What Causes Itchy Scalp Along With Dandruff?

Posted on Mon, 20 Nov 2017

Question: Hi, I am suffering from hairfall for 3-4 years now. The bald portions are in the crown and temple area (pics attached). I also have dandruff and itchy scalp which doesn't go with normal shampoos (head&shoulders, Pantene etc). I had visited a doctor a year ago and was under Minoxidil and Finasteride for about 6 months, but nothing worked. Hairfall is constant. Kindly, guide what I should do now. My hairs are a bit curly so the bald portions could not be covered. Please let me know looking at the pics of my scalp if PRP treatment would help.

Answered by Dr. Dr. Rahul Kumar (51 minutes later)

Brief Answer:
PRP is not useful

Detailed Answer:
Hello
Thanks for the query.
PRP is a temporary treatment and hairfall is in control only till the time you take treatment.
In my opinion hair transplant would be better option.
You can use ketoconazole shampoo to control dandruff.
I could not find any attachment.
Please upload the photographs.
This will help me in giving a closer diagnosis.
Waiting for your response.
Thanks

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (32 minutes later)

Thanks Doctor. I have attached the photographs in the reports section.

Answered by Dr. Dr. Rahul Kumar (17 hours later)

Brief Answer:
Hair transplant would be better

Detailed Answer:
Hello.
Thanks for the follow up and photograph.
You can go for hair transplant and continue using minoxidil.
This combination will help you.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Rahul Kumar (25 hours later)

Thanks Doctor.

Can you please tell me how worse is my hair condition right now. Is transplant only option left for my hair.

Answered by Dr. Dr. Rahul Kumar (22 hours later)

Brief Answer:
10 % minoxidil

Detailed Answer:
Hello
Thanks for the follow up.
In your case minoxidil should be helpful.
However as you mentioned it is ineffective for you I suggested transplant.
You can try 10 % minoxidil for 6 months and see results before going for transplant.
Hope this helps.
Let me know if you have any other doubts.
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