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 dandruff and hair fall along with grey hair.

In view to help you best I request you to kindly provide certain details :

- Since how long you have all these problems.

- How many hair fall everyday.

- Do you find hair on your bed, pillow or bathroom.

- How many of grey hair are present. Are these present in beard too.

- DO you see dandruff regularly or off and on.

- Your occupation and daily routine with dietary routine.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
Dandruff, hair fall and greying: various suggestions and guidance.

Detailed Answer:
Hello young fellow,

Welcome again to the forum and thanks for posting your details of the affected area.

I can understand your concern for the problems related to hair. As a young man you are quite worried about all the things related to your scalp.

After reading your query I can make out three basic problems- one is hair-fall and the other is dandruff or also known as Pityriasis capitis and last but not the least of grey hair. All of these problems are quite common in your age group persons.

Now taking all the problems one by one:

FOR THE PART OF HAIR FALL: It is quite common to find air fall in men which is known as "male pattern baldness" is most common cause of hair fall in young men like you.

This process of falling starts by 18-20 years and is highest in between the age of 20 to 30 years. I can see you are a young man of 20 years. So it is quite obvious that you can have the starting of this problem of hair fall just because of hormonal influence.

Other than male pattern baldness there can be falling of hair all over the scalp can occur after simple stress too !!!.

Nevertheless in hair fall poor diet contribute to increase the hair fall. SO you should eat healthiest of diet.


FOR DANDRUFF :

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 scientifically known as “pityriasis capitis” is highest in twenties and thirties, then recedes by itself in later part of life. It is due to the fact that the renewal of skin and the fatty acid secretion in scalp is highest at this part of life. 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 GREYING OF HAIR- Our hair roots contains color forming cells known as melanocytes. These continuously secrete color into the hair shaft. During aging process after the age of 30-35 years these stops functioning in a skewed manner and accordingly the hair becomes grey slowly. If at all this process appears early or fast then we call it as Premature canities.

The exact cause has not been identified yet but we implicate genetical factors, nutritional factor and preceding illness and stress too to be important causes. Many times stress, dietary imbalance or any log term illness is considered to be an underlying important causes. Many a times the scalp hair color is basically genetically mediated so it depends on family pattern also in some persons.


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 you are using any conditioner also then to be used over the strands of hair only and not over the scalp skin. There is no difference of shampoos, the only part is to use good company shampoos such as Laureal or Tresemme shampoo. 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. Reduce your exposure to hot and humid climate with any consumption of spicy food.


For the prevention part of hair fall and greying- I first of all counsel my patient that hair fall and graying of hair is not a disease entity.

I counsel my patients to take vitamins in the form of biotin, calicium pantothenate and other vitamin B complexes. Multivitamin tablets contains all these essential nutrients and zinc with above mentioned vitamins, so you can take it.

Additionally increase you protein intake on daily basis and eat sprouts. Eat a lot of green leafy vegetables and sprouts which contains vitamins and minerals necessary for normal hair function.

Recently a Hair Serum ( Q-SERA BLACK) is available. It contains Phytic acid, Amino acids, peptides & Acetyl Hexapeptide-1. This serum protects hair from UV rays causing structural damage i.e. internally & externally along with the prevention of graying as well as to prevent the falling if hair.

For the best results you should consult a dermatologist and take guidance so that long term use can be maintained.

Over all improve your diet with fruits and green leafy vegetables, stop any substance abuse and reduce your stress too!!!

I hope these information's will help you. If you have further queries I will be happy to help.

"Wish you good health and early recovery from the problem"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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