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Dandruff and hair loss - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi
Doctor :   Dr xxxx here
Doctor :   How may i help you
User :   this xxxx
User :   I'm suffering with dandruff and hair loss
Doctor :   Ok
User :   I have tried all kind of shampoos... even the medicated one
Doctor :   From when do you have theese complaints?
User :   past 1 year
Doctor :   ok
User :   even I tried shaving off my head
Doctor :   Let be breif you about dandruff first
User :   after shaving my head, it remains fine for a week or so
Doctor :   Its common form of skin eczema that occurs in parts of the body with high oil production. Body areas that are commonly affected include the scalp, ears, face, chest, and folds of skin, such as the underarms or the skin below . The cause of seborrhea is unknown, although a yeast that often lives on the skin, Malassezia furfur, may play a role.
User :   ok
Doctor :   Personal hygeine also has its contibution
Doctor :   Like hair wash daily, use individual combs dont share, if using helmets use scarfs
Doctor :   these are some things u can esaily implement
User :   yeah... I'm doing all these things
Doctor :   Stress also causes dandruff
User :   ok
Doctor :   Proper sleep and diet habits will fasten the cure
User :   is there any particular shampoo which I can use
Doctor :   Yes
Doctor :   You can opt for Nizral
User :   what should I include in my diet
Doctor :   more of vegetables, fruits and protein rich food
User :   I have tried nizrol... but it didn't help
Doctor :   Is hair hair fall in excess
Doctor :   ok
User :   infact it increased my hairfall
Doctor :   Ok
User :   hairfall has increased recently
Doctor :   Then you start applying antifungal creams in the night and wash it away in the morning
User :   may be due to danruff
User :   could you please suggest me any anti fungal cream
Doctor :   Micanazole 2% its an on the counter drug you use it
User :   will affect my hair
Doctor :   Will have better results
User :   ?
User :   will it affect my hair
Doctor :   Do u have excess itching, scab formation, redness in scalp
User :   alot
Doctor :   No its a safer drug
Doctor :   Then you can also use cortisone cream 0.5% Available as scalp lotion
User :   very excess itching... and whenever I scratch my scalp... with it I get 4-5 hairs
Doctor :   ok
Doctor :   the cortisone cream will help you in reducing itching and inflamtion
Doctor :   Once dandruff is controlled hair fall will drastically reduce
User :   what about hairfall
User :   ?
User :   ok
Doctor :   So i would advice you to wait for a while before medications for hairfall
Doctor :   Tab tricovit can be taken for a month twice daily will help in reducing hair fall.
User :   ok... but could you please suggest me some medicines so that I can start hairfall treatment in parallel with the dandruff treatment
User :   ok
Doctor :   But rather wait for dandruff to get cured, things will settle down
User :   so could you please summarize the treatment for me?
Doctor :   xxx your age
Doctor :   YA sur
User :   27
Doctor :   *sure
Doctor :   The treatment follows 1, personal hygiene 2, dandruff shampoos (NIZRAL OR SELSUN) 3, ANTIFUNGAL CREAMS (mICANAZOLE 5%) 4, Cortisone hair lotion 0.5%
Doctor :   For hair fall Tab Tricovit twice daily for a month
Doctor :   Did u follow me
User :   how often should I apply all these medicines
Doctor :   Ok
User :   is it fine to wash head daily with this shampoo
Doctor :   Both the ointment and lotion only in the night before sleep for a week will be sufficient
User :   ?
User :   daily?
Doctor :   Yes
User :   what should I use to wash my head?
User :   because whenver I apply shampoo, my hairfall increases
Doctor :   Use mild shampoos see to that your scalp is not dry
User :   could you please suggest me any one shampoo which is mild
Doctor :   Can use Jhonsons Baby shampoo till your treatment is over
User :   ok
Doctor :   Did you follow me?
User :   and shall I apply hair oil after washing
User :   after washing my hairs, they become very rough
Doctor :   Yes but It sholuldn't be oily too
User :   so whenver I comb my hairs, I can see lot of hair strands in my comb
Doctor :   Anykind of moisture or excessive dryness favour fungal growth( dandruff)
User :   ok
User :   how often should I apply nizarol?
Doctor :   Hair fall to an extent is always normal, Every one loses on an average 40 -50 hairs a day
Doctor :   Nizrol is only thrice a week
User :   on other days... any mild shampoo.. .right?
Doctor :   Yes
User :   ok
Doctor :   Nizral is used with the shampoos, so shampoo all days
User :   I didn't get you
Doctor :   When you use Nizral u have to use shampoo also
User :   nizral itself is a shampoo right?
User :   I have been using Jhonson and Jhonson Nizral
Doctor :   But will not be sufficient to wash the ointment and lotion so will need extra shampooing
User :   ok
User :   fine
User :   thanks a lot
Doctor :   Is there anything else i can help you with
Doctor :   Its my pleasure
User :   does these medicines have any side effects?
Doctor :   No i have suggest you milder strength, so dont worry
User :   ok
User :   thanks
Doctor :   Thanks for consulting me
User :   I contact you later?
Doctor :   Sure
User :   after a month of using these medicines
User :   how can I contact you directly
Doctor :   wishing you aspeedy recovery
Doctor :   You come online and ask for Dr xxxx
User :   ok
Doctor :   I work in the night so will available from 9pm to 6 am
User :   ok
User :   r u in xxx?
Doctor :   Yes
Doctor :   xxx
User :   gr8... even I'm in xxxx
User :   Can I see u in ur clinic
Doctor :   I am not practising else where
Doctor :   Bye for now
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