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Hair Loss & Dandruff

Losing some hair every day is normal. When shedding increases or the hair thins, the cause is usually identifiable, and many types respond to treatment or recover on their own.

50โ€“100 hairs shed daily is normal Shedding after illness usually recovers Dandruff is controlled, not cured

Reviewed September 2026 · For information, not diagnosis

Freshly cut herbs and flowers on a work surface
On this page When to see a doctor How hair grows Types of hair loss Tests worth doing Treatment that works Dandruff The homeopathic approach What the research says Remedies discussed Find a homeopath Sources

๐Ÿšจ See a doctor soon if

  • The scalp in the bald area is red, scaly, painful, pus-filled or looks shiny and scarred — scarring hair loss is permanent unless treated early
  • A child has round, scaly patches of hair loss, broken hairs or swollen neck glands (possible scalp ringworm, which needs antifungal tablets)
  • Hair loss comes with tiredness, weight change, feeling cold, heavy periods, a rash or joint pains
  • You are a woman with thinning hair plus irregular periods, acne or excess facial hair
  • Hair is falling out after starting a new medicine — do not stop it, but tell the prescriber

Hair loss is rarely an emergency. But some types cause permanent loss if they are not treated early, and hair loss can be the first sign of another condition.

How hair grows

Each hair follicle cycles through a long growing phase (2–7 years on the scalp), a short transition, and a resting phase of about three months, after which the hair falls out and a new one starts. At any moment about nine in ten scalp hairs are growing, so losing 50–100 hairs a day — more on hair-wash days — is normal.

Hair loss becomes noticeable when many follicles switch to the resting phase at once, when follicles gradually shrink, or when they are attacked or damaged.

Types of hair loss

Common types of hair loss
TypeWhat happensOutlook
Pattern hair loss (androgenetic alopecia) Inherited sensitivity to androgens. Men: receding temples and crown. Women: widening parting. Slowly progressive. Treatment can slow or partly reverse it while it is continued.
Shedding after a trigger (telogen effluvium) Heavy shedding 2–3 months after high fever (typhoid, dengue, COVID-19), childbirth, surgery, crash dieting or major stress. Usually recovers by itself within 6–12 months once the trigger has passed.
Alopecia areata The immune system attacks follicles, causing smooth, round bald patches. Hair often regrows within a year; some people have repeated episodes.
Scalp ringworm (tinea capitis) Fungal infection, mostly in children: scaly patches with broken hairs. Needs antifungal tablets; creams alone do not reach the hair root.
Traction alopecia Long-term tight plaits, buns or extensions pull hair out at the hairline. Reversible if caught early; permanent if it continues for years.
Scarring alopecias Inflammation destroys follicles and replaces them with scar. Needs a dermatologist early; lost hair does not return.

Tests worth doing

A doctor will look at the pattern of loss and the scalp, and may suggest:

  • Ferritin (iron stores) and a blood count — iron deficiency is common in Indian women and worsens shedding.
  • Thyroid function (TSH).
  • Hormone tests if there are signs of PCOS.
  • Vitamin B12 or others only when diet or symptoms suggest a deficiency.
  • A scalp examination with a dermatoscope, and occasionally a small biopsy.

Biotin supplements only help hair if you are actually deficient, which is rare. High-dose biotin can also distort some blood tests, including thyroid and heart tests — stop it a few days before blood tests or tell the laboratory.

Treatment that works

  • Minoxidil lotion or foam for pattern hair loss in men and women. Results take 4–6 months; extra shedding in the first weeks is expected. Benefits last only while it is used.
  • Finasteride tablets for men with pattern loss, on prescription after discussing side effects. Other hormone treatments may help women, especially with PCOS.
  • Correcting deficiencies such as low iron or an underactive thyroid.
  • Alopecia areata: steroid injections or creams; newer tablets for extensive disease under a specialist.
  • Hair transplant for stable pattern hair loss, by a qualified surgeon.
  • For shedding after illness, reassurance and time — the hair regrows.

Oils, serums and home remedies can make hair look and feel better but do not regrow it. Washing hair often does not cause hair loss.

