Suggest treatment for severe dandruff
but not yet see any good results... I wanted to know I m taking right medicine for past one year ? and also pls suggested to me to complete removal for dandruff....I feeling bad about this dandruff.... does any scanning too find out exactly wht happen on my scalp? this is what kind of disease on my scalp? pls help me nd your advice
Treat dandruff as advised, continue previous treatment.
Hello sir and welcome to HCM
I'm Dr Dinah and I'll be answering your queries today.
I have gone through your images, and also previous complaints. You seem to be suffering from a severe long case of seborrheic dermatitis or dandruff of the scalp. You must also note that oily scalp and dandruff gets easily infected with fungal infections, that is why it is necessary to take the antifungal medication as well.
I have noted your current medication. The capsules and hair oil are mainly to reduce hair fall and help new hair growth. But the cause of your hair fall must be treated first.
For the dandruff, please continue an antidandruff shampoo regularly at least twice a week, such as Arcolane or Nizoral. After bath apply antifungal-steroid cream like Keto-B regularly for around 2 weeks till the rashes heal. The shampoo must be continued atleast once weekly even after healing, to prevent it coming back, as your skin is oily and prone to dandruff. It is your skin type and it may reduce with age. Avoid oiling scalp or applying gels, styling products. Keep hair clean and dry and try to avoid pollution. it may also be affected by weather/climate change etc.
Continue your other medication to help with hair growth.
Other fungal tablets can be considered later if needed.
If your condition is not getting better, and there are very thick areas, leaving white scars, you must visit a dermatologist to check if it is just dandruff or fungal infection, or to rule out other similar diseases on the scalp like psoriasis, other sun sensitive conditions. But do not worry, they will advise you such skin tests after examining, if they feel it is necessary.
Start with this treatment. Be sure to re check with a doctor regarding the improvement in 2 weeks, to advise regarding further treatment and definite diagnosis.
Do get back to me regarding any doubts or clarifications you have. Hope this helps you.
Continue the treatment as advised with regular follow up.
Thanks for getting back to me and thank you for the kind feedback.
I have gone through your treatment advised. You can continue the tablets and application as advised by your doctor. Do review with him after 2 weeks to check the improvement. He may extend the tablet course further. Follow his advice. Once the active disease cures you can easily keep your scalp clear by avoiding oiliness and using the antidandruff treatment at intervals.
In case you get new rashes that are spreading or red and itchy at any time, you can apply the Keto-B cream for 5-7 days till it reduces. Other wise it is not necessary.
There is no particular diet to avoid but eat healthy, lot of fluids and fresh foods. Avoid very oily or fried foods often.
Once this is corrected, you can start the hair fall treatment. Remember the other causes for hair fall too such as stress, pollution, genetic or family history, poor diet, fever illness, low iron or hormonal problems like thyroid. You can ask your doctor about checking for these tests later, in case hair growth does not improve.
Hope this helps you. Do not worry, be patient. It takes time to improve and can be irritating as it sometimes comes back easily.
But regular care will go a long way.
take care. Contact me for any further clarifications.
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