Dandruff, along with hair fall, usually happens when the scalp becomes oily, irritated, or has mild fungal overgrowth, and this ongoing inflammation can weaken hair roots and increase shedding. Stress, seasonal changes, irregular washing, or using harsh hair products can also make the condition worse and more persistent over time. To manage it, a medicated anti-dandruff shampoo containing ketoconazole, zinc pyrithione, or selenium sulfide can help reduce flakes and calm scalp irritation. It is best used a few times a week and kept on the scalp for a few minutes before rinsing. On other days, a mild shampoo is better so the scalp does not become too dry. Avoid leaving oil on the scalp for long periods, as it can sometimes worsen dandruff in sensitive scalps. Along with this, keeping a balanced diet, good sleep, and reducing stress can support hair health and slow down hair fall. Hair recovery is gradual, so consistency is important. If hair fall is heavy, patchy, or continues despite controlling dandruff, a dermatologist review is needed to check for other causes and adjust treatment accordingly.