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How to manage severe hair fall?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing severe hair fall. When a hair falls out, I notice a white substance at its root. Can you tell me what that is? Is it dandruff?

Kindly suggest.

Answered by Dr. Vinay Kumar

Education:

MBBS

Professional Bio:

Dr. Vinay Kumar is a Dermatologist with extensive years of clinical experience, specializing in Cosmetology, Venereology, and Microbiology. He is skilled in diagnosing and treating a wide range of conditions affecting the skin, hair, and nails. His expertise extends to managing cosmetic concerns with advanced techniques for improved appearance. He also addresses sexually transmitted infections and related disorders, offering comprehensive dermatological care with a focus on both health and aesthetics.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have noted your concerns, and this most likely appears to be due to telogen effluvium, a condition that causes hair fall. In this condition, there is a loss of scalp hair across its entire length from all areas of the scalp. The whitish, bulb-like substance you see at the root of the strands is a shrunken hair root. While a healthy hair root is active and thick, it shrinks when the hair is shedding. There are several ways to manage this condition:

  1. Avoid brushing your hair when it is wet.
  2. Refrain from massaging the scalp or using harsh chemicals.
  3. Take biotin supplements, as they help the majority of patients.
  4. Correct anemia and maintain a healthy diet.

Finally, be patient, as this disorder takes several weeks or months to resolve. In general, it responds well to appropriate measures.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Nithila. A
Published At September 2, 2019
Reviewed At May 17, 2026

Education:

MBBS

Professional Bio:

Dr. Vinay Kumar is a Dermatologist with extensive years of clinical experience, specializing in Cosmetology, Venereology, and Microbiology. He is skilled in diagnosing and treating a wide range of conditions affecting the skin, hair, and nails. His expertise extends to managing cosmetic concerns with advanced techniques for improved appearance. He also addresses sexually transmitted infections and related disorders, offering comprehensive dermatological care with a focus on both health and aesthetics.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vinay Kumar is a Dermatologist with extensive years of clinical experience, specializing in Cosmetology, Venereology, and Microbiology. He is skilled in diagnosing and treating a wide range of conditions affecting the skin, hair, and nails. His expertise extends to managing cosmetic concerns with advanced techniques for improved appearance. He also addresses sexually transmitted infections and related disorders, offering comprehensive dermatological care with a focus on both health and aesthetics.

This doctor is not available for online consultations on the platform anymore.

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