Dandruff

Dandruff is a mild form of seborrhoeic dermatitis: an inflammatory reaction to a yeast (Malassezia) that lives on everyone’s scalp. It causes white or yellowish flakes and itch, and can spread to the eyebrows, sides of the nose and behind the ears. It is not caused by poor hygiene and does not cause permanent hair loss.

  • Use an anti-dandruff shampoo containing ketoconazole, selenium sulphide or zinc pyrithione 2–3 times a week. Lather it into the scalp and leave it for 5 minutes before rinsing.
  • Once controlled, keep using it once a week to stop it coming back.
  • Heavy oiling can feed the yeast and make flaking worse.
  • See a doctor if flaking is thick and silvery (possible psoriasis), or the scalp is very red, sore or weeping.

The homeopathic approach

A homeopath asks about the pattern and timing of hair loss, any illness or stress before it, periods, diet, sleep and temperament, and chooses one remedy.

Using homeopathy safely with hair loss

  • Get the cause checked first — especially iron, thyroid and PCOS — because these need their own treatment.
  • Shedding after illness usually recovers without any treatment, so improvement over the following months is expected either way.
  • Scarring hair loss and scalp ringworm need prompt medical treatment.

What the research says

There are no good-quality controlled trials showing that homeopathic remedies regrow hair or control dandruff.

More broadly, the largest independent assessment — the Australian National Health and Medical Research Council’s 2015 review of 176 studies — found no reliable evidence that homeopathy is effective for any health condition, and advised against using it for conditions that are chronic, serious or could become serious. People often do feel better after a long, unhurried homeopathic consultation; in one controlled trial in rheumatoid arthritis, the benefit came from the consultation rather than the remedy.

In practice: if you choose homeopathy, use it alongside the care described on this page, not instead of it — and tell each practitioner what the other has prescribed. More on the research →

Remedies a homeopath may discuss

These are the traditional descriptions (“keynotes”) from the homeopathic materia medica, listed so you recognise names a practitioner may mention. They are not evidence that a remedy works and not a guide to self-treatment. Homeopaths choose one remedy for the whole person rather than by diagnosis.

Lycopodium
Club moss

Described for early thinning and greying at the temples and crown, in people with digestive complaints.

Silicea
Silica

Described for weak, falling hair and brittle nails, slow to recover after illness.

Phosphorus
Phosphorus

Described for hair falling in patches, with an itchy scalp.

Natrum Muriaticum
Common salt

Described for hair loss after grief or childbirth, with an oily scalp.

Selenium
Selenium

Described for hair falling from the scalp, eyebrows and beard together, with exhaustion.

Fluoricum Acidum
Hydrofluoric acid, diluted

Described for brittle hair and a scalp sensitive to touch, in warm-blooded people.

Kali Sulphuricum
Potassium sulphate

Described for dandruff with yellow, sticky scales, worse in warm rooms.

Graphites
Graphite

Described for thick, moist crusts on the scalp and hair loss with eczema.

Find a homeopath

If you would like to try homeopathy, see a registered homeopathic doctor (BHMS or MD (Hom)) who will take a full history, knows your other treatment and will tell you when you need a medical specialist. Take your prescriptions and recent test reports with you.

No homeopaths have a profile on NeedsDoctor yet, so we cannot suggest one here. Choosing a homeopath explains how to check a practitioner’s qualifications and registration.

Are you a homeopathic doctor? Create your profile so readers of this page can find you.

Sources

  1. Hair loss — NHS
  2. Dandruff — NHS
  3. Underactive thyroid (hypothyroidism) — NHS
  4. Ringworm (including scalp ringworm) — NHS
  5. Homeopathy (includes the NHMRC 2015 findings: 57 systematic reviews, 176 studies) — US National Center for Complementary and Integrative Health
  6. Homeopathy (summarises the NHMRC 2015 review and its advice) — Better Health Channel, Victoria State Government
  7. Brien S et al. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy. Rheumatology 2011 — PubMed 21076131

This page is general information, reviewed September 2026. It is not a diagnosis and does not replace a consultation. Do not stop or change a prescribed medicine without talking to the doctor who prescribed it. In an emergency in India call 112 (ambulance 108).