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Suggest treatment for dandruff and itchy scalp - Online Doctor Chats

Date : 17-Jan-2015
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:
Please proceed with your query
User:Hi Doc
Doctor:Hi, please proceed
User:I have a lot of dandruff and itching
Doctor:ok
User:Actually there is a history behind this
Doctor:ok
User:Shoudl i tell in brief the history ?
Doctor:sure
User:I am having hair fall since 11 years now .. What started as few boils has gradaully almost got me bald on the front and top ...
Doctor:ok
User:have tried all kinds of medication .. with none being close to conclusive
Doctor:ok
User:none have tried determining and addressing the underlying cause
Doctor:Ok
User:i m currently on vitD3 medication ... I personally feel dandruff and fungus is a vital contributor .. can you help me permanently tacked this ?
Doctor:I will surely try.
Doctor:May I know the medications you have tried for dandruff and hair fall
User:I seriously cant remember those.. But it included those Keta shampoo, to homeopathy to rogain .. and everything possible
User:none have given any relief so far
Doctor:ok
Doctor:tell me regarding the boils? how does it start and resolve?
User:it was probably heat boils .. but i happened to make it worse throught scratching of them
User:casuing minor wounds and hair loss at those spots ..
Doctor:Ok
User:then over the years hair kept falling gradually ...
Doctor:OK
Doctor:Family history of hair fall?
User:A lot of doctors dismissed it as heriditary . I want to know as to how to determine that ?? Does it start this early ?
Doctor:If hereditary, there would be thinning of the hair initially and gradually hair fall in particular areas.
Doctor:Any one in your father's side or mother's side has history of baldness at an early age.
User:yes thats what seems to happening to me as well
User:father had baldness ..
User:But at my age of 23 .. my question is are there other reasons due to which the falling has been accelerated ?
User:is that a possibility ?
Doctor:in your case, I feel that hereditary cause is main reason for baldness but the dandruff has accelerated the cause
User:these days i am using johnsons baby shampoo ( since i heard its mild ) .. every 2 days .. and use besan powder every other alternate day for hair wash
Doctor:OK
User:the water is hard as well .. But this dandruff ting i have been having for many many years now ...
Doctor:OK
Doctor:Did you get any investigation like KOH swab to know the type of fungal infection present?
User:No i never had that
User:testing
Doctor:OK
Doctor:I understand your concerns but you need to understand that there is no treatment to regain the lost hair.
Doctor:The treatment available can only help to delay in hair loss.
Doctor:I suggest you to use KZ shampoo every day.
Doctor:avoid combing of wet hair.
User:I guess i had used that shampoo you had mentioned ..
User:But say if i take bath in the morning .. by evening the itching creeps in and becomes worse
Doctor:Yes, start it again but everyday and also every week you have to follow this method of hair wash.
Doctor:First wet your hair with water and apply any mild shampoo over the hair. do not do deep massaging of the scalp and just apply on the hair.
Doctor:keep it for 10 to 15 mins.
Doctor:after that wash it with water.
Doctor:once done this apply KZ shampoo this time on the scalp.
Doctor:apply well over the scalp and keep it again for 10 to 15 mins.
Doctor:this will help in cleaning the scalp well.
User:can you please suggest one mild shampoo .. affordable ..
Doctor:Try this method once in every week, if you feeling the itching has not reduced then you can try it twice in a week.
User:most of the market ones i have found too harsh for my hair .. generating hell lot of foam
Doctor:You can use dove shampoo.
User:doc .. most of the shampoo has SLED
User:SLES
Doctor:or vatika or any herbal shampoo
User:I have heard its extremely hazardous
Doctor:You can go for herbal shampoos or sikhakai shampoo.
User:any kind of shampoo available in market or stores that absolutely doesnt have any chemicals ?
Doctor:herbal shampoos like shikakai should be helpful. I donot have much regarding the brand but you can search in baidyanath or any ayurvedic stores
User:Do you suggest some more powerful shampoo instead of KZ ???
Doctor:KZ is a good antifungal drug.
Doctor:this should be enough. If the way used is right.
Doctor:Try and observe for improvements.
User:do i just apply it or message after applyuing ?
Doctor:Once in a week as explained before and rest of the days as normal wash but keep it for 10 to 15 mins.
Doctor:Minoxidil lotion 5% twice a day over the bald areas
Doctor:This has to applied everyday without fail for atleast 6 months or so.
Doctor:It might be required for longer time.
User:i mean how to apply KZ shampoo
User:?
User:like i use normal shampoo ?
Doctor:Yes, as explained before if your washing everyday then as normal shampoo and as explained before once in a week with a mild shampoo.
User:I do wash my hair everyday ...
User:So i should be using 6 days just KZ shampoor and 1 day KZ + mild shampoo ?
Doctor:Yes, use kz shampoo everyday and once in a week apply any mild shampoo first and then kz shampoo with scalp massage.
Doctor:follow this for 6 months and observe for improvements.
Doctor:along with minoxidil lotion too.
Doctor:Any heat boils again do not scratch.
Doctor:use bandenna or any coverings on your hair if you use helmets.
Doctor:do not comb wet hair.
Doctor:Hope you have followed the measures I have explained.
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