I am 23 year male. I have dandruff problem for last 4 year. Now hair are falling n greying also. Have taken 2, 3 types of treatment but no result. What should I do?

Dr. Tapan Kumar BhattacharjeeGeneral Physician44yrs exp

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What treatments you have taken? would help me better. However, read what I am writing, carefully. Dandruff is a common scalp disorder affecting almost half of the population at the post-pubertal age and of any gender and ethnicity. It often causes itching. It has been well established that keratinocytes play a key role in the expression and generation of immunological reactions during dandruff formation. The severity of dandruff may fluctuate with season as it often worsens in winter. Most cases of dandruff can be easily treated with specialized shampoos. There is, however, no true cure. Those affected by dandruff find that it can cause social or self-esteem problems, indicating treatment for both psychological and physiological reasons. So my number 1) suggestion - don't get upset. 2) medicines and action you need to undertake: a) shampoo your hair with a good shampoo of reputed company like l'oreal for'total repair. We should not write any brand name, neither I am a brand ambassador of this company. Any shampoo contains two thing basically i) cleaning agent (soft soap/soft detergent) and ii) conditioner. Now if I want to be too honest I shall have to do injustice to you. You shall have to go for shampoo hunting. Now a days a better thing is sachets of almost every brand. So for test these sachets are money saver to find out a personal preference and suitability. I am using that shampoo and found it better, so I recommended for you. Shampoo daily. It does not cause harm. B) dandrop lotion (ketoconazole/zinc pyrithinone) / if not available zole f (skin) lotion (miconazole- 2% lotion) - (how to apply? - put 2 / 3 drops on an area of scalp and rub and spread over area that can be covered by that much. Then again put 3/4 drops in next area and rub on the skin. In such a way apply all over the scalp area. Do not apply so much that it drips. It won't have any extra benefit. You need not apply on hair to soak it. Only only that much amount, needed to cover the scalp skin. After application comb your hair to set in your own fashion. It is for external use only. Do not apply to any cut, broken, or burnt skin, and avoid applying to near to your mouth, eyes, nose, or ears. Wash your hand with soap water after application.) - dose - apply on scalp in the evening daily for 10 days. Then every alternate days for 15 applications (that means 1 month). Then twice a week for 1 month. Then as and when required. Maintain personal hygiene - keep your comb, hairbrush, towel, pillow cover separate. None should use yours, you should not use others. 

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