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To cure seberroic dermities on scalp
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Skin & Hair Concerns
Question #12086
46 days ago
181

To cure seberroic dermities on scalp - #12086

Nithish reddy

I'm 20 year's old. I have dandruff like sebboric dermities on scalp. By that there is itching and flakes. My hair is also thinning and hairfall is also happening. I consulted in v care but it did not cured can u please suggest me a effective solution to cure the Seberroic dermities

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Doctors’ responses

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.
46 days ago
5

Hello dear See you will require treatment for both hair fall and seborrheic dermatitis Iam suggesting some medication and precautions Please follow them for atleast 1 month Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically Aquaphor moisturizer twice a day for 1 month Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel

Lastly,Use bhringraj or onion oil for head massage In case of no improvement in 1 month, consult dermatologist for better clarification Hopefully you recover soon Regards

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Dr. Bangam Pushpanjali
I am a Dietitian & Nutritionist who really believes that food should fit your life, not the other way around. I work with people dealing with weight issues, diabetes, thyroid problems, PCOS, high blood pressure, digestion troubles and those just trying to feel more balanced overall. Every person’s body and day is diffrent, and I like to create plans that actually make sense for your routine — not something you can’t keep up with for more than a week. Sometimes I think we all get too caught up in calories and numbers, but honestly, food is about healing, energy, and that quiet kind of balance that keeps you moving. I spend a lot of time helping patients understand how small food choices—like the way you combine meals or when you eat—can totally shift how your body responds. Nothing extreme, just practical stuff that really works long term. I don’t use complicated diets or fancy tricks. My focus is on sustainable habits: real meals, local foods, easy prep. Because when something feels too hard, it doesn’t last anyway. And honestly, what’s the point of a “perfect” diet if you’re stressed or hungry all the time? Over the years I’ve seen how tiny, thoughtful changes can lead to better energy levels, improved sugar control, smoother digestion, even calmer moods (yes, food really affects that too). Every plan I make is personal—it adapts as your body and goals change. Sometimes it takes time, sometimes you hit a bump, but that’s part of the process, right. I try to make sure my patients leave with clarity and not confusion. I want them to understand what they’re doing, not just follow a chart. That’s kind of the whole idea: eat smarter, not less, and let food become something that supports you every single day. Maybe it sounds simple, but that’s really the point.
45 days ago
5

Hi Nithish,

Consider the following-:

1. Medicated shampoos: Use shampoos containing ketoconazole, zinc pyrithione, selenium sulfide, or salicylic acid. Rotate them if needed, and follow the instructions carefully.

2. Gentle hair care: Avoid harsh shampoos, hot water, or frequent hair styling products that can irritate the scalp.

3. Scalp hygiene: Wash your scalp regularly, but avoid over-washing as it can worsen dryness.

4. Nutrition & lifestyle: A balanced diet, adequate hydration, and stress management can support scalp health.

5. Persistent hair thinning: Since you mentioned hairfall, it may be due to inflammation from the dermatitis, or other causes like nutritional deficiencies, hormonal changes, or genetics. Blood tests may help identify underlying factors.

6. Dermatologist follow-up: If your symptoms don’t improve with medicated shampoos, you may require topical corticosteroids, antifungal creams, or other prescription treatments from a dermatologist.

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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 “procedure thing.” 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.
45 days ago
5

Hello Nithish,

If you are already using ketoconazole shampoo but no results improve Ketoconazole Usage:

Use it 2–3x/week, not daily Leave it on your scalp for 5–10 minutes before rinsing Do not oil before washing with Ketoconazole shampoo

Try rotating shampoo: 1.Nizoral 2.Scalpe plus by cipla

Also do Neem water rinse

Continue for 6 weeks. If still persisting,you have to apply a short course of topical steroids + antifungal lotion

I trust this helps Thank you

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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.
46 days ago
5

1) Ketostar shampoo Use twice a week for 4 weeks. Apply on wet scalp, leave for 5 minutes, then rinse. 2) Scalpe Lotion apply thin layer on scalp at night, twice a week. 3) Minimalist 18% serum Apply at night

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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.
46 days ago
5

Hello Nithish, I understand your concern and here is my advise -

1. Medical Treatment- -Ketoconazole 2% shampoo (Nizoral, KZ, Ketozen, Keraglo-AD). Apply on wet scalp, leave for 5 minutes, then rinse. -On alternate days, you can use a mild sulphate-free shampoo (Selsun Daily, Sebamed, Ducray Kelual DS, Re’equil).

2. Supportive Care- Avoid hair oils or sticky gels (they worsen yeast growth). Wash hair regularly, especially after sweating. Reduce stress, maintain 7–8 hrs sleep, and eat balanced diet rich in zinc, biotin, omega-3s (nuts, seeds, eggs, fish, leafy vegetables). Avoid scratching scalp; it worsens inflammation.

3. For Hair Fall- -Use Minoxidil 2% or 5% lotion if hair thinning continues (after control of dandruff). Start Tab. Hairbless once daily × 3 months.

4. Review if: No relief after 3–4 weeks. Yellow crusts or oozing. Hair loss worsening rapidly.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
45 days ago
5

1. Seborrheic dermatitis happens due to excess oil and yeast growth on the scalp, causing dandruff, itching, and hair fall.

2. Use ketoconazole or zinc pyrithione-based shampoo twice a week, leaving it on your scalp for 5 minutes before rinsing.

3. Apply a mild steroid or antifungal lotion like clobetasol or miconazole (only if prescribed by your doctor) to control inflammation.

