Brief Answer:
Kindly send details of the condition.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the hair fall problem. In view to help you best I request you to kindly provide certain important details :

- Since how long you have this hairfall problem.

- How many hair falls every day.

- Do you see bald areas on front and sides of scalp.

- Do you see hair on your pillow or on bathroom floor.

- Your occupation with your daily and dietary routine.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
"Male pattern baldness" medically known as Androgenic alopecia.

Detailed Answer:
Hello,

Welcome again and thanks for posting your details.

After analyzing all the facts provided I can get that you have the condition known as "male pattern baldness" medically known as Androgenic alopecia.

Before I directly come to you concern let me explain you some medical facts regarding your problem.

We have almost 1 lac hair on our scalp and amongst them around 5% of hair are in falling phase and then another 0.1% (around 100) of hair can fall everyday. In males this is super-added with hormonal influence of testosterone hormone ( the male hormone) which we call as "male pattern baldness". This also depends upon genetics- meaning type and pattern of hair your family pattern (from your father and mother's side).

This process of falling starts by 20 years and is highest in between the age of 20 to 30 years. In some persons it can be variably high or low at different ages as per their own genetic tendency. I can see you 40 years and at this age it is though unusual but not uncommon to find this male pattern baldness. So it is quite obvious that you can have this problem of hair fall just because of hormonal influence.

So, as I said earlier your problem is basically Androgenic alopecia or simply saying male pattern baldness. It affects mainly frontal and parietal region of the scalp as in your case too where I can see baldness over these region. The temporal and region is rarely affected and occipital region is never affected in this condition. So the most important thing is not to be worried about this normal physiological age related men's problem.

Now regarding the part of treatment:

There are innumerable products in the market claiming to be useful for hair growth. We dermatologists unanimously believe in application of Minoxidil lotion. It is one product which is commonly used by all dermatologists. It is to be started with 2% lotion applied over the scalp once or twice in day. It is to be applied when the scalp is dry. Only 1 ml is sufficient to be applied at the root of hair in frontal region. If for one month there is no burning and irritation then we increase the percentage to 5 % to 10% gradually. The same we do to taper off the medicine. That means we do not stop the medicine at once and gradually taper it off to 5% and then 2% and then alternate day or off and application of lotion before stopping it completely.
So getting by above information you can comprehend that you have been provided one of the best treatments. It takes minimum of 3 -6 months to see results and accordingly we increase the concentration of the Minoxidil lotion.

I would like to suggest you to have a good nourishing diet along with all the medicines because that is quite very helpful in retaining the hair and maintaining it better.

FOR DANDRUFF AND HAIR ROUTINE:

Scientifically and medically our skin is a multiple layered structure. Our skin gets renewed every day. The layer which is present on the top today will be fallen off tomorrow. It will not be present tomorrow and would be dead skin in form of scales. This process is not actually visible on normally. So we can say we are just one day old from our skin most superficially.

Now in some persons it is renewed at a faster pace. Because of hygiene and scalp hair this dead skin in form of scales gets entangled and trapped in form of visible of scales known as dandruff. It varies from person to person and also on other of factors which makes the difference inter-individually.

Coming on to your problem which is due to the fact that the renewal of skin and the fatty acid secretion in scalp is high in some persons. So there is a tendency to grow fungus as well which makes the flaking more perceptible. There are no such important predisposing factors except for few which can make the situation worsened such as individual's own tendency to renew the skin, application of hair oil and environmental factors.

We can not change our own tendency to renew the skin but the personal measures of hygiene as well as the environmental factors can be modified.

For the remedy part follow the things below:

1.Wash your scalp daily. I guide my patients to wash twice in a single bath. It means when you are washing your scalp apply first time shampoo for washing the hair part only, then rinse it off immediately with water. Reapply the shampoo again immediately, leave it for around 5 minutes, do a good gentle massage by your fingers for around 2 minutes and then wash it off. By doing so for around 7 days you will get good benefit.

2. Stick to one good shampoo which is suiting your hair, don’t change the shampoos frequently. IF the dandruff is too high then you can use any medicated shampoo containing Ketoconazole in it.

3.Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp.

4.Comb your hair at least 3-4 times a day and most importantly at night time so that the dust particle and other of dead skin is taken off.So for betterment of high oil secretion the only good solution is daily washing with any good shampoo.

Hope above information will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kanodia

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