The symptoms you describe, especially the silvery spots, suggest a condition like scalp psoriasis or severe seborrheic dermatitis. Please don't worry; the associated hair shedding is usually temporary and will improve as your scalp heals. I recommend using medicated shampoos containing salicylic acid or coal tar to help gently lift and clear the silver scales, or ketoconazole to reduce inflammation. When washing, massage the shampoo gently into your scalp and let it sit for 5 to 10 minutes before rinsing. Because these conditions benefit from targeted care, it is best to consult a dermatologist for a personalized treatment plan.

The symptoms you describe, especially the silvery spots, suggest a condition like scalp psoriasis or severe seborrheic dermatitis. Please don't worry; the associated hair shedding is usually temporary and will improve as your scalp heals. I recommend using medicated shampoos containing salicylic acid or coal tar to help gently lift and clear the silver scales, or ketoconazole to reduce inflammation. When washing, massage the shampoo gently into your scalp and let it sit for 5 to 10 minutes before rinsing. Because these conditions benefit from targeted care, it is best to consult a dermatologist for a personalized treatment plan.

Severe dandruff can irritate the scalp and lead to hair fall, but it is usually treatable. Use a medicated anti-dandruff shampoo (like ketoconazole or zinc pyrithione) 2 to 3 times a week and avoid heavy oiling of the scalp. Keep the scalp clean, do not scratch, and manage stress. If dandruff and hair loss continue despite treatment, consult a dermatologist.

If your dermatologist has asked you to use Ketomac shampoo twice a week, that is usually to control the fungal cause of dandruff, and on the remaining days, the goal is to keep the scalp clean without making it more oily or irritated. On non-medicated days, a gentle, mild shampoo (baby shampoo or a sulfate-free daily use shampoo) is usually preferred because it removes excess oil without disturbing the scalp balance or worsening dandruff. Since your scalp becomes oily very quickly, you can wash more frequently if needed, even daily, but keep Ketomac only for the scheduled days so it can work effectively. Avoid heavy oiling because it can worsen fungal growth and make the scalp feel greasier. If oiliness is very excessive, sometimes a doctor may suggest a mild scalp lotion or add-on treatment to reduce sebum production, but that depends on examination. Make sure to rinse shampoo properly and avoid leaving residue, as buildup can also increase oiliness and itching. If the problem persists despite this routine, a follow-up with your dermatologist is useful to adjust treatment strength or check for seborrheic dermatitis.

Persistent dandruff may be caused by a fungal infection, seborrheic dermatitis, or other underlying scalp conditions. Make sure you are using medicated shampoos like Candid TV or Ketomac exactly as directed, and avoid excessive oiling or harsh hair products. Sometimes, dandruff does not improve with over-the-counter shampoos, and in such cases, it is best to consult a dermatologist, who can prescribe stronger treatments or check for any scalp conditions that need special care.

For heavy dandruff, you can use medicated shampoos containing ketoconazole, zinc pyrithione, or selenium sulfide. Use the shampoo 2 to 3 times a week, leaving it on your scalp for a few minutes before rinsing, and keep your hair and scalp clean and dry. If dandruff does not improve after a few weeks, or you notice redness, pain, or heavy scaling, see a dermatologist for stronger treatment.