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Keloids, alopecia and dandruff - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   Hi Doctor
Doctor :   Please proceed with your query.
Doctor :   Hi
User :   I have keloids since 10 odd years
Doctor :   Ok
User :   and i believe that it has come to me from my mother
Doctor :   OK
User :   its there on my back and i am always uncomfortable as these itches a lot
Doctor :   OK
User :   i have undergone steroidal injections also , after which the size of the keliods got reduced dramatically
Doctor :   OK
User :   but after a year or so got increased again with more vigour and now are more than doubled in size
Doctor :   Ok
User :   i have spoken and met a lot of qualified doctors but everybody says that there is no treatment for keloids and i have to live with it for the rest of my life, althhough , ayurvedics and homeopathic doctors claim otherwise.
Doctor :   Ok
User :   i am also worried with the fact that it may be passed to my progeny also.
Doctor :   Ok
Doctor :   Before suggesting you I want to know few more things:\
Doctor :   May I know your age?
User :   i am 34 years
Doctor :   can you please elaborate how did the keloids start forming?
User :   because of acne
Doctor :   Ok
Doctor :   Did you suffer with any injury producing these?
User :   bur fortunately keloids do not form on my face although acne has disturbed me since class 8th or 9th standard.
Doctor :   Were those acne present on your back and did you injure them by scratching?
User :   once i met with an accident while riding scooter and got a small injury on my elbow which later got converted into a keloid
Doctor :   Ok
User :   there is always a lot itching in the keliods so i have this habit to sctach them often
Doctor :   OK
Doctor :   Let me explain me about Keloids: Doctor :   Keloids are a type of scar formed on healing of an injury, let it be a road traffic accident or due acne
Doctor :   In this the tissue is replaced by collagen which is tougher than the normal tissue.
Doctor :   It doesnt occur genetically.
Doctor :   So you having keloids couldnt be because your mother has it.
Doctor :   Any common man can develop keloids on injury.
Doctor :   Keloids are very difficult to treat and doesnt have a definite treatment in allopathy.
Doctor :   I am not sure about ayurveda and homeopathy treating it definitively.
Doctor :   It would be better to consult an ayurvedic specialist and discuss with him about it.
User :   so is it that , as per allopathic, i have to live with it for the rest of my life and these will keep on increasing in size
User :   cant these collagens be converted back into normal tissue
Doctor :   I am sorry for your state but there are many conditions which cannot be cured completely.
Doctor :   Its difficult as and when it is done with steroid injections they grow back.
User :   they grow back with bigger size as if they want to take revenge from you
User :   There are other problems also, can i discuss them with you or other doctors will attend on them
Doctor :   You can discuss with your dermatologist about combined therapy of pulsed dye laser, corticosteroid injections is considered to be a superior treatment compared to steroid injections alone.
Doctor :   Sure please proceed.
User :   i have develpoed alopecia and as a result am loosing hair rather speedily
Doctor :   Ok
User :   those big manes have been replaced with very less hair , i have dandruff problem for the last 15-20 years
Doctor :   Ok
User :   I have taken homeopathic and a lot of allopathic medicines also but to no benefit
Doctor :   OK
User :   I showed back where the dermatologist prescribed me azithromycin for months which i popped also, as an idiot, and nothing happend.
Doctor :   Ok
User :   showed to one doctor in Ghaziabad, a very famour name, he gave me few medicines which showed some improvement , but as soon as i left medicines all the symptoms came back
Doctor :   OK
User :   doctors say that it is not dandruff but fungal infection and will take a lot of time to go sicne it's a very old disease and for those months together i have to religiously eat and drink antibiotics and whatever they say
User :   dont know what to do, your help?
Doctor :   After the description provided by you, I feel that you might be suffering with Androgenic alopecia. This is a male hormone disorder.
Doctor :   In this there is excess production of testosterone which is a male hormone and they are hormone sensitive hair follicles on our scalp which produces thinning of hair and fall.
Doctor :   This along with dandruff increases the hair fall rate.
Doctor :   The treatment would be to control the hair fall as the regrowth of hair is difficult and requires antihormone medications and also long term antifungal medications.
User :   I also took Dr. Approva shah's treatment but i found it to be a big gimmick with no result.
Doctor :   The treatment would range from months to years.
Doctor :   Ok
Doctor :   So do not disheartened and continue the treatment received as per advised by your doctor. Follow up is very important as it requires changes in medications according to effect of the treatment.
User :   I have left the treatment , i dont expect allopathy to take a long time , else not much difference would be left then between it and homeopathic.
User :   can you advise me any good doctor/ treatment for the condition in Delhi NCR
Doctor :   Sorry but any dermatologic condition requires long term treatments.
Doctor :   May I know your preferred location in Delhi?
User :   i am putting up in Ghaziabad, so any place near it
Doctor :   Ok. I will ask my customer care executive to call you back after this live chat to help you with your request.
User :   someone who seriously treats patients and money is secondary for him( or not a huge priority)
Doctor :   Any senior doctor with lots of experience is always considered to be the best for treatment as they would have filled all the wishes by then.
Doctor :   Are there any more queries for me to help you with?
User :   no doctor, thanks a lot
Doctor :   Thanks for consulting and hope this chat was helpful to you.
Doctor :   Take care.
User :   Thanks, you too
Doctor :   Bye for now.
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