Q. My hair becomes wet even without applying oil. I also have hair fall. Please advice.
Hello doctor,
I am a 30 year old male. My height is 155 cm and I weigh 63 kg. I am facing hair fall for one year. Now it is even more severe. Till last year, I was having dandruff problem also, but after mundan (hair tonsuring), there is not much dandruff but hair fall has not stopped. Below are the symptoms.
I used to wash my hair once in 3 days earlier. But within 2 days, my hair becomes wet even without applying oil. Because of that reason, nowadays, I wash my hair once in 2 days. Because of any reason, if I do not have a hair wash for 3 to 4 days, my head smells very bad and becomes wet. I do not know about my hair type, so I used to change my hair shampoo frequently between anti-dandruff and anti-hair fall. I got married four years back. Till that time, there was no hair loss and I had not observed any baldness. My father has baldness but, he got it at 40 years of age. But now, it looks like I am in the final stage of becoming bald. I have attached pictures of the same.
I travel to South Korea very frequently for a minimum of 3 months a year. This weekend, I am traveling to a foreign country, so I need to buy any medication for hair fall (if needed) before going. I want to know my hair type and remedies for hair fall.
Hi,
Welcome to icliniq.com.I have worked through your query and have understood your health issues. I have gone through the pictures (attachment removed to protect patient identity), I assure you not to worry.
This is the most common disease of men at this age. It is actually the male pattern baldness and you are lucky that you had noticed at such an early stage. It is stage 2 baldness and has just started.
- Wash your hair daily and use slightly warm water (not hot water). Use Stieprox Shampoo only.
- Sebum is the reason for oily feeling in the head. It is a glandular secretion. It will go away once you start daily shower.
- It is called androgenetic alopecia and does not matter when your father got started with it. What matters is you started early.
- Take Perfectil capsules (vitamin supplement with zinc) for hair, nails, and skin, once daily and continue till further order on follow up. It will give a glow to the skin and bulk to the hair.
- Apply Minoxidil 5% solution twice daily as directed on the package insert.
- Your scalp is looking like it has more sebaceous glands and hair type is silky thin.
- Size of hair is good. Do not have long hair. Trim it regularly. This will help stop hair fall.
Thank you doctor.
Shall I use the shampoo and capsules mentioned for 3 months and then further follow up with you after 3 months?
Hi,
Welcome back to icliniq.com. Yes, it will be fine. Start them right now and we shall review after three months. It will start the benefits slowly and may need a complete course of 6 months before full blown effects. So, do not worry if there is no visible change in 2-3 months. But, it is a must to have a follow up with pictures of the scalp in the next three months and if needed I will modify the treatment accordingly.
Revert back to a family physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/family-physician
Treatment plan:
As mentioned above in detail.
Preventive measures:Avoid Dandruff, dust, humidity in scalp.
Regarding follow up:Follow up in 3 months to see the effectiveness of the management or to see if any change of regimen is needed.
Hi doctor,
I checked some of the reviews about Stieprox shampoo. Many people reviewed that it is for dry hair. But, as per my knowledge, my hair is wet and thin. Can you please confirm about it? Thank you.
Hi,
Welcome back to icliniq.com.
People who are users of the products describe things differently; while professionals take the things based on clinical and scientific proofs keeping in mind whole the scenario and causes of the disease. Physicians also keep in mind how to cure the underlying cause of the problem that is not only due to a tropical disturbance but also has a disruption at the molecular and cellular level.
Your hair type does not matter when it comes to the dermatitis scalp problem. For example, a dry hair or a non dry one, both may have dandruff. We have to kill the cause through medicine, not to see the hair type. If we know the cause of the disease, we have to kill the cause and the disease will go away.
People think only dry skin type has dandruff. Dandruff may be due to an underlying scalp disorder irrespective of the skin type. You also used many anti-dandruff shampoos. Anyway, Stieprox (Ciclopirox Olamine) will handle your symptoms of head smells very bad if not washed your hair for 3 to 4 days. This smell is from fungal growth at microscopic levels and causes itch and smell that damages the hair follicles too and hair fall starts with receding hairline or top of the head baldness like you have.
You have to shampoo 3 times a week only. Other days of the week, only plain water bath, without shampoo. You also have the problem of androgenic alopecia additionally a cause of hair loss from the top of the head.
After a follow up I will see if you need some medicine to work at hormonal levels too or not. If you were not married, I would have prescribed that right away at first visit. But now we will take the others first, then we will decide how to proceed further.
The Probable causes:
1. Genetic.
2. Dermatitis.
3. Hormonal.
1. Stieprox shampoo.
2. Minoxidil 5%.
3. Capsule Perfectil (multivitamin).
1. Do not keep long hair. Trim timely.
2. Shampoo 3 times a week only.
3. Keep away from dry humid environment.
4. Take plenty of fluids.
5. Follow up with the progress and upload new pictures too.
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