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Suggest Treatment For Severe Hair Fall

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Posted on Sat, 15 Nov 2014
Question: Hello Doctor,
From the past few weeks (2-3 weeks) I am having unusually high hairfall. whenever I comb my hair, the floor gets filled with hair that broke loose from my scalp. I am scared to brush my hair too. Same happens when applying oil and while shampooing my hair.
I use ayurvedic brahmi oil with coconut oil and castor oil (after warming) for massaging my hair, night before shampooing. I have dry frizzy hair which starts becoming oily only after 3 days of shampoo. I am having dandruff also, which is moderate. Currently I am using Loreal 6 oil nourish shampoo and conditioner.
Please suggest me good products/remedies to control my hairfall as the products available in the market are very much biasing.
doctor
Answered by Dr. Hardik Pitroda (40 minutes later)
Brief Answer:
Minoxidil, Hair serum

Detailed Answer:
Hello XXXXXXX
Thank you for posting on HCM.
I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.
From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to stress.
If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.
I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc).
Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.
Additionally, it seems you are suffering from Seborrheic dermatitis,which cause flaking of scalp and secondarily leads to hairfall and thus its important to treat it first hand. I would recommend you a short course of oral antifungal drugs like ketoconazole/itraconazole and a lotion containing clotrimazole and betamethasone twice a day over scalp for few weeks.
Use a medicated shampoo containing ketoconazole and salicylic acid twice a week . Take antihistaminics as required for itching. Avoid excessive use of hair oil.
I would advise use of gentle shampoo and conditioner on regular basis.
Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.
Hope your queries are resolved and wish you best of health.
Thank you
Dr Hardik Pitroda
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Hardik Pitroda

Dermatologist

Practicing since :2010

Answered : 1489 Questions

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Suggest Treatment For Severe Hair Fall

Brief Answer: Minoxidil, Hair serum Detailed Answer: Hello XXXXXXX Thank you for posting on HCM. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc. From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to stress. If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma. Additionally, it seems you are suffering from Seborrheic dermatitis,which cause flaking of scalp and secondarily leads to hairfall and thus its important to treat it first hand. I would recommend you a short course of oral antifungal drugs like ketoconazole/itraconazole and a lotion containing clotrimazole and betamethasone twice a day over scalp for few weeks. Use a medicated shampoo containing ketoconazole and salicylic acid twice a week . Take antihistaminics as required for itching. Avoid excessive use of hair oil. I would advise use of gentle shampoo and conditioner on regular basis. Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life. Hope your queries are resolved and wish you best of health. Thank you Dr Hardik Pitroda