4. Avoid oiling the scalp frequently it can worsen dandruff. Keep the scalp clean and dry.

5. Eat a balanced diet rich in zinc and vitamin B complex, manage stress, and sleep well, as stress often triggers flare-ups.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
45 days ago
5

Hello Nithish Nothing to worry dear… You will get fine soon… Basically in Seborrheic Dermatitis We prescribe antifungal location+ steroids treatment … Rx - ketoconazole / selenium sulfide containing shampoo Clobetasol 0.05% - applied once a affected site . And maintain your hygiene too…

Thank you…

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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.
45 days ago
5

Hi Dear Nithish Reddy, Kindly donot worry I can understand your concern completely, Kindly avoid exposure to dust Kindly take proper hydration Avoid Oily preparations over scalp and face like serum beard oil etc Kindly take medicated shampoos twice weekly and use conditioner Take CAP VIT D 3 60KIU twice weekly for 4 weeks If flakes are more then kindly take CLOBETASOL 0.5% lotion overnight application twice a week followed by tapering it and stopping it Take care if symptoms persist kindly visit a Dermatologist

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Dr. Vandana
I am working in medicine from last 10 years, and in that time I got to see and learn from many different kind of patients and clinical situations. Some days were about routine opd cases, fevers, diabetes follow up, other days meant handling tough emergencies where every second matterd. Over this period I grew more confident in making clinical judgement, choosing right investigations, and explaining things in a way that patient and family could actually understand without too much medical jargon. My focus is always on giving treatment that is both evidence based and also practical for daily life. I try not to look at disease in isolation but at the whole body and mind together, cause often small details in lifestyle or stress pattern make a big difference in recovery. In hospital settings I managed both inpatient and outpatient care, coordinated with nursing staff, and took part in ward rounds where teamwork mattered more than individual effort. Across 10 yrs of work I also made a point to keep learning newer protocols, whether in management of hypertension, respiratory infections, or acute cardiac complaints. And yes mistakes were there too—early in career I was slower in procedures like IV cannula or suturing, but I learnt by doing, by watching seniors and then practicing until it came natural. Over time I handled more complicated cases, sometimes multiple co-morbidities in one patient, and realised that patience and listening carefully are as important as prescribing medicine. I continue to refine my approach, balancing between clinical efficiency and compassionate care. For me, the real achievement is not only in diagnosis but in seeing a patient return home safer and more reassured. Even now after a decade, I still find myself learning something new from every case, every interaction. That keeps me grounded and motivated to serve better each day.
44 days ago
5

Hi there! Glad you reach out to us…It sounds like you’re dealing with seborrheic dermatitis, a very common scalp condition that causes itching, white or yellow flakes, and sometimes hair thinning due to inflammation. The good news is—it’s treatable, though it may need consistent care over time rather than a one-time cure.

Seborrheic dermatitis happens when the skin reacts to an overgrowth of a natural yeast called Malassezia on the scalp, combined with oiliness and sometimes stress or weather changes. To control it, you need both medicated treatment and scalp care habits.

Use a medicated shampoo 2–3 times a week—look for ingredients like ketoconazole (2%), selenium sulfide, zinc pyrithione, or ciclopirox. Leave the shampoo on your scalp for 5 minutes before rinsing. On other days, use a mild, non-scented shampoo. If your scalp feels inflamed or very itchy, a topical steroid lotion (like clobetasol propionate or mometasone, prescribed by a dermatologist) can help calm it for short periods. You can also use coconut oil or aloe vera gel lightly on non-greasy days to soothe your scalp.

Since you mentioned hair thinning and hair fall, that often happens when inflammation irritates hair roots. Once the scalp condition is under control, the hair usually starts to regrow. Eat a balanced diet with protein, iron, and omega-3 fatty acids, and try to manage stress—it can worsen seborrheic dermatitis.

If it hasn’t improved after a few weeks of proper care, it’s best to see a dermatologist for a detailed scalp examination. Sometimes, a combination of antifungal shampoo and topical medication works best for long-term control.

Would you like me to suggest a simple weekly care routine (shampoo, oiling, and scalp maintenance) for seborrheic dermatitis and hair fall? Regards Dr Vandana

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Seborrheic dermatitis can indeed be annoying, causing itching, flaking, and even hair loss. The root of seborrheic dermatitis is tied to an overgrowth of a fungus called Malassezia, which normally lives on the skin but in excess can provoke irritation and inflammation. Therefore, targeting this fungus is a key approach in treatment. Start with using a medicated shampoo containing ingredients like ketoconazole, selenium sulfide, or zinc pyrithione, which can help reduce the growth of the fungus, alleviate scales, and reduce itchiness. For best results, you might want to use this kind of shampoo 2-3 times a week initially. Apply it to the wet scalp, massage gently, leave it on for about 5 minutes before rinsing out to allow the ingredients to work effectively. Be cautious not to over-wash your hair, as it might dry out the scalp and exacerbate the issue. In addition, incorporating a daily use of a non-steroidal anti-inflammatory scalp product, like one containing coal tar or salicylic acid, can be beneficial. These can help reduce scaling and soften the flakes. If you’re not noticing improvement after a month or so, it might be worth revisiting a dermatologist, who could prescribe a topical steroid or other stronger medications to help reduce inflammation and itching. Meanwhile, maintaining a balanced diet helps, as sometimes nutritional deficiencies can exacerbate scalp issues. Be cautious also of stress levels, as stress can often trigger or worsen flare-ups. Just remember, it’s often a matter of finding the right combination of treatments, so some trials and adjustments in your routine may be necessary. If symptoms persist or worsen, it would be wise to promptly consult with your healthcare provider to explore additional treatments or rule out other causes of hair loss.

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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.
42 days ago
5

Hello Nithish, Your symptoms need proper evaluation and management. Visit a DERMATOLOGIST for best results.

Take care

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