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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Hair loss, DHT, aloepacia, white dust when scratch scalp with finger tip

I am Ismath Khan 23 yrs old.I have Severe Hair loss .I consult Dr Bathras They Told Its DHT and i consult dermatalogist he told it is aloepacia.i Confuse with this.I loss two side of head hairs.I have severe loss when i take bath.when i touch my scalp hair with finger tip of nail i got white dust in my nail tip and also small hairs.I think some dandruff on my head and little bit itchy.Which shampoo and oil is best for overcome this problem and diet also please suggest me a good solution.i am using dabur amla oil.and head&shoulders shampoo
Wed, 30 May 2012
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General & Family Physician 's  Response
Thanks for your query.

I will try my best to provide you with best possible professional recommendations to your questions.

The course of typical alopecia is not predictable with a high likelihood of spontaneous remission. The longer the period of time of hair loss and the larger the area involved, the less likely the hair will regrow. Therefore, there are a variety of treatments, but none of these can confidently be predicted to impact the course of this disease.

Treatment options are Minoxidil solution is a non-prescription medication approved for alopecia. Hair regrowth can take 8 to 12 months. Treatment is continued indefinitely because if the treatment is stopped, hair loss resumes again.

Other options like 5 alfa reductase inhibitor, anthralin, steroids can be used.

Treatment of dandruff is directed at fighting the skin inflammation. Shampoo's containing tar, salicylic acid, zinc pyrithione, selenium sulfide, ketoconazole can be helpful, All are available over the counter. You can use any of these either all of the time or just once or twice a week, depending on how severe your symptoms are.

Additional types of medication that help seborrhea are cortisone creams and antifungal creams.

Yet again, I do hope that you have found something helpful and I will be glad to answer any further query.

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Dermatologist Dr. Puvvula Kishore Kumar's  Response
Hi...dear ismath..,
Thanks for choosing HCM.,
Hair loss...Alopecia or DHT are same terms implies..,
loosing of hairs..,
Hair loss are due to....genetic, unhygieneic, Nutritional deficiencies..,
Chronic debilitated conditions, on medication and chronic fevers.,
So multiple factors are involoved here..,
evaluation and follow the treatment carefully..,
1) Treat the cause..,
2) Tab Biotin combination medicines daily morning times after breakfast..,
3) Topical application of Minoxidil and Aminexil lotion daily night times..,
4) Ketaconazole shampoo...once in 3 days..
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