My face is very itchy, and the more I scratch, the itchier it gets. What should I do?

Generally, intense itching on the face that worsens with scratching may be caused by mosquito bites, folliculitis, allergic dermatitis, eczema, or urticaria. Treatment should be based on the specific condition, as detailed below:

1. Mosquito bites

If mosquito bites irritate the skin, scratching may exacerbate the itching. Under a doctor's guidance, topical medications such as erythromycin ointment or calamine lotion can be applied to the affected area.

2. Folliculitis

Inflammation of hair follicles due to bacterial infection may cause itchy skin, especially when scratched. Anti-inflammatory medications prescribed by a doctor, such as tacrolimus ointment or mometasone furoate cream, may help manage symptoms.

3. Allergic dermatitis

Allergic dermatitis occurs when the skin comes into contact with an allergen or after consuming allergenic foods. It commonly causes symptoms such as itching, redness, and swelling. The skin may feel rough to the touch, and itching often intensifies with scratching. This condition can be treated with antihistamines like chlorpheniramine maleate tablets or fexofenadine hydrochloride tablets.

4. Eczema

Eczema may result from stress or prolonged exposure to damp environments. It often presents with skin rashes (papules) and itching due to impaired skin barrier function. Scratching typically worsens the itch. Under medical supervision, patients may use topical treatments such as hydrocortisone butyrate cream or triamcinolone acetonide acetic acid cream.

5. Urticaria (hives)

Urticaria may be triggered by food or drug allergies, autoimmune factors, or prolonged sun exposure. It causes raised welts (wheals) and angioedema on the skin, varying in size and shape. The affected skin often feels rough and becomes increasingly itchy when scratched. Treatment under medical guidance may include antihistamines such as ebastine tablets or epiastin hydrochloride tablets.

In addition to the above, conditions such as tinea corporis (ringworm) or psoriasis may also cause similar symptoms. Patients experiencing these symptoms should seek timely evaluation and treatment at a reputable medical facility.