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Oily Hair with Severe Dandruff and Unpleasant Smell
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Cosmetology
Question #21905
45 days ago
112

Oily Hair with Severe Dandruff and Unpleasant Smell - #21905

مريم

I am a teenage girl with oily hair. I have a persistent problem with my scalp: There is a lot of dandruff, and my hair has an unpleasant smell. I am not sure what is causing it, and over-the-counter shampoos haven’t completely solved the problem. I would like to know: What causes excessive dandruff and the bad smell in oily hair? What is a safe and effective treatment or shampoo I can use? Are there daily care routines I should follow to prevent dandruff and odor?

Dandruff
Oily hair
Scalp odor
Hair care
Teenage hair problems
300 INR (~3.53 USD)
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Doctors' responses

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
5

Hello It sounds like you’re dealing with a frustrating scalp issue. Let’s break down your concerns:

Causes of Excessive Dandruff and Odor - Oily Scalp: Excess oil can lead to dandruff as it creates an environment for yeast (Malassezia) to thrive, which can cause flaking and odor. - Poor Hygiene: Infrequent washing can allow oil and dead skin to build up, leading to dandruff and smell. - Fungal Infection: Sometimes, a fungal infection can cause persistent dandruff and odor. - Skin Conditions: Conditions like seborrheic dermatitis can also contribute to these symptoms.

Safe and Effective Treatments 1. Anti-Dandruff Shampoos: Look for shampoos containing: - Zinc Pyrithione: Helps reduce yeast and flaking. - Ketoconazole: An antifungal that can be effective against dandruff. - Salicylic Acid: Helps remove scales and reduce flaking. - Tea Tree Oil: A natural antifungal that can help with dandruff. 2. Regular Use: Use the anti-dandruff shampoo 2-3 times a week, and alternate with a gentle, sulfate-free shampoo on other days. 3. Tab Flucanazole 150 mg - take one tablet on Monday and then another one on Thursday means two tablets a week for 1 months

Daily Care Routines - Wash Regularly: Aim to wash your hair every 2-3 days to prevent oil buildup. - Conditioner: Use a lightweight conditioner on the ends of your hair, avoiding the scalp to prevent excess oil. - Scalp Care: Gently massage your scalp while washing to help remove flakes and improve circulation. - Avoid Heavy Products: Stay away from heavy styling products that can contribute to buildup. - Diet and Hydration: Maintain a balanced diet and drink plenty of water to support scalp health.

Thank you and get well soon

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Excessive dandruff in conjunction with oily hair and unpleasant odor can indeed be frustrating. Your symptoms may likely be related to seborrheic dermatitis, a condition where the skin produces excess oil, coupled with yeast overgrowth, leading to irritation and flaking. Another potential cause could be a fungal infection that might be affecting your scalp. First, addressing the root cause involves using an over-the-counter medicated shampoo containing active ingredients such as ketoconazole, selenium sulfide, zinc pyrithione, or coal tar. These ingredients can help control yeast and reduce inflammation and flaking. Use the shampoo two or three times a week, leaving it on your scalp for at least 5 minutes before rinsing thoroughly. It’s crucial to follow this treatment consistently for a few weeks to observe improvement. Between medicated shampoo uses, a gentle non-medicated shampoo can remove excess oil without stripping the scalp of necessary moisture. Avoid overly hot water, which can increase oil production. For daily care, focusing on good hygiene can be beneficial. Regularly washing your hair can help control excess oil and remove cellular debris that may contribute to odor and dandruff. Make sure to clean combs and hair brushes regularly to prevent reinfection. Additionally, try avoiding heavy styling products that can exacerbate oiliness. If you use conditioners, apply them only to the hair shafts, not the scalp. Diet can also play a role, so incorporating omega-3 fatty acids, probiotics, and limiting sugar, which can exacerbate yeast overgrowth, might be helpful. Importantly, if these measures don’t alleviate the problem or if you notice your condition worsening, consult a dermatologist. There could be underlying factors that require prescription treatments or further investigation.

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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
5

What you’re describing is very common in oily scalps and is most often due to seborrheic dermatitis—an overgrowth of natural yeast on the scalp mixed with excess oil, which causes dandruff, itching, and a sour or unpleasant smell; sweat, infrequent washing, or stress can make it worse. Use a medicated anti-dandruff shampoo like ketoconazole 2% (2–3 times/week, leave on 5 minutes before rinsing) and on other days use a gentle shampoo; avoid oiling the scalp, harsh scratching, or heavy conditioners on the roots. Wash regularly (every 2–3 days), keep hair completely dry after washing, avoid tight hairstyles, and please consult a dermatologist if there’s no improvement in 3–4 weeks or if redness/itching is severe—they can adjust treatment safely for your age.

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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
5

Hello dear See you need to have combination of anti dandruff medication and simultaneously hair gain therapy Iam suggesting some precautions and medication for improvement Please follow them for atleast two months rosemary oil for hair gain OTC solution to be given topically Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day If possible dry with clean towel Use bhringraj or onion oil gently twice a day for both massage and nourishment See I have suggested most simplified treatment In case of no improvement in 2 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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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,

This is most commonly due to seborrheic dermatitis—an oily scalp condition caused by excess oil + yeast (Malassezia), which leads to heavy dandruff and bad smell.

What helps (safe & effective):

🛑🛑Use ketoconazole 2% shampoo 2× weekly (leave on scalp 5 minutes, then rinse)

On other days, use a gentle anti-dandruff shampoo (zinc pyrithione or selenium sulfide)

Wash hair every 2–3 days (oily scalp needs regular washing)

🛑You can wash with fermented rice water and hibiscus water also Daily care tips: Do not oil your scalp Avoid scratching Rinse sweat promptly after exercise Clean combs and pillowcases regularly

See a dermatologist if no improvement in 3–4 weeks or if redness/itching is severe.

Please do consistently

Take care 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.
45 days ago
5

Your symptoms are most consistent with seborrheic dermatitis of the scalp, a common condition in teenagers with oily hair. Excess oil on the scalp allows yeast (Malassezia) and bacteria to grow, which leads to excessive dandruff, itching, and an unpleasant scalp odor. This is not due to poor hygiene and is not dangerous, but it can be persistent.

With regular use of a medicated anti-dandruff shampoo (such as ketoconazole, selenium sulfide, or zinc pyrithione), proper scalp hygiene, and avoidance of heavy oils on the scalp, the dandruff and odor can be well controlled. Consistent care is key, and improvement usually takes a few weeks.

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