improvement
Most minor cases of folliculitis or irritation should start to improve within 7–10 days of gentle care. If symptoms persist or worsen, your child will likely need a prescription treatment — such as antibiotics or antifungal medication — from a doctor.
Frequently Asked Questions
🧒 Can kids get boils on their scalp?
Yes, especially if they have cuts or insect bites that become infected.
🧴 Is it safe to use antibiotic ointment on a child’s scalp?
Yes, but only on small areas and under adult supervision. Avoid getting it in the eyes or mouth.
🧼 What shampoo is best for an irritated scalp?
Look for gentle, fragrance-free formulas. Shampoos containing pyrithione zinc (like Head & Shoulders) may help with fungal irritation.
🧑⚕️ How long can I wait to see a doctor?
If the bumps are not improving, spreading, or getting more painful , don’t wait — call your doctor or visit an urgent care clinic.
Final Thoughts
Finding painful bumps on your son’s scalp can be stressful, especially when you’re waiting for a doctor’s appointment. But by understanding the most common causes and knowing what signs to watch for , you can take action to keep your child comfortable and safe.
Remember: while home care can help, nothing replaces a professional medical evaluation — especially if the bumps are worsening or your child is in pain.
Stay calm, monitor symptoms closely, and reach out to your doctor as soon as possible.