Understanding and Managing Dandruff

A Comprehensive Guide to Scalp Care and Treatment

Dermatology

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Last updated: Mar 24, 2025

What is Dandruff?

Dandruff is a common scalp condition characterized by white or grayish flakes of dead skin that appear in the hair and on shoulders. It affects up to 50% of the adult population worldwide.

Causes

  • Malassezia fungi: Naturally occurring yeasts that can overgrow
  • Seborrheic dermatitis: Oily, irritated skin
  • Dry skin: Especially common in winter months
  • Sensitivity to hair products: Reaction to certain ingredients
  • Poor hygiene: Infrequent shampooing
  • Hormonal changes: Can affect scalp oil production

Common Symptoms

  • Visible white or grayish flakes in hair and on clothing
  • Itchy scalp
  • Red or irritated skin on scalp
  • Oily patches on scalp
  • Mild to moderate scalp discomfort

Treatment Options

Over-the-Counter Solutions

  1. Medicated Shampoos containing:
    • Zinc pyrithione
    • Selenium sulfide
    • Ketoconazole
    • Salicylic acid
    • Coal tar

Lifestyle Changes

  • Regular hair washing
  • Proper scalp hygiene
  • Stress management
  • Balanced diet

When to See a Doctor

  • If symptoms persist after 4 weeks of self-treatment
  • If scalp becomes severely red or inflamed
  • If dandruff causes significant social embarrassment
  • If accompanied by severe itching or pain

Prevention Tips

  • Wash hair regularly with appropriate shampoo
  • Manage stress levels
  • Maintain a healthy diet rich in zinc, B vitamins, and omega-3s
  • Avoid hair products that irritate your scalp
  • Use sun protection for your scalp

Long-term Management

  • Rotate between different anti-dandruff shampoos
  • Follow proper hair care routine
  • Monitor triggers and avoid them
  • Keep scalp clean and healthy

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