Scalp Itch and Hair Loss: A Student's Journey

My scalp itching issue?

Hello, I am currently a freshman in college and I am 20 years old.
I started experiencing hair loss issues over six months ago, which seemed to coincide with an itchy scalp.
However, I delayed seeing a doctor for 2 to 3 months.
My first visit was to a dermatology clinic on Jingguo Road, where the doctor diagnosed me with androgenetic alopecia.
Since there is no family history of this condition, I sought help from the Shuyunson Professional Hair Care Group.
After two months of treatment, my hair loss returned to normal, but the itchy scalp persisted (within a few hours after washing my hair, the itching would start again, and at times, I would itch even before finishing my shower).
During a scalp examination, the staff at Shuyunson noted that I had small bumps on my scalp, so I later consulted Dr.
Qiu Jianzhong at a dermatology clinic in Taoyuan.
The doctor diagnosed me with seborrheic dermatitis and prescribed topical and oral medications.
Initially, I focused on the oral medication, applying the topical treatment only for localized itching.
My condition improved, and I felt I was close to recovery.
However, during the fourth week of continuous medication (taking 2 to 3 packets daily), the itching worsened again, returning to its previous severity (after visiting Shuyunson, I used their shampoo, washing my hair every night, and upon waking in the morning, my scalp would itch again.
I would wash my hair with water or a small amount of shampoo, as instructed by the Shuyunson staff).
I returned to the clinic to inform the doctor that my condition had worsened, but the hair loss had not increased.
I also purchased Ren Shan Li Shu shampoo to use twice a week.
The doctor prescribed new medication, but after a week of taking it (2 to 3 packets daily), my condition did not improve and remained severe.
The hair loss increased again after using Ren Shan Li Shu (it did not alleviate the itching; I only felt a heavy sensation on my scalp as if it were numbed, but the itching persisted).

PS: I have poor sleep quality and almost dream every night.
Before I started experiencing these symptoms, I was affected by emotional issues, family discord, and life difficulties, which negatively impacted my mental health (however, these issues no longer trouble me).
My sleep schedule is maintained between 11 PM and 2 AM, and I do not have significant academic pressure.
Life difficulties include experiencing a car accident where my helmet sustained a minor impact (but I did not seek medical attention as my balance was unaffected).

Xiao Qiu, 20~29 year old female. Ask Date: 2006/05/06

Dr. Zheng Lizhen reply Dermatology

Hello, I don't quite understand what topic Xiao Qiu wants to inquire about.
This is a response from Dr.
Cheng Li-Chen, a dermatologist.

Reply Date: 2006/05/06

More Info

It sounds like you are going through a challenging time with your scalp itch and hair loss, especially as a college student. Let's break down your situation and explore the potential causes and solutions.

From your description, it seems that you have been diagnosed with androgenetic alopecia (male pattern baldness) and seborrheic dermatitis (脂漏性皮膚炎). Androgenetic alopecia is a common form of hair loss that is often hereditary, but it can also be influenced by hormonal changes and other factors. The fact that you do not have a family history of hair loss does not completely rule out this condition, as genetic predisposition can sometimes manifest in unexpected ways.

Seborrheic dermatitis is a skin condition that can cause red, flaky, and itchy patches on the scalp. It is often exacerbated by stress, hormonal changes, and poor sleep quality, which you mentioned have been issues for you. The itchiness you are experiencing could be a direct result of this condition, and it is not uncommon for individuals with seborrheic dermatitis to experience persistent itching even after treatment.

You mentioned that you have tried various treatments, including topical and oral medications, as well as specialized shampoos. While these treatments can be effective for many, they may not work for everyone, and it can take time to find the right combination that alleviates your symptoms. It’s also important to note that over-washing your hair or using harsh shampoos can sometimes irritate the scalp further, leading to increased itching and discomfort.

Here are some recommendations that may help you manage your scalp condition and hair loss:
1. Consult a Dermatologist: Since your symptoms have persisted despite treatment, it may be beneficial to revisit a dermatologist. They can assess your scalp condition more thoroughly and may suggest alternative treatments, such as medicated shampoos containing ketoconazole or ciclopirox, which are effective against seborrheic dermatitis.

2. Maintain a Healthy Scalp: Focus on gentle hair care practices. Use a mild, sulfate-free shampoo and avoid excessive heat styling or harsh chemical treatments. Regularly massage your scalp to promote blood circulation, which can be beneficial for hair health.

3. Manage Stress: Since stress can exacerbate both seborrheic dermatitis and hair loss, consider incorporating stress-reducing activities into your routine. Techniques such as mindfulness, yoga, or even regular exercise can help improve your overall well-being.

4. Improve Sleep Quality: Aim for a consistent sleep schedule and create a calming bedtime routine to enhance your sleep quality. Poor sleep can negatively affect your skin and hair health, so prioritizing rest is crucial.

5. Nutrition and Hydration: Ensure you are eating a balanced diet rich in vitamins and minerals that support hair health, such as biotin, zinc, and omega-3 fatty acids. Staying hydrated is also important for maintaining healthy skin and hair.

6. Monitor Your Hair Loss: Keep track of your hair loss patterns. If you notice significant changes or if the hair loss worsens, it’s essential to bring this to your dermatologist's attention.

7. Consider Psychological Support: Given the emotional toll that hair loss and scalp issues can take, consider speaking with a counselor or therapist. They can help you navigate any underlying emotional challenges and provide coping strategies.

In conclusion, while it can be frustrating to deal with scalp itch and hair loss, there are various avenues to explore for relief. It’s important to be patient and persistent in finding the right treatment plan that works for you. Don’t hesitate to seek professional help and support as you navigate this journey.

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