How to reduce hair fall and dandruff

Question #16641

91 days ago

184

How to reduce hair fall and dandruff - #16641

Sara Fathima

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......

Age: 20

300 INR (~3.53 USD)

Question is closed

FREE! Ask a Doctor — 24/7,
100% Anonymously

Get expert answers anytime, completely confidential.
No sign-up needed.

Doctors' responses

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.

89 days ago

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.

16415 answered questions

88% best answers

Accepted response

0 replies

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.

89 days ago

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

678 answered questions

39% best answers

Accepted response

0 replies

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.

85 days ago

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

511 answered questions

44% best answers

Accepted response

0 replies

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.

91 days ago

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

1055 answered questions

52% best answers

0 replies

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.

91 days ago

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

1528 answered questions

58% best answers

0 replies

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.

90 days ago

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

1877 answered questions

63% best answers

0 replies

FREE! Ask a Doctor — 24/7,
100% Anonymously

Get expert answers anytime, completely confidential. No sign-up needed.

About our doctors

Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.

How to reduce hair fall and dandruff - #16641

Doctors' responses

About our doctors

Related questions

Popular questions

Online

Latest reviews