How to reduce hair fall and dandruff - #16641
Hlo doctor's my self sara and I'm 20 years old . 2 to 3 years back I don't had any problem but with time passed slowly slowly dandruff started and then hair fall , silky hair became ruf hairs and even length of hair started decreased . I have pimples and acnes on my face also I'm actually very much in stress because of hair fall please help me please i humbly request you I tried so many shampoos and oil but no result......
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Doctors’ responses
When dealing with hair fall and dandruff, it’s important to consider both underlying causes and practical solutions. First, note that stress itself can contribute to hair loss. It’s crucial to try stress-reduction techniques, like mindfulness exercises or regular physical activity, which can be a significant help. Since dandruff can often be due to a yeast-like fungus called Malassezia, using an anti-dandruff shampoo containing ingredients like zinc pyrithione, ketoconazole, or selenium sulfide can be beneficial. Make sure you’re using these shampoos as directed, usually 2-3 times a week, and let the lather sit on your scalp for a few minutes before rinsing. Avoid excessive heat styling and use a conditioner that suits your hair type to help restore moisture and reduce the rough texture. Consider dietary factors as well; deficiencies in vitamins such as B12, D, or minerals like zinc and iron can lead to hair and skin issues. A balanced diet rich in green leafy vegetables, nuts, whole grains, and lean proteins might help improve overall hair health. Since you’ve mentioned acne, having both hair and skin problems might indicate an underlying hormonal imbalance, such as PCOS, particularly given your age. It might be beneficial to consult with a dermatologist to explore potential hormonal evaluations or topical treatments that address both acne and hair issues. If hair fall persists or you notice significant thinning patches, seeking a specialist’s opinion is crucial to rule out conditions like alopecia or other dermatological problems. Scalp health is linked to overall health, so ensuring you’re staying hydrated and getting adequate sleep, while managing stress, remains critical.
Hello Sara By going through your history and evaluation of your health status I must say that Hairfall occurs due to many reason Vitamin deficiency like vitamin b 7 Biotin Zinc deficiency Alopecia Taenia Hormonal First you have to rule out all Investigation - Vitamin b7 Zinc Vitamin d3 CBC Thyroid profile
Treatment Tab biotin once a day Tab zinc 20mg once a day Tab supradil once a day Syrup Minidoxil 2 % apply Shampo ketaconzole Serum niacinamide First go through investigation then u have to add on some drugs Home remedies alovera gel
Stay hydrated Alternate wash if not stop with one month then consult to dermatologist
Thanks
Hi Sara, I understand how stressful hair fall and dandruff can be, but don’t worry this is treatable with the right approach. You can start with these prescription -
- Ketoconazole 2% shampoo: Apply on scalp, leave for 5 minutes, wash off. Use 3 times a week for 4 weeks.
- Tab. Follihair once daily × 3 months. - Onion/rosemary oil 2–3 times/week for massage. - Use: Coconut oil + olive oil warm massage. Hair conditioner after every shampoo. Sleep on a silk pillowcase.
- For Acne- Salicylic acid 1–2% face wash. Niacinamide serum twice daily. Oil-free moisturizer. Non-comedogenic sunscreen SPF 30+ daily
Also, get these tests done- CBC, Vit-D, Vit-B12, Sr. Ferritin, TSH.
Give it 6–8 weeks as results are slow but reliable. You’re not alone, and this is fully treatable. Follow this routine consistently and you will see improvement.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Hello, Use Medicinal Shampoos(use 2-3times/week)
Rotate between these ; 1.Ketoconazole 2% shampoo 2.Zinc pyrithione / Selenium sulfide shampoo 3.Coal tar shampoo (if very thick flakes) 🛑Leave shampoo on scalp for 5 minutes before rinsing.
Daily Care
Avoid hot oil massage (can worsen yeast growth). Don’t scratch scalp -it increases hair fall. If itching is not subsiding after 4 weeks/severe consult a dermatologist in person
Maintain proper Lifestyle :
Reduce sugar and dairy Eat more fruits, vegetables, omega-3 rich foods (fish, walnuts, flaxseed). Manage stress and sleep, both strongly trigger seborrheic dermatitis.
🛑For acne: Adapalene gel (0.1% at night, very thin layer) OR benzoyl peroxide gel (2.5–5%). Use only on acne spots
Do NOT pick/squeeze pimples – this worsens pigmentation.
#For Pigmentation/Marks
Niacinamide 5% serum (morning or night, if skin is not irritated). Azelaic acid acid 10–15% cream/gel at night (safe for marks and acne both). Consistency is key pigmentation takes 2–3 months to lighten.
Avoid excess dairy, junk, sugary foods.
I trust this helps Thank you
For face: 1) Face wash Ahaglow Use twice daily 2) Epiduo gel Use only on affected areas at night 3) Tab limcee 500 Once daily after lunch
For hairs: 1) Shampoo Ketostar Apply on wet scalp leave for 5 mins and rinse it off use twice weekly for 4 weeks 2) Tab follihair 1 tab daily after meal for 3 months
Hello dear See as per clinical history you need combination of hair gain along with acne treatment Iam prescribing some medication and precautions 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
Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use) 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 Medications: 1. Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days Niacinamide serum –antiinflammatory in nature twice daily for 1 week In addition use aloevera - tulsi solution to apply topically for 1 month
In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification Regards
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