"How to control hair fall and promote hair loss"

Question #11648

227 days ago

370

"How to control hair fall and promote hair loss" - #11648

Vaidavi Naik

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

Age: 20

Chronic illnesses: No

Headache

Stress

"scalp pain

Greasy hair

Thin hair"

300 INR (~3.53 USD)

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Doctors' responses

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.

219 days ago

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.

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

218 days ago

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

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

215 days ago

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

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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 “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” 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.

219 days ago

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

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

208 days ago

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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