to treat the seberroicdermities on scalp ond hairfall

Question #15684

45 days ago

147

to treat the seberroicdermities on scalp ond hairfall - #15684

Nithish reddy

DEAR... SIR/MAM i m 21 years old from back 2 years i m facing the dandruff. now from last 6 months it became more severe dandruff seberrioc dermities on my scalp. even i went 2 to 3 dermatologist they prescribed some shampoo as ketoconozole, ZTPO and salicylic acid shampoo they did not showed any effective results i have spent nearly 10k. there is no results can u please suggest me the effective way treat..... please

Age: 21

Chronic illnesses: seberroic dermities on scalp

Prescriptoin

300 INR (~3.53 USD)

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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.

44 days ago

Hi Dear Nithish,
I can understand your frustation
First of all this condition has remission and relapse you need to be prepared for it
This is caused by a fungus
and hence moisture in your scalp and beard area are the regions it occurs
Kindly follow said advices
Wash your hair twice weekly with normal shampoo and followed by medicated shampoo
avoid oily preparations like oil serum
hydrate yourself
use conditioners post hair wash and wash off the conditioners
wear headcaps while using helmets
cap vit d 3 60KIU once a week for 8 weeks
avoid sugar and sugary feeds and reduce nonvegetarian feeds
avoid moisture over the scalp
donot scratch your scalp
take care you will be fine

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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.

44 days ago

Hello Nithish Reddy
By going through your history and evaluation of your health status I must say that ,  I understand your frustration. Here is my advise for your Seborrheic Dermatitis -
1. Alternate between ZPTO Shampoo and Ketoconazole 2% Shampoo: 2-3 times per week.
2. During Flare ups - Clobetasol Lotion on scalp once daily × 5-7 days only. Long use will lead to side effects and will do more harm then benefit.
3. Once symptoms settle, use antidandruff shampoo weekly once or twice. Use a light, oil-free conditioner only on hair ends. Avoid heavy oils on the scalp.
4. Diet & Lifestyle Guidance- Foods to limit: Excess dairy, sugar, refined carbs, fried/oily foods, and alcohol as these can worsen inflammation. Some people are sensitive to yeast-rich foods (bread, beer). Foods to include: Fruits & vegetables (antioxidants). Omega-3 rich foods – flaxseeds, walnuts, fish. Probiotics – curd, yogurt, kefir (if not causing flare). Drink plenty of water and manage stress (meditation, sleep).
5. Additional Tips: Avoid daily hair oiling on scalp as it feeds the yeast. Wash scalp after sweating. Do not scratch or pick flakes as it worsens inflammation.
Feel free to reach out again.
Thank you

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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.

43 days ago

Hello Nithish, I understand your trouble and frustration. But the best advice for you would be to visit the same dermatologist and tell him/her that the treatment isn’t showing much effect. They can step up your therapy for better results.
No sense in changing doctors frequently.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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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

Hello,
🛑Many people with seborrheic dermatitis don’t respond if:
Shampoo is not used long enough
Shampoos are not used in correct rotation
You have an underlying condition (fungal load, scalp sensitivity, hormonal issues)
There is misdiagnosis (psoriasis, eczema, or fungal infection like tinea capitis)
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
Please check :
Thyroid profile
Vit D,B12
Serum Zinc
🛑Supplements for hair fall
Zinc 30 mg/day (1 month)
Biotin 5 mg/day
Vitamin D if low
Omega-3 capsule
Please maintain good lifestyle
Keep stress away
You will recover soon!
Thank you

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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.

45 days ago

Hello dear
See the root cause for hair fall is dandruff or fungal infection
Iam suggesting some medication
Please follow them for atleast a month
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
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 consult dermatologist in person for better clarity
Hopefully you recover soon
Regards

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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.

44 days ago

Ciclopirox Olamine 1% shampoo (much stronger than ketoconazole)
Use twice a week
Fluconazole 150 mg
One tablet once weekly for 4 weeks

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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.

43 days ago

Considering your experience with seborrheic dermatitis and hairfall, it’s understandable that you’re seeking alternative solutions. It sounds like the shampoos prescribed—the ones containing ketoconazole, zinc pyrithione (ZTPO), and salicylic acid—haven’t provided significant relief, and it’s important to explore why they might not be working effectively. Seborrheic dermatitis can be quite persistent. Sometimes, a combination approach may yield better results. One potential reason these treatments haven’t worked is if the condition is more severe or there’s an underlying factor contributing that hasn’t been addressed. Occasionally it’s beneficial to rotate antifungal shampoos, using each one about two to three times a week instead of sticking to just one type. This can help because different ingredients might work better for different scales of severity of the condition. Alongside, consider incorporating a topical corticosteroid solution, such as betamethasone or fluocinolone, for short-term use to reduce the inflammation. But, these must be prescribed by a healthcare provider to ensure safe use and you shouldn’t use them long-term due to potential side effects. Additionally, make small lifestyle adjustments, such as managing stress, as stress can exacerbate seborrheic dermatitis. Examine your diet as well; sometimes imbalances or deficiencies, like in omega-3 fatty acids or vitamin B, could aggravate the condition. If hair fall continues, it is wise to reassess whether it’s linked to the dermatitis or if there’s another contributing factor like nutritional deficiency, hormonal imbalance, or another scalp condition. Also, make sure that when you apply these shampoos, leave them on for about five minutes before rinsing to give them time to work. Should these things not lead to improvement, consider discussing with a dermatologist the possibility of light therapy or a different topical or oral antifungal medication. Keep monitoring for any warning signs like significant hair loss or scalp infections, which necessitate further intervention.

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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.

42 days ago

Severe dandruff that hasn’t improved with ketoconazole, ZPTO, or salicylic acid for 6 months suggests stubborn seborrheic dermatitis, which often needs a combination of antifungal + anti-inflammatory treatment, not shampoo alone. You likely need a short course of topical steroid lotion (like clobetasol/mometasone) + antifungal lotion (sertaconazole/ciclopirox) along with twice-weekly medicated shampoo for 4–6 weeks to finally control the flare. Please consult a dermatologist again for a combination treatment plan, because this condition is very treatable but needs the right mix of medicines, not just shampoos.

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