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Severe hair fall and dandruff. What can be done? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hello doctor
Doctor:How can I help you today?
User:am suffering from severe Hair fall and dandruff problem. My Hair fall concern have started since about 6-7 years.
User:could you please help me, in avoiding hairfall and dandruff
Doctor:Actually if dandruff is the cause then mostly the treatment is based on increasing the local immunity of the scalp
User:What should I do to increase the immunity of the scalp
Doctor:Mostly anti-dandruff shampoos worsen the hair loss.
Doctor:It is a better idea to switch to a mild shampoo like Mildy.
User:mildy? is that a brand of shampoo
Doctor:It is available at the pharmacies.
Doctor:Yes it is a shampoo
Doctor:Also taking precaution like shampooing less frequently helps.
User:will this mildy help in avoiding shampoo
Doctor:The idea is to use a mild shampoo that does not change the normal flora of the scalp.
Doctor:It should be a non-medicated shampoo
Doctor:Baby shampoos are also mild.
User:just for calirfication, I heard about nizrol , for antidandruff
User:what would you suggest on that
User:is that better one to use
Doctor:I do not recommend it as it may worsen hair loss.
User:ho ok
Doctor:Using healthy nutritious diet, vitamin supplements and regular exercise also helps.
User:diet, what is the best diet for avoiding hairloss
Doctor:Mostly hygienic diet and clean drinking water work for reducing these symptoms.
User:do you suggest any specfic brand for mildy shampp
Doctor:The brand is Mildy
Doctor:Another one is Triclenz
Doctor:Oil can be used once in a month
User:usually i heard , its better to apply , but the number of hair which i loss is reallly 100-200 when i apply oil
Doctor:Just take care not to use a medicated oil.
User:medicated oil ?
Doctor:Not to use a medicated oil.
Doctor:There are some oils that have natural medicines.
Doctor:It can alter your scalp immunity.
User:will change in shampoo, and hygienic good , will that be enough to avoid dandruff and hairfall
Doctor:It will help in reducing it.
User:please dont mind as am aksing againg and again :) but really am scare with the haifall percentage
User:hope you can understand :)
Doctor:We should not aim for eradication as it is a part of altered flora.
Doctor:I understand
Doctor:I also recommend that you get tested for iron-deficiency.
Doctor:Mostly vigorous treatment will also not help.
Doctor:But with proper measures it will not get worse.
Doctor:If there are patches of baldness then topical medicines for hair-regrowth can be tried.
User:yup, am expecting all sort of measures and tips i can follow to avoid dandruff and hairfall
Doctor:Hairfall can be reduced with stress-free life and multivitamins especially biotin
Doctor:Dandruff will mostly stay.
User:is biotin tablet?
Doctor:It is also recommended that you go for basic blood tests.
Doctor:It is available as a separate tablet and also as a component of multivitamins.
User:ok, what would you suggest, am also concern about avoiding any side effects
Doctor:Vitamins do not have side-effects if taken in a moderate dose.
Doctor:Topical medicines for hair-regrowth can have some side-effects but can be taken safely for a few months.
User:so shall i start but with biotin
Doctor:It is better to get a prescription for it from a physician.
Doctor:It is safe to start
User:didnt get you, do you want me to consult a physician ?
Doctor:Well actually I meant that you may take medicines after consulting a physician as he will be able to examine you.
Doctor:Do youhave a question?
User:but in regars with shampoo, triclenz is best over nizrol and rest?
User:is that what you suggest
Doctor:I will try to explain it a little
User:pls go ahead
Doctor:Usually anti-dandruff shampoos have anti-fungal medicines to control dandruff
Doctor:What happens is that the anti-fungal component tends to fight the normal and abnormal fungi growing on scalp.
Doctor:In the process resistant fungi start growing and can cause problems like dryness, flakiness and acne/pimples on the scalp.
Doctor:Local bacteria start growing on the resistant fungi making things even worse.
Doctor:It results in hair loss.
Doctor:In the process person starts taking more anti-dandruff shampoo and anti-bacterial hair products.
Doctor:And a vicious circle starts.
Doctor:Are you understanding what I am saying?
Doctor:And more hair fall happens.
Doctor:Thus it is important to leave the dandruff alone and just take care of hair loss.
Doctor:Slowly after stopping the medicines local immunity of the scalp starts to build up.
Doctor:And the hair fall reduces.
Doctor:That is the explanation behind my recommendations.
Doctor:Do you have a question here?
User:thanks alot for you explanation
Doctor:You are welcome.
User:for dandruff
User:reetha *
Doctor:For now I will only recommend to use mild shampoo.
Doctor:Later when hair loss is stopped, then we can try other things.
User:ok thank you
Doctor:Do you have a question?
User:No, nothing as of now
User:and thanks again for your patience
User:and time
Doctor:Thanks for coming on chat
Doctor:Take care
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