How to deal with excessive dandruff and itching

Jul 16, 2024 Source: Cainiu Health
Disease description:

I am 28 years old. Recently, I suddenly noticed a significant increase in dandruff. It remains even after washing my hair, and my scalp is very itchy. I would like to ask the doctor, what should I do about excessive dandruff and itching?

Doctor's answer (1)
Dr. Wang Xiaoyan
Increased dandruff accompanied by itching may indicate dandruff dermatitis or seborrheic dermatitis. This condition is usually caused by excessive growth of Malassezia, a fungus that normally resides on the scalp. However, when it grows out of control, it can cause excessive sebum production, leading to inflammation and flaking. The following are some measures for relief: 1. Use anti-dandruff shampoo: Choose shampoos containing antifungal or anti-inflammatory ingredients, such as products containing ketoconazole or salicylic acid. These shampoos help reduce dandruff and relieve itching. 2. Avoid frequent shampooing: Overwashing can strip the scalp of its natural oils, making it drier and more sensitive. Try to reduce the frequency of shampooing and avoid using excessively hot water. If your hair feels oily, consider dry shampooing or using a mild shampoo. 3. Gently massage the scalp: Use the pads of your fingers to gently massage the scalp while shampooing, which helps clean the scalp and promote blood circulation. However, avoid overstimulating the scalp. 4. Avoid scratching or rubbing the scalp: Although itching can be uncomfortable, scratching or rubbing the scalp may worsen dandruff and inflammation. Avoid scratching the scalp with your fingernails to prevent injury. 5. Keep the scalp clean and dry: Maintain a clean and dry scalp to prevent the buildup of oils. Use a soft, clean towel to gently pat the scalp dry. 6. Follow medical advice for medication: If the above measures do not provide effective relief, treatment with medication under a doctor's guidance is usually recommended.