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Suggest Treatment For Oily Scalp, Excessive Sebum Secretions And Hair Fall

Posted on Sat, 27 Jun 2015

Question: I have an oily scalp. My scalp produces too much of sebum. As a result of this I am having hairfall. Whats the solution for this?

Answered by Dr. Ilyas Patel (15 minutes later)

Brief Answer:
Seborrheic dermatitis most probably

Detailed Answer:
Hi,

Welcome to HCM....

With little history I could conclude that most probably you may be having seborrheic dermatitis. I can understand your concern for hair fall which may be due to your scalp disease. Before, I guide you,I would like to have answers of few questions and photos of your scalp.

- duration of your problem?
- do you have itchiness,burning or discomfort?
- do have dandruff like flakes or scales on scalp?
- how much hair fall you have?
- which shampoo and oil you use?
- do you have skin lesions elsewhere?
- do you have any other skin disease or systemic disease?
- do you take any medicine?
- what job you do? Stressfull or not?

Kindly answer above questions and post the photos of scalp...

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ilyas Patel (22 minutes later)

Hello Doctor, Please find the answers for your questins below.

- duration of your problem?
I am having this problem since 5years

- do you have itchiness,burning or discomfort?
I will have itchiness occassionally

- do have dandruff like flakes or scales on scalp?
Yes I have flakes on my scalp

- how much hair fall you have?
more than 30 strands. There is no growth of new hair

- which shampoo and oil you use?
I use daily clarifying shampoo. I used to use Ketoconazole 2% shampoo. But it increased the oilyness of scalp. So I stopped it. I dont apply oil to my scalp.

- do you have skin lesions elsewhere?
No

- do you have any other skin disease or systemic disease?
No

- do you take any medicine?
I take multi vitamin tablets

- what job you do? Stressfull or not?
I am a student. I dont do stressful work.

I dont know how to upload photos here

Answered by Dr. Ilyas Patel (15 hours later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi,

Welcome back...

Thanks for answers and photo. After reading answers, I deeply feel that you may be having seborrheic dermatitis. It is a chronic inflammatory skin disease occuring in seborrheic areas like scalp,eye brows,beard,paranasal areas,post auricular areas, chest,axillae and groin. In your case it is restricted to scalp only. The bad effect of the disease is increased hair fall and retarded hair growth. Exact cause is not known. Genetic tendency may be there. Yeast like mellassazia may be responsible. Stress and excessive sun rays exposure may be the triggering factors. You consult dermatologist for firm diagnosis and perfect treatment. Still, I would suggest as follow....

- antihistaminics like levocetirizine
- steroids in tappering dose
- antifungal like ketoconazole
- application of mild steroid with salicylic acid lotion like poridip S lotion
- shapoo daily with keyoconazole combined with salicylic acid like Salicia KT shampoo
- avoidance of triggering factors

I hope this would help you in managing your problem. Still,any query,you are welcome. Long term treat may be required.Have patience for the good result.

Thanks.

Dr. Ilyas Patel MD

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. Yogesh D