Common Scalp Problems & What They Mean

Victoria Elliott • 27 March 2025

Common Scalp Issues & What They Mean


If you’re experiencing discomfort, excessive hair loss, or visible scalp issues, your scalp may need extra care. Here are some common conditions and their possible causes.


1. Dandruff


Dandruff appears as white or yellow flakes and is often caused by an overgrowth of yeast, excessive oil production, or sensitivity to hair products. Medicated shampoos containing zinc pyrithione, ketoconazole, or selenium sulphide can help manage dandruff.


2. Dry Scalp


A dry scalp lacks sufficient moisture, leading to tightness, irritation, and fine white flakes. Causes include harsh shampoos, cold weather, and dehydration. Hydrating hair products, oil treatments, and reduced shampoo frequency can help.


3. Oily Scalp


An overly oily scalp can result in greasy hair and clogged follicles. Over-washing, hormonal changes, and diet can contribute to excessive sebum production. Using a balancing shampoo and avoiding heavy hair products can help control oil levels.


4. Scalp Acne


Pimples or bumps on the scalp can be caused by clogged pores, bacteria buildup, or irritation from hair products. Maintaining scalp hygiene, using gentle exfoliation, and avoiding pore-clogging products can prevent scalp acne.

5. Scalp Psoriasis


Psoriasis is an autoimmune condition that causes red, scaly patches on the scalp. It requires medical treatment with medicated shampoos, topical steroids, or systemic therapies prescribed by a dermatologist.

6. Folliculitis


Folliculitis is a common scalp and skin condition that occurs when hair follicles become inflamed and infected. It is most common on the scalp and is an extremely itchy, uncomfortable condition which can infect the entire areas of the scalp, eventually leading to scarring and bald patches.

7. Hair Thinning or Excessive Shedding


Hair thinning or excessive shedding can result from poor scalp health, stress, hormonal imbalances, or nutritional deficiencies. If shedding is persistent, a trichologist or dermatologist can help identify the root cause.


When Should I See a Trichologist?


If you’re experiencing persistent scalp issues that don’t improve with home care, it may be time to seek professional help. A trichologist or dermatologist can diagnose underlying conditions and recommend targeted treatments for optimal scalp health.


Consider seeing a specialist if you notice:

  • Severe itching or burning sensations
  • Persistent redness or inflammation
  • Large patches of hair loss
  • Painful sores or scabbing
  • Unexplained changes in scalp texture or sensitivity


Conclusion


Your scalp’s health is a crucial factor in maintaining strong, beautiful hair. By recognising the signs of a healthy scalp, addressing any underlying issues, and following a proper scalp care routine, you can ensure long-term scalp and hair vitality. If scalp concerns persist, professional guidance can help diagnose and treat any underlying conditions, keeping your scalp and hair in the best possible shape.

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