"How to control hair fall and promote hair loss" - #11648
I have been experiencing hairfall for 18 months. Earlier, I didn't have much hair fall, but now it's become really excessive. I experience excessive hair fall every time I touch my hair; it comes off in my hands. When I tie my hair with a rubber band, my scalp hurts, and I get headaches. My hair has also become thin and greasy. I tried using rosemary water spray, but it didn't help. Hair care routine: Earlier, I used to wash my hair 3 times a week, but now due to excessive hair fall, I've reduced it to 2 times a week with warm water. I use any shampoo which has nice fragrance. No conditioner
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Doctors’ responses
Ketoconazole 2% shampoo use 2 times/week (controls oily scalp, dandruff, inflammation). Leave for 5 min before rinsing. Minimalist 18% hair serum Apply daily at night Tab follihair 1 tab at bedtime for 3 months
Your hair fall is likely from a mix of nutritional deficiency, scalp oiliness, and possible early genetic hair loss. Start with supplements, proper scalp shampoo routine, and gentle hair care. If blood tests show deficiencies, correcting them will help. If hair fall persists >3 months despite these measures, consult a dermatologist for Minoxidil/PRP therapy.
Hello All your symptoms demand testing and proper treatment.
Get these tests done to rule out various causes of your problem. 1. CBC 2. Thyroid profile 3. Serum Iron 4. Serum Vitamin D3 5. Serum Vitamin B12 6. HbA1c Review with reports
For treatment: 1. Minoxidil 5% 1ml twice daily for 3 months. Use a Derma roller for 5 minutes before application. 2. Tab Keraglo-M once daily for 3 months 3. Tab Biotin once daily for 3 months 4. Selsun antidandruff shampoo daily for 10 days and then, alternate day for 1 month
Maintain healthy lifestyle by adequate sleep, reduced stress, drink adequate water daily, add seasonal fruits to your diet.
take care
Hello Vaidavi, I understand your concern. These issues at your age might be worrisome. But I’m here to help and this is my advise -
1. Get done these tests for finding out the root cause of your problem - CBC, Serum Ferritin, Vitamin D, Vitamin B12, Thyroid profile. Review with reports.
2. Hair care routine: Use a mild sulphate-free shampoo (eg. Cetaphil Baby Shampoo, Sebamed Anti-Hairloss, or Re’equil Hair Fall Control). Wash 2–3 times/week, not less. Oily scalp needs regular cleansing. Use a light conditioner only on hair length, not scalp.
3. Treatment options - - 2% Minoxidil Solution over clean and dry SCALP, not hair strands, at night. - If you have dandruff/greasy flakes, use Ketoconazole 2% shampoo once weekly. - Tab. Hairbless once daily × 3 months. -Balanced protein-rich diet (milk, eggs, sprouts, pulses, green leafy veg).
4. Lifestyle: Manage stress (yoga, exercise, sleep). Avoid tight hairstyles, excess oiling, or random “fragrant” shampoos.
5. When to consult a dermatologist: If you see widening hair parting, bald patches, or persistent scalp pain, a dermatologist may advise PRP therapy or oral medicines if needed.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Hello dear See as per clinical history it seems seasonal hair fall probably due to either dandruff or allergy Iam suggesting some medications and precautions Kindly follow them for atleast 2 months 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) In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel 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 2 months, consult dermatologist for better clarification Regards
Given the issues you’ve experienced with hair loss, several factors could be contributing to the condition. Considering that you’ve noticed a change in how much hair is shedding, it’s crucial first to assess potential underlying causes. Common reasons for excessive hairfall include hormonal changes, nutritional deficiencies, stress, and certain medical conditions like thyroid disorders or anemia. Since your hair is greasy and tends to exacerbate if washed less frequently, reverting to washing your hair more often with a gentle, sulfate-free shampoo might help in controlling the sebum production. Stick to lukewarm water rather than warm, as hot water can further damage your scalp and hair.
Switching to a shampoo specifically targeting hair thinning or strengthening, which may contain ingredients like biotin or keratin, can be beneficial. Including a lightweight conditioner after every wash can aid in maintaining hair moisture and preventing breakage. Additionally, it’s important to ensure that your diet is rich in essential nutrients like iron, zinc, vitamin D, and proteins which are vital for hair health. A multivitamin supplement might be useful if dietary intake is inadequate. Rosemary spray alone is unlikely to be effective; instead, consider massaging your scalp gently to improve circulation, possibly with natural oils like coconut or argon oil.
If headaches and scalp pain are consistent, avoid tight hairstyles, and consider visiting a dermatologist or trichologist for assessment. A clinical evaluation can rule out any conditions such as androgenetic alopecia or telogen effluvium. If the hair loss persists, a healthcare professional can conduct blood tests or might discuss topical treatments, like minoxidil, which are aimed at reducing hair loss and promoting regrowth. Ensure any treatment aligns with your overall health status. Accurate diagnosis and personalized plan are key, and professional guidance here is invaluable.
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