I am facing an issue where I feel like itching my scalp sometimes due to irritation, along with white patches are visible from btwn the hair. I can also see flaking and white powder like crusts falling off my hair. I have used anti dandruff shampoos like medicated ones (keraglo and trigaine ad). But both didn't help much. Can I please get any suggestions on this.

Dr. Sabana AnsariTrichologist13yrs exp

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Hello! a proper scalp examination will rule out the condition you are suffering. There are many conditions which causes itching, flakes. The white patch is the symptom of psoriasis. Seborrheic dermatitis, scalp eczema too cause flaking and itching resulting reddish bumps due to inflammation. You may need oral medication as well as topical application of ointment if the condition is not improving. These medications are anti fungal lotions and mild corticosteroids to relieve inflammation. You may need to switch between types of shampoos because sometimes they loose effectiveness. Best approach is to shampoo everyday and use anti dandruff shampoo twice a week. Apart from these managing stress, applying natural ingredients to moisturise your scalp with almond oil or aloe vera an hour or two before shampooing, mixing tea tree oil in shampoo will be helpful. For details of further treatment consult online.  

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