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Hair fall with mild dandruff on scalp
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Skin & Hair Concerns
Question #18299
312 days ago
468

Hair fall with mild dandruff on scalp

mohit S.

Hello Doctor, I am 20 years old male, height 5'11". I am experiencing hair fall and mild dandruff: When I move or shake my hair, both dandruff flakes and hairs fall (about 10 hairs per pull). Hair is thin, roots feel weak. I have been using Scalpe Pro shampoo for 1 month, but there is no significant improvement. My diet is adequate (milk, dal, nuts, vegetables, fruits). I exercise 1 hour daily in the evening with 20 kg dumbbells. My blood pressure is slightly high (~140). I want advice for fast hair repair, safe supplements, scalp treatment, and preventing further hair fall. Could you please advise the best approach?

Age: 20
Chronic illnesses: No chronic diseases currently, but I have a history of varicocele. Also, I have slightly high blood pressure (~140).
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Doctors' responses

Hello,

Hairfall is due to dandruff.

1. Use 3 shampoos in rotation (most effective method) Repeat this 1-week cycle for 6–8 weeks: Ketoconazole 2% shampoo – Day 1 Zinc Pyrithione (ZPTO) shampoo – Day 4 Salicylic Acid 2% shampoo – Day 7

🛑Leave each shampoo on the scalp for 3–5 minutes before washing.

2. Add a scalp lotion (very important)

Ciclopirox 1% lotion (works even if ketoconazole fails) for 2-3 weeks

Also Please check : Thyroid profile Vit D,B12 Serum Zinc

🛑Supplements for hair fall:

Zinc 30 mg/day (1 month) Biotin 5 mg/day Take Vitamin D if low Also you can take Omega-3 capsule

You can use rosemary oil / spray also for accelerating hair growth

I trust this helps Thank you

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Hello dear See for dandruff and hairfall you can follow below medication and precautions However for varicose veins and high blood pressure kindly consult the concerned physician for better clarity Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically

Finasteride on recommendation only by dermatologist only in person Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use)

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel Use bhringraj or onion oil gently twice a day for both massage and nourishment In case of no improvement in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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Your concern about hair fall and dandruff is shared by many and addressing it often involves a combination of lifestyle modification, scalp care, and sometimes supplementation or medications. Your use of Scalpe Pro, which contains ketoconazole, is a standard initial step for treating dandruff but if improvement is limited, trying an alternative anti-dandruff shampoo with active ingredients like zinc pyrithione or selenium sulfide might be worthwhile. Ensure you’re using it 2-3 times a week and leaving it in for at least 5 minutes before rinsing to allow the active compounds to work effectively on the scalp. Besides dandruff, there can also be other underlying factors causing the hair to be thin or roots to feel weak, such as genetics or stress, so it’s essential to consider these aspects too. You mentioned adequate diet and exercise which are great for overall health, but see if you can incorporate more protein-rich foods as hair is primarily made of protein. Supplements can help, but you should discuss options with a healthcare provider first. Biotin, zinc, and iron are often recommended, but their necessity depends on whether you have actual deficiencies. Be cautious with their use and avoid self-prescribing high doses without guidance. You’re experiencing a blood pressure reading of around 140, which is on the higher side. Managing stress and regular cardiovascular exercise could help regulate this, which, in tandem with a balanced diet, can indirectly benefit your hair health. It might be worth monitoring blood pressure over time and consulting your physician if it remains high, affecting other health aspects. To strengthen hair roots, consider practices like gentle brushing and scalp massage, which can increase blood circulation. Avoid hairstyles that pull on your hair and minimize heat styling tools that might weaken the strands further. If symptoms persist or worsen, seeking a consultation with a dermatologist or trichologist could provide more tailored advice, including ruling out conditions like androgenetic alopecia.

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Hello Mohit It sounds like you’re dealing with a frustrating situation regarding hair fall and dandruff. Here’s a simple approach to help you manage these issues: Hair Care and Treatment 1. Gentle Shampoo: Consider switching to a mild, anti-dandruff shampoo that contains ingredients like ketoconazole or zinc pyrithione. Use it 2-3 times a week. 2. Conditioner:Use a good conditioner after shampooing to help strengthen your hair and reduce breakage. 3. Scalp Treatment: You can try applying coconut oil or aloe vera gel to your scalp. Both can help soothe irritation and nourish the hair roots.

Supplements 1. Biotin:A biotin supplement can support hair health. Look for a dosage of around 30-100 mcg daily. 2. Omega-3 Fatty Acids:These can help improve scalp health. You can take fish oil or flaxseed oil supplements. 3. Multivitamins: A good multivitamin can help fill any nutritional gaps.

Lifestyle Adjustments 1. Hydration: Drink plenty of water to keep your scalp hydrated. 2. Stress Management: High stress can contribute to hair fall. Consider relaxation techniques like yoga or meditation. 3. Balanced Diet: Continue with your balanced diet, and consider adding more protein-rich foods, as they are essential for hair growth.

If you don’t see improvement in a few months or if your hair fall worsens, consider consulting a dermatologist or a trichologist for a more personalized treatment plan.

Thank you

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Ketostar shampoo Use on your wet scalp leave for 5 mins and rinse it off use twice weekly for 4 weeks

Tab limcee 500 1 tab twice daily for 3 weeks

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