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Suffering from dandruff and hair loss. Suggest ways to prevent it?

Dec 2013
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Practicing since : 2002
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hello doctor. i am suffering from dandruff and hair loss since last 2 years.but its not hereditary in my family. hair density gradually decrease at just above frontal region. please suggest me to prevent hair fall and hair recovery.
Posted Mon, 14 Oct 2013 in Skin Hair and Nails
Answered by Dr. Sanjay Kumar Kanodia 57 minutes later
Brief Answer:
Kindly see the detailed answer

Detailed Answer:

Welcome and thanks for posting your query to XXXXXXX

As per your query you are suffering from dandruff and hair loss since last 2 years.

These are basically two different problems the first one is known as "Pityriasis capitis" or simply saying dandruff. The second problem of hair fall can have multiple causes but as you have hair fall from frontal region so most commonly in men of your age it is medically known as "Androgenic alopecia or "Male pattern baldness".

I will explain about both the problems one by one.

For "Pityriasis capitis" or dandruff:

Scientifically and medically our skin is a multiple layered structure. Our skin gets renewed every day. The layer which is present on the top today will be fallen off tomorrow. It will not be present tomorrow and would be dead skin in form of scales. This process is not actually visible on normally. So we can say we are just one day old from our skin most superficially.

Now in some persons it is renewed at a faster pace. Because of hygiene and scalp hair this dead skin in form of scales gets entangled and trapped in form of visible of scales known as dandruff. It varies from person to person and also on other of factors which makes the difference inter-individually.

Coming on to your problem which is scientifically known as “pityriasis capitis” is highest in twenties and then recedes by itself in later part of life. It is due to the fact that the renewal of skin and the fatty acid secretion in scalp is highest at this part of life. So there is a tendency to grow fungus as well which makes the flaking more perceptible. There are no such important predisposing factors except for few which can make the situation worsened such as individual's own tendency to renew the skin, application of hair oil and environmental factors.

We can not change our own tendency to renew the skin but the personal measures of hygiene as well as the environmental factors can be modified.

For the remedy part follow the things below:

1.Wash your scalp daily. You will say you are already doing it. But my way of application is- it is to be done twice in a single bath. It means when you are washing your scalp apply first time shampoo for washing the hair part only, then rinse it off immediately with water. Reapply the shampoo again immediately, leave it for around 5 minutes, do a good gentle massage by your fingers for around 2 minutes and then wash it off. By doing so for around 7 days you will get good benefit.

2.The other way if you can not do two time wash is apply your shampoo (diluted with water) for around half an hour before bath like an hair oil. And then rest of the second application and bath as told above. You can reduce the frequency of twice application after 2 weeks and then can optimize it according to your own need.

3.Stick to one good shampoo which is suiting your hair, don’t change the shampoos frequently. If you are using any conditioner also then to be used over the strands of hair only and not over the scalp skin.

4.Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp. I would like to tell you that God has given us adequate of oil glands to nourish our hair. People do have a myth that applying hair oil makes hair good- but we dermatologists totally disagree with that. On one side there is no direct or indirect benefit of hair oil, on the other side it actually attract more of dirt and grease over the scalp leading to more proliferation of fungus and thence to more dandruff. People do say that this nourishes your hair- but hair nourishment is never provided by oil but by the best of proteins and mineral with vitamin diet.

5.Comb your hair at least 3-4 times a day and most importantly at night time so that the dust particle and other of dead skin is taken off.

Now for your hair fall:

Medically the number of normal hair falling varies from few hair to up to 50-100 per day. Now if your hair falling more than 100s per day then it is definitely a problem. If it is not then you have to understand hair fall as normal process of day to day life.

We have almost 1 lac hair on our scalp and amongst them around 5% of hair are in falling phase and then another 0.1% (around 100) of hair can fall everyday. In males this is super-added with hormonal influence of testosterone hormone ( the male hormone) which we call as "male pattern baldness". This also depends upon genetics- meaning type and pattern of hair your family pattern (from your father and mother's side).

This process of falling is highest in between the age of 20 to 30 years. I can see you are a young man of 26 years. So it is quite obvious that you can have this problem of hair fall just because of hormonal influence. So the very first thing is not to be worried about this normal condition.

For the betterment kindly follow the suggestions below:

1. Eat at least 3-4 different fruits saplings per day. Every fruit is good but you can make a combination of sour with sweet fruits such as oranges, papaya and other of seasonal fruits.
2. Pulses are good source of proteins. So everyday have a small bowel full of mixed pulses. Add green leafy vegetables additionally in the pulses which contains lot of iron and vitamins in it.
3. Sprouts are the best source of fibers, minerals vitamins and proteins too. so add it at-least alternate day if you can not make in every-day's part of meal.
4. Over night soaked and peeled almonds will give you good vitamin E which is good for the hair growth.
5. Milk and milk products should be included in every-day's schedule. mild exercises, reduce your work stress as all these have bit impact on skin so also on scalp skin.

7.Finally if you are not getting relief from all these measures done judiciously and prudently then can apply and take certain medicines under medical guidance. But this is my personal suggestion as a dermatologist that rather than medicines, simple daily regimen works better than anything.

If you have further queries I will be happy to help.

"Wish you good health"

Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by
Follow-up: Suffering from dandruff and hair loss. Suggest ways to prevent it? 2 hours later
please advise me any medicine or hair cream or any gel for regrowth for hair.
Answered by Dr. Sanjay Kumar Kanodia 41 minutes later
Brief Answer:
Minoxidil lotion can be applied

Detailed Answer:

Welcome to the forum again and thanks for your prompt reply.

There are innumerable products in the market claiming to be useful for hair growth. We dermatologists believes in application of Minoxidil lotion. It is one product which is unanimously used by all dermatologists. It is to be started with 2% lotion applied over the scalp once or twice in day. It is to be applied when the scalp is dry. Only 1 ml is sufficient to be applied at the root of hair in frontal region. If for one month there is no burning and irritation then we increase the percentage to 5 % gradually. The same we do to taper off the medicine.

Even then I suggest you to follow your good diet plan to have hair growth.

If you have further queries I will be happy to help or if you do not then can close the discussion and rate the answer.

"Wish you good health"

Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by
Follow-up: Suffering from dandruff and hair loss. Suggest ways to prevent it? 8 hours later
doctor its my last question to you.same pattern of hair fall,and dandruff from parietal region also but neither from temporal region nor from occipital region,it never happened. should i follow same advice and lotion..??
Answered by Dr. Sanjay Kumar Kanodia 3 hours later
Brief Answer:
you can start up with the measures

Detailed Answer:

Welcome to the forum again.

AS I said earlier your problem is basically Androgenic alopecia or simply saying male pattern baldness. It affects mainly frontal and parietal region of the scalp as in your case too. The temporal and region is rarely affected and occipital region is never affected in this condition. So you can very well start up with the measures as well as the medicines suggested by me. Especially for medicines I suggest you to consult in skin department at Medical College level and have good follow up with the dermatologist.

With best wishes for your healthy hair.

Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by
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