Hair Loss and Itchy Scalp? Find Expert Solutions Here!

Hair Loss and Itchy Scalp? Find Expert Solutions Here!
Published on, 04 June, 2024. Answered by Dr. Anna Chacon and Verified by Dr.Galen Team
Patient Question

Hello Doctor,


I am having a problem with hair loss, and my scalp is very itchy and dry. I also have a lot of dandruff, which makes me very uncomfortable. I have tried using different shampoos and conditioners, but nothing seems to help. I think I might have seborrheic dermatitis because I read about it online, and my symptoms seem to match. My scalp is often red and has scaly patches. It’s very frustrating because it affects my daily life, and I’m worried about my hair continuing to fall out. Can you please advise me on what might be causing these symptoms and what I can do to treat them?


Answered by Dr. Anna Chacon


Thank you for reaching out to Dr. Galen. Please find the below response to your query.


I'm sorry to hear that you're experiencing these troubling symptoms. From what you've described, it does sound like you might be dealing with seborrheic dermatitis, which is a common condition that affects the scalp. This condition can cause scaly patches, red skin, and persistent dandruff. It can also lead to hair loss if the scalp is very irritated. However, please remember that a definitive diagnosis can only be made after a thorough examination by a healthcare professional.


Here are some general recommendations for managing seborrheic dermatitis and the associated symptoms you're experiencing:


Over-the-Counter Shampoos: Using shampoos that contain ingredients like ketoconazole, selenium sulfide, zinc pyrithione, or coal tar can be very effective in controlling the symptoms of seborrheic dermatitis. These shampoos can help reduce dandruff, relieve itching, and improve the condition of your scalp. You might need to try a few different products to see which one works best for you.


Topical Steroids: In some cases, a healthcare provider might recommend a topical steroid to help reduce inflammation and soothe the irritated skin on your scalp. These medications can be very effective, but they should only be used under the guidance of a healthcare provider to avoid potential side effects.


Avoid Scratching: As difficult as it might be, try not to scratch your scalp. Scratching can make the symptoms worse and can lead to secondary infections. Keeping your nails short and using an anti-itch lotion can help minimize the urge to scratch.


Lifestyle Changes: Consider making some changes to your hair care routine and lifestyle. Avoid using harsh hair products and treatments that can irritate your scalp. Opt for gentle, fragrance-free products. Additionally, stress can trigger or worsen seborrheic dermatitis, so practicing stress management techniques like yoga, meditation, or regular exercise might help reduce flare-ups.


Regular Follow-ups: Seborrheic dermatitis is a chronic condition that can come and go. Regular follow-ups with your healthcare provider are important to manage the condition effectively. They can adjust your treatment plan as necessary to ensure the best possible outcomes.


Please schedule an appointment for a thorough examination and to discuss these symptoms in more detail. During the appointment, your healthcare provider can provide a personalized treatment plan based on your specific needs. Be sure to mention all the treatments you've tried so far, as this information can help inform the best course of action for your care.



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