Hair Loss, Dandruff and Itchy Scalp: What to Know

Flaking and itch can occur with Dandruff, Seborrheic Dermatitis or Scalp Psoriasis. Folliculitis may add tender bumps or pustules around hairs, while Head Lice can cause marked itch and scratching. Scratching, rubbing and inflammation can make hairs break or shed, but visible shedding does not identify one cause by itself. Patchy loss, broken hairs, crusting, pain or swollen areas deserve a closer look.

Use a gentle cleanser and avoid picking flakes, tight hairstyles, harsh chemicals and very hot water. A clinician may suggest Medicated Shampoo Treatment for dandruff-related inflammation; treatment depends on the scalp appearance. If lice are suspected, avoid sharing combs and ask about Head Lice Treatment. Photographing the scalp and noting when shedding, itch or flakes began can make an appointment more useful.

Arrange a dermatology assessment if hair loss is patchy or progressing, the scalp is painful, weeping, crusted or very inflamed, or symptoms continue despite gentle care. Seek prompt medical advice for fever, rapidly spreading redness, pus, or a child with significant scalp itch and broken hairs.

Ask which scalp findings suggest dandruff, psoriasis, folliculitis or lice; whether the hair is shedding from the root or breaking; and which shampoo or examination is appropriate. Mention new products, close contacts with lice, scratching, family hair-loss patterns and medicines.