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What To Do If My Scalp Is Itchy And Hair Is Falling Out?

An itchy scalp accompanied by noticeable hair loss can be frustrating and concerning. While it may seem like a temporary irritation, chronic scalp itchiness and hair shedding often point to an underlying issue that needs proper attention. In this article, we’ll explore the common causes of this problem, what steps you can take to treat it, and how to prevent further damage to your scalp and hair.

Itchy Scalp

What Causes Itchy Scalp and Hair Loss?

There are several reasons why your scalp may itch and your hair may fall out simultaneously. These include:

  • Seborrheic Dermatitis (Scalp Eczema): A common inflammatory condition that causes redness, itching, and dandruff-like flakes. It weakens the hair roots, resulting in increased shedding.

  • Fungal Infections (e.g., Tinea Capitis): Fungal infections on the scalp can lead to scaly patches, intense itchiness, and hair loss in the affected areas.

  • Psoriasis: This autoimmune condition causes the skin cells on the scalp to build up rapidly, forming silvery scales that itch and may lead to hair breakage or loss.

  • Allergic Reactions: Allergies to hair products such as shampoos, dyes, or styling gels can irritate the scalp and cause inflammation, which often results in itching and hair thinning.

  • Dry Scalp: A lack of moisture can cause scalp irritation and itching. Constant scratching can lead to mechanical damage and hair breakage.

  • Lice or Scalp Mites: Infestation by lice or mites can cause severe itching and lead to hair damage due to excessive scratching.

  • Stress and Hormonal Imbalances: Stress-related hair loss, also known as telogen effluvium, is often accompanied by an irritated or sensitive scalp. Hormonal fluctuations can also affect scalp condition.

  • Improper Hair Care: Overwashing, harsh chemicals, or using extremely hot water can strip the scalp of its natural oils, leading to dryness, itchiness, and shedding.

What Should You Do If Your Scalp Is Itchy and Your Hair Is Falling Out?

  • Start by consulting a dermatologist to find the root cause of scalp issues. Medicated shampoos with ketoconazole, zinc pyrithione, or salicylic acid can help reduce inflammation, flakiness, and fungal buildup. Avoid using harsh hair dyes, strong styling products, or alcohol-based sprays, as these may further irritate the scalp.
  • Maintain good hygiene with lukewarm water and mild, fragrance-free shampoos — but don’t over-wash. Keep the scalp moisturized using natural oils like coconut or jojoba oil. Reduce stress with activities like yoga or exercise. For persistent itching, consider anti-inflammatory creams or soothing treatments like aloe vera.
Itchy Scalp

How to Prevent Itchy Scalp and Hair Loss in the Future?

To prevent itchy scalp and hair loss, use gentle, sulfate-free shampoos and limit heat styling. Eat a balanced diet rich in biotin, iron, zinc, and omega-3s. Avoid scratching your scalp and use soothing treatments instead. Protect your scalp from harsh weather, stay hydrated, and get enough sleep to support healthy hair and scalp.

When to See a Doctor?

You should consult a healthcare provider if:

  • Itchiness persists longer than two weeks.
  • You see signs of infection (oozing, pus, severe redness).
  • Bald patches start appearing.
  • Over-the-counter treatments don’t help.

Early diagnosis and treatment can prevent long-term damage to your scalp and hair follicles.

FAQs About Itchy Scalp and Hair Loss

Yes, excessive scratching can damage hair follicles and lead to hair breakage or even permanent hair loss over time.

Not always. Sometimes it’s due to dryness or product buildup, but persistent itching may indicate an underlying issue.

In many cases, yes — once the inflammation is treated, hair can regrow. However, long-term damage may result in permanent loss.

Yes, deficiencies in vitamins and minerals such as biotin, iron, and vitamin D can lead to both symptoms.

Yes. Tea tree oil, apple cider vinegar rinses, and aloe vera gel are popular natural treatments for soothing the scalp.

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About the Author: Dr. Eren Demir
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Eren Demir was born in Izmir in 1989. In 2014, he graduated from Celal Bayar University Faculty of Medicine. He completed his doctorate and medical speciality training in the field of Anaesthesiology and Reanimation at Health Sciences University Haseki Training and Research Hospital. During the autumn and spring semesters of 2020-2021, he gave trainings on Basic Anaesthesia and Clinical Anaesthesia to many students as an academician at Gedik University. Specialist Doctor Eren Demir has many articles published in international refereed journals in his field. He is a member of the Turkish Society of Anaesthesiology and Reanimation. Eren Demir, who worked as a specialist doctor in various hospitals, worked as the responsible physician of Anaesthesiology and Reanimation Clinic in Avcılar Murat Kölük State Hospital affiliated to the Ministry of Health for many years. Eren Demir, who has been working in the fields of hair transplantation and aesthetics for many years, continues his valuable work as a Specialist Doctor at Hair Center of Turkey Hair Transplant Clinic.
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