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Care regimen to prevent severe hair fall - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Hair Loss
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hello doc
I am having the problem of hair fall from past 6 years
right now my age is 23. I lost hair from 10% of total head. what can I do now?          
Doctor :   Hi
Doctor :   let me read
User :   yup
User :   what can I do now? about my problem
Doctor :   may i know the quantity ofhair lost per day
User :   I am not sure
User :   it is not like loosing lots of hair each day
User :   I think it is inconsistant
Doctor :   ok
is it regular or do you have period of no hair fall followed by rapid hair fall
User :   yeah
Doctor :   is the hair easily plucable ?
User :   yeah I think so
Doctor :   and is the hair easily breakable ?
User :   no
Doctor :   ok
Doctor :   did you attempt any treatment or are you on any treatment?
User :   no
Doctor :   lastly do you shampoo your hair daily ?
User :   twice a week
Doctor :   ok
Doctor :   any scalp issues like dandruff, boils, acne
User :   i am not sure about the terminology
User :   but I have itching
Doctor :   dandruff means scalling of the head white powdery kinds
Doctor :   ok
Doctor :   if you scratch do the finger nails get filled with white cheese kind substance
User :   yup
Doctor :   it seems you are havinf sebhorrea
Doctor :   use ketakonazole 2% shampoo for the head bath twice a week
Doctor :   use luke warm water and not hot water for head bath
Doctor :   use neutrigena hair conditioner
Doctor :   it should be applied after shampooing and left for 3 minutes before you rinse
User :   ok
Doctor :   also take tab biotin 10 mg one time a day for 60 days after dinner
Doctor :   it will take minimum of 3 to 4 weeks for the ongiong hair fall to arrest and after a transition period of a month or two it will take other 3 months for the hair to grow back
Doctor :   so it is a length process
User :   my father has bald head
Doctor :   heredeatry baldness will not start as soon as 23 years
User :   i am 23
Doctor :   that is what i said at your age it is very rare for some body to get a male pattern baldness by hereditary
User :   ok
Doctor :   also you have itching and easy plucable of hair indicating weak hair roots
Doctor :   so lets strengthen the hair roots and clean of the itching part
User :   ok
Doctor :   also apply non sented hair oil like coconut oil and take head bath in week ends
User :   where can I get the above stuff ? do I need any medical priscription to get those medicines from a drug store
Doctor :   no all these are otc medications
Doctor :   you dont need any prescriptions
Doctor :   in pharmcy you will get them
Doctor :   this is both treatment and also a preperatory phase for the more advansed cases of referactory hair fall
Doctor :   ok
Doctor :   if these measures for 6 months do not show any improvement than we can go for a micronitruient injection to the hair root - this is a costly procedure and will be done by dermatologist
User :   ok I am using olive oil for my hair. can I continue to use it instead of shifting to coconut oil?
Doctor :   its better if you use coconut oil
User :   ok
User :   so I can shampoo my hair after applying oil. right?
Doctor :   yes
User :   so I have to shampoo thrice? twice as you said before and the same proceedure after applying oil that is on weekend so 3 times a week?
Doctor :   twice only is sufficient and see that one of the shampooing day falls in the week end so that you can apply hair oil in advance of one to two hours
User :   ok
User :   will there be any side affects ?
Doctor :   these medicines used as directed do not have any side effects
User :   ok
Doctor :   as of now follow the advise regularly for the next three months and see how the hair fall and hair growth progress
User :   ok thank u doc
User :   have fun
User :   nice talking to u
Doctor :   thanks for consulting health care magic
Doctor :   bye for now
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