I have extreme hairfall along with painful boils and dandruff. Please suggest solution.

Hi,

Welcome to icliniq.com.

I can understand your concern.

I went through all your pictures (attachments removed to protect the patient's identity), investigation, and detailed history. Recurrent boils on the scalp can be a continuous problem for many people. It can also be a pre-runner for seborrheic dermatitis. Minoxidil should not be used irregularly. Once started with Minoxidil, the result will be obvious only after six months and you should not stop in the middle. Otherwise, it will be followed by severe hair fall. Your vitamin D level is low, but you are already on medication. Hemoglobin is also very low.

Please start taking iron supplements along with fresh vegetables, dates, and fruits rich in iron. Keep your dandruff under control. Continue taking the multivitamin tablets BTN Forte (Biotin forte) and Revital. For iron, take the supplement Zincofer tablet daily. I suggest you start taking the capsule Microdox-LBX (Doxycycline and Lactic acid bacillus)100 mg once a day for two weeks. Do not scratch the area. Use Ketoconazole and Zinc pyrithione (Scalpe) shampoo. Dilute it with water, and make sure that there is at least 10 minutes of contact with the scalp. Then wash it off. Second-line antibiotics are to be changed only step by step.

I hope this helps. Do get back if you have any further queries.

Thank you.

Hello,

Welcome back to icliniq.com.

Glad to have you back.

Yes, all medicines have to be taken after food only. It will take a minimum of three months to get your hair fall under control. Tablets will not stop the hairs that are already affected and falling now. It is only to induce new hair growth in the area of hair fall. Raise and maintain your hemoglobin level above 12.

Thank you.

Hi,

Welcome back to icliniq.com.

Please continue taking the other tablets for two months continuously. Also, take iron-rich foods and vegetables. I suggest you take the tablet Ambroxol and Loratadine (Alaspan) once a day for four weeks starting today. Do not scratch the area. Give rest to the scalp and wash your hair on alternative days. Continue using Ketoconazole and Zinc pyrithione (Scalpe) shampoo. After two weeks, give rest for the tablet Microdox-LBX (Doxycycline and Lactic acid bacillus- two weeks from now). Start taking the tablet Minoz Od 50 or MI 50 (Minocycline) once a day for two weeks. This antibiotic works in a different way to control your boils. Kindly get back for review after one month.

I wish you good health.

Thank you.

Hello,

Welcome back to icliniq.com.

You have finished the Microdox-LBX course. So, give rest for two weeks. Then, start taking the tablet Minocycline (Minoz). Minoz plain is fine and you can take it for two weeks. Start taking a tablet of Ambroxol and Loratadine (Alaspan) from today once at night.

I hope I have resolved your queries. Do get back if you have any further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Please give rest. All the hairs affected by boils will fall. New hair will have to grow in that area. I suggest you continue taking the hair supplements along with BTN Forte and Zincofer for three months. Also, do the following:

1. Keep your body cool.
2. Drink lots of water.
3. Take fresh vegetables and fruits rich in iron.
4. Keep dandruff under control.
5. Use shampoo on alternative days.

I hope this helps. Do get back if you have any further queries.

Thank you.