Can You Scratch Scabies Out Of Your Skin?

Imagine the incessant itchiness plaguing your skin, causing you to desperately scratch until your fingernails feel blunt. But can this relentless scratching actually rid your skin of scabies? This burning question has likely crossed your mind if you’ve ever experienced the torment of scabies. In this article, we will explore whether scratching can truly provide relief from this infuriating infestation and discover the most effective measures to combat scabies and restore your skin’s health.

What is scabies?


Scabies is a highly contagious skin condition caused by tiny mites called Sarcoptes scabiei. These microscopic mites burrow into the skin, causing intense itching and a rash. Scabies is commonly transmitted through direct skin-to-skin contact with an infected person, but it can also be spread through sharing clothing, bedding, or other personal items with someone who has scabies. It is important to note that scabies can affect people of all ages and backgrounds.


Scabies is caused by the Sarcoptes scabiei mite, which is a parasitic organism. It is most commonly transmitted through prolonged, close physical contact with an infected individual. This can include activities such as holding hands, sharing bedding, or engaging in sexual contact. Sharing contaminated clothing or personal items can also lead to the transmission of scabies.


The most common symptom of scabies is intense itching, which tends to worsen at night. Other symptoms may include a red, bumpy rash, small raised blisters, and thin, pencil-like lines on the skin called burrows. The rash can appear on various parts of the body, including between fingers, on the wrists, elbows, armpits, waistline, genitals, and buttocks. It is important to note that itching and rash do not appear immediately after infestation and may take several weeks to develop in individuals who have never had scabies before.

Why scratching scabies is not enough?

Understanding scabies mites

To understand why scratching scabies is not enough, it is essential to comprehend the nature of scabies mites. These microscopic parasites not only burrow into the top layers of the skin but also create tunnels or burrows where they lay eggs. Simply scratching the skin cannot effectively remove the mites and their eggs.

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Life cycle of scabies mites

Scabies mites have a life cycle that involves several stages. After mating on the skin’s surface, the female mite burrows into the skin to lay eggs. The eggs hatch, and the larvae emerge and eventually mature into adult mites. This entire life cycle takes about 2-3 weeks. Scratching alone cannot eliminate the mites at all stages of their life cycle, making it necessary to seek proper treatment.

Burrows and eggs

One of the reasons scratching scabies is not enough is because the mites lay eggs inside the burrows they create in the skin. These burrows can be deep in the skin and are not easily visualized. By scratching, you may unintentionally exacerbate the infestation by spreading the mites and their eggs to other areas of your body or to close contacts.

Risk of infection and complications

Scratching scabies can lead to a number of complications and risks. The act of scratching can cause small wounds, break the skin, and lead to open sores, which can increase the risk of secondary infection. Additionally, scratching can spread the infection to others and intensify the itchiness, leading to further discomfort.

Treatment options for scabies

Prescription medications

Prescription medications are often the primary treatment option for scabies. These medications, such as topical creams or oral medications, contain active ingredients that kill the mites and their eggs. It is important to consult a healthcare professional to determine the most appropriate prescription medication for your specific condition.

Topical creams and lotions

There are various topical creams and lotions available over-the-counter or by prescription that can effectively treat scabies. These creams usually need to be applied to the entire body, from the neck down, and typically left on for a specific duration of time before being washed off. It is important to carefully follow the instructions provided by your healthcare professional or on the product packaging.

Home remedies

While there are several home remedies often suggested for managing scabies, it is crucial to note that these remedies may not be as effective as prescription medications. Some popular home remedies include tea tree oil, neem oil, and sulfur-based creams. It is important to remember that these home remedies should be used in conjunction with medical treatment, and consulting with a healthcare professional is recommended.

Precautions and hygiene

In addition to medical treatment, it is important to take certain precautions and maintain good hygiene practices to prevent the spread of scabies. It is crucial to wash all clothing, bedding, and personal items in hot water and dry them on high heat to kill any mites or eggs. Vacuuming carpets and upholstered furniture can also help remove any mites that may have fallen off the skin. Avoiding close physical contact with others until the infestation is resolved is also advised.

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Can scratching help relieve scabies symptoms?

Temporary relief

Scratching scabies can provide temporary relief from the intense itching associated with the condition. However, it is important to note that scratching only provides temporary relief and does not address the underlying cause of the infestation.

Risk of secondary infections

Scratching scabies can break the skin and create small wounds, increasing the risk of developing secondary infections. Bacteria can enter these open wounds, leading to complications and prolonging the healing process.

Spreading the infestation

Scratching scabies can inadvertently spread the mites and their eggs to other areas of the body or to close contacts. This can lead to further infestation and the need for more extensive treatment.

Exacerbating itchiness

Ironically, scratching scabies can actually intensify the itchiness. Scratching can create an itch-scratch cycle, making the itching sensation more pronounced and persistent. It is important to resist the urge to scratch and seek proper treatment to address the root cause of the itching.

