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I have seborrheic dermatitis on scalp
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Skin & Hair Concerns
Question #11342
45 days ago
166

I have seborrheic dermatitis on scalp - #11342

Nithish reddy

I'm 21 years old. I have seborrheic dermatitis on scalp. I have more itching and more hairfall I have used many shampoo but it didn't work. Can u suggest me how to get clear scalp with proper treatment

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Doctors’ responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a ā€œprocedure thing.ā€ I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
42 days ago
5

Hi Nithish 😊

šŸ”Ž Why it happens

May be;

•	Overgrowth of yeast (Malassezia) on scalp.
•	Excess oil + inflammation.
•	Stress, weather changes, harsh shampoos can worsen it.

āœ… Treatment

1. Medicinal Shampoos (use 2–3 times/week)

Rotate between these (available in most pharmacies): • Ketoconazole 2% shampoo (anti-fungal) • Zinc pyrithione / Selenium sulfide shampoo • Coal tar shampoo (if very thick flakes) šŸ‘‰ Leave shampoo on scalp for 5 minutes before rinsing.

2. Daily Care • On non-medicated days, use a mild, fragrance-free shampoo (like baby shampoo). • Avoid hot oil massage (can worsen yeast growth). • Don’t scratch scalp → it increases hair fall.

3. If itching is not subsiding after 4 weeks /severe • Consult a dermatologist in person

4.Maintain proper Lifestyle & Diet • Reduce sugar and dairy (they feed yeast). • Eat more fruits, vegetables, omega-3 rich foods (fish, walnuts, flaxseed). • Manage stress and sleep, both strongly trigger seborrheic dermatitis.

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Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
42 days ago
5

Hi sir if you are diagnosed with seborrhic dermatitis FIRST IMPORTANT ADVICE i would give is AVOID OIL Application Avoid oil in any form like beard oil serum etc Wash your hair atleast thrice weekly Wear caps while outdoors to prevent dust Take vitamin D 3 once a week for 6 weeks (60KIU) Try FLAKOFF Serum Try CLOBETASOL lotion twice a week apply at night and wash in the morning and after applying wash your hands or else peeling of skin happens TARRYSHINE Shampoo thrice a week Good hygiene Remissions and relapse happens dont worry it has no cure we can control this take care sir

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
41 days ago
5

Seborrheic dermatitis causes scalp itching, dandruff, and hair fall, and since regular shampoos didn’t help, you likely need medicated antifungal shampoos (like ketoconazole, zinc pyrithione, or selenium sulfide) used 2–3 times a week. Along with this, avoid frequent oiling, use mild lukewarm water, and keep stress under control since it worsens flares. Please consult a dermatologist who may prescribe antifungal lotions, mild steroid/anti-inflammatory solutions, or oral medication if the condition is severe.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the ā€œBest Editorā€ award by Innovative Publications, and Athena Publications recognized me as an ā€œexcellent reviewer,ā€ which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See as per clinical history it seems chronic condition in which itching can be due to fungal infection or dust exposure. Iam suggesting some precautions and medication for improvement in the condition Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day Selenium Sulfide (Selsun Blue) – antifungal shampoo

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected arecompletely dey If possible dry with clean towel Have good exposure of sunlight apply aquaphor moisturizer for hydration In addition please follow below instructions Avoid exposure to pollen or contaminated area Lastly,Use bhringraj or onion oil for head massage Hope your problem subsides by my solutions . In case of no improvement in 1 month, consult dermatologist in person for better clarification Hopefully you recover soon Regards

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
45 days ago
5

Hello nithish As you have described that you sebbroaric dermatitis

Rinse your scalp with ketostar shampoo 3 times a week Apply tacrolimus solution 0.3% w/w 2 hours prior to shampoo Not apply oil Tab itraconzole 200 mg once daily for 7 days

Tab follihair daily post meal afternoon

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

RX, 1) Shampoo Ketostar Apply on your wet scalp leave for 5 mins and rinse it off use twice weekly for 4 weeks 2) cap fluconazole 150mg One cap weekly for 4 weeks Thank you.

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Seborrheic dermatitis can be persistent, but there are several methods you can try to manage the condition more effectively. First, consider using a medicated shampoo containing active ingredients such as ketoconazole, selenium sulfide, zinc pyrithione, or salicylic acid. These help reduce fungus and relieve scaling, itching, and irritation. Use the shampoo according to the instructions, usually at least two or three times a week, and allow it to sit on your scalp for several minutes before rinsing to maximize its benefits. In addition, gently massage it into your scalp rather than scrubbing harshly, as this can cause more irritation. If you’ve been using these options without success, you might try alternating between different medicated shampoos to find which works best for you. Sometimes, topical antifungal creams or corticosteroid solutions prescribed by a doctor might be necessary to reduce inflammation and irritation if over-the-counter products aren’t effective enough. Moisturizing your scalp with a non-irritating oil like coconut oil could help reduce dryness; apply it, let it sit for 20-30 minutes, and then rinse thoroughly. However, it’s important not to over-moisturize, as overdoing it might exacerbate the issue. Make sure you maintain a stress management routine, as stress can worsen seborrheic dermatitis. If symptoms persist or worsen, it’s advisable to consult a dermatologist, as they can offer tailored advice or identify any underlying conditions contributing to your symptoms like psoriasis or eczema. Regular follow-ups if needed will ensure that your treatment plan remains effective, adjusting it based on how your condition progresses.

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