Suggest Treatment For Severe Hair Loss

Posted on Wed, 18 Jan 2017

Question: Hi I am trying to figure out why my hairs are falling with white bulb at the end. When I run my fingers through my scalp It gets itchy and I see small white sand like thing comes out. My hairs are falling too much without any reason. I dont have any hereditary of hair falling. Even my all basic blood reports normal. My hairs gets too much oily within a day so that I have to wash them. if I massage my hairs , too many hairs falls so that I get scared of doing massage as well. what is the solution to this problem?

Answered by Dr. R.G. Joshi (1 hour later)

Brief Answer:
Fungal infection probably,ketoconazole shampoo.

Detailed Answer:
Hi, thanks for writing to healthcare magic. I can understand your concern.

As per my opinion probable cause of hair loss is fungal infection.

Excessive oiliness of scalp and white flakes point towards fungal infection.

I will advise you to use a antifungal shampoo containing ketoconazole.Twice weekly application is recommended and it has to be continued for longer periods.This will reduce oiliness and flakes.

Keraglo AD (ipca pharma) shampoo is one brand with good results.

You can also take oral supplements containing biotin and calcium like BTN Ultra(zydus).

Use this treatment for a month and please let me know your progress.

I hope this will help you.In case of any concern i will be happy to help you..

Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. R.G. Joshi (2 hours later)

Thank you for replying. I dont think it is flakes it is sand like crusty balls which comes out many times at the end of hair strand. if I try to itch scalp gets so intense itching I dont try scratch it. I have used coaltar shampoo but my scalp gets too dry and itchy. Please advise.

Answered by Dr. R.G. Joshi (2 hours later)

Brief Answer:
Peidra,head lice nits,stop coal tar shampoo.

Detailed Answer:
Hi, thanks for follow up.

Sand like crusty balls can be seen in peidra. It is a fungal infection of hair shafts.

Other possible cause is nits of head lice. However it seems to be uncommon at your age.

Instead of coal tar shampoo,it will be better to use ketoconazole shampoo. You may also take oral antihistamine tablets like cetrizine in case there is severe itching.

I will also advise you to take healthy diet to improve your immunity.

Stop any hair colors and other hair products like hair creams and gel.

I hope this will help you.Please feel free to ask if you have any concern.

Thanks.

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. Nagamani Ng