Risks and complications of scratching scabies

Open sores and wounds

Scratching scabies can cause open sores and wounds on the skin, increasing the risk of infection. These sores can be painful, take longer to heal, and potentially leave scars.

Skin infections

Scratching scabies can introduce bacteria into the skin, leading to secondary infections. These infections can manifest as pustules, abscesses, or cellulitis and may require additional medical treatment.

Delay in proper treatment

By relying solely on scratching to alleviate scabies symptoms, there is a risk of delaying or avoiding proper medical treatment. This can prolong the infestation and increase the risk of complications.

Persistent itching

Scratching scabies can further irritate the skin, causing an increase in itching. This can create a vicious cycle, where scratching provides temporary relief but ultimately leads to more severe and persistent itching.

Preventing scabies infestations

Frequent handwashing

Regular and thorough handwashing is essential in preventing the spread of scabies. Washing hands with soap and water for at least 20 seconds can help remove mites that may have been transferred from others or from contaminated surfaces.

Avoiding close contact

Avoiding close physical contact with individuals who have scabies is crucial in preventing infestations. This includes refraining from activities that involve prolonged, skin-to-skin contact and maintaining a safe distance from infected individuals.

Disinfecting personal items

Disinfecting personal items, such as clothing, bedding, towels, and combs, is important to eliminate any mites or eggs that may be present. Washing these items in hot water and drying them on high heat can effectively kill the mites.

Maintaining cleanliness

Keeping your living space clean and hygienic can help prevent the spread of scabies. Regularly vacuuming carpets, washing and changing bedding frequently, and ensuring personal hygiene practices can minimize the risk of infestation.

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When to seek medical help

Persistent itching

If you experience persistent itching that does not improve with home remedies or over-the-counter treatments, it is important to seek medical help. Persistent itching may indicate an underlying scabies infestation that requires proper medical treatment.

Increasing rash

If the rash associated with scabies is spreading or becoming more extensive, it is advisable to consult a healthcare professional. A spreading rash can indicate an active infestation that requires appropriate medical intervention.

Worsening symptoms

If your symptoms, such as itching or rash, worsen despite attempts to manage them at home, it is imperative to seek medical help. This could be indicative of an ineffectiveness of the current treatment method or potential complications that require medical attention.

Secondary infections

If you develop signs of a secondary infection, such as increased pain, redness, warmth, or discharge from any sores or wounds, it is essential to seek medical help. Secondary infections require prompt medical treatment to prevent further complications.

How to treat scabies effectively

Consulting a healthcare professional

When dealing with scabies, it is important to consult a healthcare professional. They can properly diagnose the condition and recommend the most appropriate treatment options based on the severity of the infestation and individual factors.

Proper diagnosis

A proper diagnosis of scabies involves a thorough examination of the affected areas and potentially collecting skin samples for microscopic analysis. It is vital to seek a professional diagnosis to ensure accurate treatment and prevent misdiagnosis.

Following prescribed treatment

Following the prescribed treatment regimen is crucial for effectively treating scabies. This may involve using prescription medications as directed, applying topical creams or lotions as recommended, and adhering to any other specific instructions provided by the healthcare professional.

Completing the full course of medication

It is important to complete the full course of medication prescribed by the healthcare professional, even if symptoms improve before the treatment is finished. This ensures all mites and eggs are eliminated and helps prevent any potential reinfestations.

Treating close contacts

To prevent reinfection or the spread of scabies, it is important to treat all close contacts, such as household members or sexual partners, even if they may not have symptoms. This will help eliminate any undetected infestations and prevent further transmission.

Managing itchiness during scabies treatment

Using antihistamines

Antihistamines can help alleviate itching associated with scabies. These medications work by blocking the release of histamine, a chemical compound that causes itching. It is important to consult a healthcare professional before using any antihistamines to ensure they are appropriate for your individual case.

Cool compresses

Applying cool compresses to itchy areas can provide temporary relief from the intense itching sensation. Cool water helps soothe the skin and reduce inflammation, providing a calming effect.

Avoiding hot water and harsh soaps

Hot water and harsh soaps can further irritate the skin and worsen the itchiness. It is advisable to use lukewarm water and mild, fragrance-free soaps when cleansing the affected areas.

Moisturizing the skin

Keeping the skin moisturized can help alleviate dryness and itchiness associated with scabies. Applying a gentle, fragrance-free moisturizer after bathing or as needed throughout the day can help soothe the skin and prevent excessive itching.


Scratching scabies may provide temporary relief from the intense itching, but it is not enough to effectively eliminate the infestation. Proper medical treatment, including prescription medications and topical creams, is essential in eradicating scabies mites and their eggs. Additionally, practicing good hygiene, avoiding close contact, and disinfecting personal items can help prevent infestations and the spread of scabies. It is important to seek medical advice if symptoms persist or worsen, and to follow the prescribed treatment regimen to ensure full recovery. Remember, scratching alone cannot eliminate scabies, and seeking proper treatment and maintaining proper hygiene are essential in managing this condition effectively.