If you’re dealing with an itchy, flaky scalp and noticing more hairs than usual in your brush, it’s natural to connect the two. Seborrheic dermatitis is a common skin condition that causes redness, greasy scales, and stubborn dandruff. When this inflammation takes root on your scalp, the question becomes urgent: is it causing my hair to fall out?
The good news is that seborrheic dermatitis itself does not directly destroy hair follicles. The bad news is that it can absolutely lead to temporary hair loss. The process is usually indirect, but the result can be just as distressing.
The Real Reason Your Hair Might Be Shedding
Hair loss from seborrheic dermatitis typically happens for a few key reasons. The intense itching often leads to scratching, which can damage hair follicles and break hairs at the root. Furthermore, the buildup of scale and inflammation can clog follicles, disrupting the natural growth cycle and leading to a type of shedding called telogen effluvium. In severe, long-term cases, the constant inflammation can even potentially lead to scarring, which can affect hair growth permanently, though this is less common.
How to Soothe Your Scalp and Protect Your Hair
Managing the condition is your primary defense against hair loss. The goal is to control the inflammation and reduce scale buildup. Here are some practical steps you can take:
- Use a Medicated Shampoo: Look for over-the-counter options containing ingredients like ketoconazole, selenium sulfide, salicylic acid, or coal tar. Use them as directed, allowing the lather to sit on your scalp for a few minutes before rinsing.
- Be Gentle: Avoid scratching, no matter how strong the urge. Scratching worsens inflammation and can physically break hairs. Instead, try gently massaging your scalp with your fingertips when washing.
- Limit Harsh Treatments: While you manage a flare-up, it’s wise to avoid harsh chemical treatments, excessive heat styling, and tight hairstyles that can add more stress to your scalp and hair.
When to See a Doctor or Dermatologist
If over-the-counter shampoos aren’t providing relief after a few weeks, or if your hair loss is significant, it’s time to seek professional help. A dermatologist can provide a precise diagnosis, rule out other conditions, and prescribe stronger topical treatments or solutions to get the inflammation under control effectively.
While seeing hair in the drain can be alarming, remember that hair loss related to seborrheic dermatitis is often temporary. By focusing on calming the inflammation and treating the root cause of the irritation, you can create a healthier environment on your scalp, allowing your hair the best chance to recover and grow back.