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Hair fall with mild dandruff on scalp
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Skin & Hair Concerns
Question #18299
2 hours ago
23

Hair fall with mild dandruff on scalp - #18299

mohit sharma

Hello Doctor, I am 20 years old male, height 5'11". I am experiencing hair fall and mild dandruff: When I move or shake my hair, both dandruff flakes and hairs fall (about 10 hairs per pull). Hair is thin, roots feel weak. I have been using Scalpe Pro shampoo for 1 month, but there is no significant improvement. My diet is adequate (milk, dal, nuts, vegetables, fruits). I exercise 1 hour daily in the evening with 20 kg dumbbells. My blood pressure is slightly high (~140). I want advice for fast hair repair, safe supplements, scalp treatment, and preventing further hair fall. Could you please advise the best approach?

Age: 20
Chronic illnesses: No chronic diseases currently, but I have a history of varicocele. Also, I have slightly high blood pressure (~140).
300 INR (~3.53 USD)
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Doctors’ responses

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.
2 hours ago
5

Hello,

Hairfall is due to dandruff.

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

Also Please check : Thyroid profile Vit D,B12 Serum Zinc

🛑Supplements for hair fall:

Zinc 30 mg/day (1 month) Biotin 5 mg/day Take Vitamin D if low Also you can take Omega-3 capsule

You can use rosemary oil / spray also for accelerating hair growth

I trust this helps 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.
1 hour ago
5

Hello dear See for dandruff and hairfall you can follow below medication and precautions However for varicose veins and high blood pressure kindly consult the concerned physician for better clarity 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)

Clotrimazole or Miconazole – antifungal creams for topical use 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 in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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