Noticing pimples or bumps on your child’s scalp can be concerning, especially if a doctor isn’t immediately available. Most are harmless, but some may require attention.
Common causes include folliculitis—red, itchy pimples from bacteria or fungi—sebaceous cysts, which are smooth, oily lumps, and boils, which are painful, pus-filled infections.
Other triggers include allergies, insect bites, eczema, or psoriasis. Scalp folliculitis appears as small, red bumps around hair follicles that may itch or ooze, often caused by infections, hair products, or tight hairstyles.
Boils begin as tender red bumps that grow and fill with pus, often becoming larger than 2 cm. Call a doctor if your child has a fever, increasing swelling, severe pain, rapidly growing or clustered bumps, or any difficulty breathing or swallowing. For home care, warm compresses can relieve pain, while diluted tea tree oil and aloe vera may help reduce bacteria and soothe irritation.
Prevent issues by using gentle shampoos, keeping the scalp clean, avoiding sharing personal items, and rinsing after sweat or sports. Be cautious with online remedies—popular tips like using apple cider vinegar can irritate a child’s skin, so always check with a doctor before trying anything new. Before your child’s appointment, track symptoms, document changes, note any treatments used, and take clear photos of the bumps. Most scalp issues in children are manageable, but knowing what to look for and how to respond can make a big difference in keeping your child comfortable and safe.