What is causing my hair thinning and visible scalp on the crown area after stopping hair pulling?

Question #29086

18 hours ago

What is causing my hair thinning and visible scalp on the crown area after stopping hair pulling? - #29086

Client_902392

Hair problem my scalp is visible on crown area and i also pull my hair in past but now i stop but hair thining is increase and their is bald

How long have you been experiencing hair thinning?:

- More than 6 months

Have you noticed any specific patterns in your hair loss?:

- Patchy bald spots

Do you have any other symptoms related to your scalp or hair?:

- Itching or irritation

Have you made any changes to your diet or lifestyle recently?:

- Some minor changes

Do you have a family history of hair loss or scalp conditions?:

- Yes, immediate family

How would you describe your stress levels recently?:

- Moderate — some stress

Have you used any treatments for hair loss in the past?:

- Natural remedies

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Doctors' responses

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.

12 hours ago

Hello dear
Please be aware
See following medications can bring large amount of involution in your clinical symptoms
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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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.

10 hours ago

Your condition is most consistent with trichotillomania-related hair loss (hair pulling), and the fact that you have stopped pulling and are already seeing some regrowth is a very positive sign—it means the hair follicles are still active. The visible scalp at the crown after more than 6 months can take time to recover, as hair regrowth is slow (often 3–6+ months for noticeable improvement), especially if there was repeated trauma. Mild itching can happen during regrowth or due to scalp sensitivity, but if there is no redness or scaling, it is less likely to be an infection. The key now is to prevent further pulling (manage stress and urges), maintain good scalp care (gentle shampoo, avoid harsh products), and ensure proper nutrition (protein, iron, biotin, vitamin D). If needed, a doctor may suggest topical minoxidil to stimulate growth or therapies for habit control (like behavioral therapy).

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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.

8 hours ago

Hello
Hair thinning on the crown with visible scalp and itching for more than 6 months is most commonly due to Androgenetic Alopecia (pattern hair loss), sometimes combined with scalp conditions like Seborrheic Dermatitis, which can cause itching and worsen hair fall.
Simple home remedies that can help control hair fall include ;
regular gentle oil massage with coconut or castor oil two to three times per week to improve scalp circulation and reduce breakage.
Applying fresh onion juice to the scalp for about 20–30 minutes before washing may support hair growth in some people.
Aloe vera gel can be used to calm itching and improve scalp health. Maintaining a protein-rich diet with foods like eggs, fish, dairy, nuts, seeds, fruits, and green vegetables is very important because nutritional deficiencies commonly contribute to thinning hair.
However, when the scalp is already clearly visible at the crown and the thinning is severe, home remedies alone usually cannot reverse the condition. In such cases, treatments like topical minoxidil are often needed to slow hair loss and stimulate regrowth.
It is also reasonable to check basic blood tests such as hemoglobin, iron (ferritin), thyroid function, vitamin D, and vitamin B12 to identify any correctable causes.
Take care

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