Itchy, Flakey Scalp

Parent Q&A

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  • Hi BPN community, I'm looking for recommendations to help our 7 year old's dry itchy flaky scalp. She washes her hair 2x/week and combs her hair 2x/day. In the past, she was using Pantene shampoo/conditioner but started having this patch on top of her head. We switched to Heads and Shoulders and it's better but she still complains of itchiness at time. I notice that the dryness and flakiness is better but still there. Is there anything that I can put on there to help? Thanks in advance. 

    I assume you are certain it's not lice? (Sorry.) Our 9 year old had an incredibly flaky scalp earlier this summer, and after two shampoos with Head & Shoulders Clinical Solutions, it cleared right up. If you are using the strongest possible OTC product and it's still a problem, ask your pediatrician. Also, a parent has to do the shampoo and really scrub at the scalp; kids don't seem to have the arm/wrist strength to do a good job. Then do a really thorough brush with a wet brush to get out any straggler bits of flaky skin.

    Finally, she might be shampooing too often at twice per week. We wash my daughter's medium length fine hair once per week, and she brushes once per day.

    Try Free and Clear shampoo. It has zinc pyrithione but it has no SLS. The SLS is not good for your scalp. 

    Use Head and Shoulders or same ingredient from Walgreen's every couple days to loosen dry skin.  Then apply Neutrogena tar shampoo on area and let sit 10 minutes.  After a couple times itching may be gone.  Advice was from dermatologist.

    Neutrogena TGel worked well when I was younger.

    I went through this with my 2 girls earlier this year (ages 9 and 6).  It took a while for them to get over it, but these are the things that worked/works for us:

    1) Aveda protective scalp concentrate (pricy for a small bottle, but a little goes a long way)

    2) Conditioning their hair every single time that they wash it (3 times/week).  Sometimes we would skip this or they would use leave-in conditioner.  For the first month or so, I really worked the conditioner into their scalps.

    3) Using a scalp brush in the shower.  I purchased for about $5/each on Amazon.

    Good luck!

    Coconut oil massages into the scalp for a few minutes before shampooing has really helped my oldest child. 

    Could it be an allergy to the shampoo? Try Neutrogena or DHC clear shampoo.

    I’d recommend trying California Baby Super Sensitive shampoo, and trying to shampoo more frequently (every other day or so). The shampoo is moisturizing, non-irritating, very soothing. She might not need conditioner afterward, depending on her hair type. Their conditioner is too heavy—I’d go for something lighter like Dolphin Organics. 

    Washing more often will help remove scalp build-up and get the moisturizers to the scalp. Use plenty of the shampoo and massage it in gently but thoroughly—make good contact with the scalp using fingertips (not nails). 

    Heads and Shoulders is not effective for a lot of people. We’ve had very good experiences with the California Baby Super Sensitive.

    My son struggled with this for years. He had serious cradle cap from birth and continued to have dry, flaky, itchy scalp into teens.  We finally switched to a prescription shampoo that his doctor recommended and it’s been a game changer.  It’s Ketoconazole Shampoo 2%.  Good luck!

    My daughter is allergic to some of the chemical ingredients in shampoos. For example, both shampoos you mention contain sodium lauryl sulfate, which can cause dry skin. While I am not a chemist when I switched her to a natural, milder shampoo the itchiness went away. Her pediatrician also prescribed her a milder shampoo for a while called T/Gel Therapeutic shampoo.

    My daughter has this, too! I was sort of hoping to follow this thread and see if anyone had any cool solutions. My kid has these yellow-patches on her scalp in addition to the dry, itchy, flakey skin. I keep meaning to look on Pinterest to find some all-natural solution to try... (Actually, I've gone onto that site many times to just that. But then ended up falling a rabbit hole of interesting topics and then never getting back to the topic at hand! Oops.)

    Here's one suggestion on Pinterest:

    Apple Cider Vinegar

    Apple cider vinegar has antifungal properties.

    These properties may help in getting rid of the fungi causing the infection. 

    You Will Need

    • 1 cup of apple cider vinegar (ACV)
    • 2 cups of water 
    •  

    What You Have To Do

    1. Add a cup of ACV to two cups of water.
    2. Rinse your hair with this solution. 
    3.  

    How Often You Should Do This

    You can do this 2-3 times a week. 

    They also suggest lemon and/or baking soda and/or a varity of oil treatments. Here's the link: 

    https://www.stylecraze.com/articles/home-remedies-to-cure-hair-fungus/

    I'm not sure if all of those ideas would work if the issue is NOT actually a fungul infection though, since I feel like those were the same suggestions for other scapl issues. I'll try it and report back!

    ~Mailisha 

    Have you consulted with the dermatologist or esthetician? There have been a few articles about how shelter in place has been exacerbating skin conditions due to subconscious stress! Seborrheic dermatitis can be common and I had it on my scalp and terribly on my forehead and chin. I already need sulfate free shampoo due to acne prone skin, so there were few options for me but a cheap and good one is selsun blue "medicated." I use it to wash both my hair and my face, and I wash my hair almost every day because I work out. The dryness was gone within a week, and flaking stopped within 2 weeks. When you find the right products it's a game changer! My esthetician also recommended Regenepure DR if I wanted a higher-end option, and it also works great and has a less intense smell, but it's $25 for a small bottle vs $5 for selsun.

    Good luck!

    allergy to some of the colorings etc in the shampoo? Also, I would suggest taking a high dose of fish oil for a few weeks and see if that helps.

    Our youngest has had a tendency toward flaky scalp since his extreme cradle cap when he was born, and what has finally helped is Neutrogena T-Gel shampoo. At first we used it 2x per week and now just when there's a 'flare-up' and it has made a big difference. 

  • Dry, flaky scalp help!

    Feb 28, 2017

    Since giving birth almost five years ago, I have struggled with really dry, flaky scalp, particularly in the front, by my hairline/forehead. It is embarrassing. I have tried coconut and jojoba oil, and several other shampoos and treatments for dry hair/scalp, but nothing seems to work. I would love to hear if there are others out there who are struggling with the same thing and how you have dealt with it. Sometimes it itches as well. Thank you.

    I had the same problem for years, tried antifungal shampoos, steroids to no avail.

    Finally hit on a great scalp moisturizer that I put in each morning after washing my hair, and it really worked.  

    It's called OGX hair butter.  I would just try to apply it to the scalp directly and leave it on.  It took a few weeks but the problem is gone.

    https://jet.com/product/detail/dea1c10eb2d74e9da8fd199c70506f9b?jcmp=pl…

    Good luck.

    I have always had very sensitive skin and as an adult developed psoriasis (mild). I have it on my scalp and knees. Even prior to the psoriasis, I have long used a moisturizing, sulfate-free shampoo. There are several good ones on the market. (I use Traite by Mastey) It keeps my scalp happy. But, when I have flair-ups: winter, too much sun, high stress, hair coloring (I no longer color my hair though) the itching and flakiness increase. It may be worth a visit to your doctor to determine if you have psoriasis on your scalp. There are medicated shampoos that may be helpful for you. Psoriasis or no, I would suggest a good quality sulfate-free shampoo.

    I've been dealing with what sounds like a similar situation.  My doctor prescribed a steroid shampoo (fluocinolone acetonide scalp oil), which you have to cover with a shower cap and leave in overnight.  It's a pain, but it does seem to help when the problem's at its worst.

    Otherwise, I alternate between DHS Zinc Shampoo and Nizoral, both available over-the-counter at drugstores.  The combination, recommended by my cousin who also had a similar problem, seems to keep the situation pretty well under control.  I notice a difference (in a bad way) when I use other shampoos even for a few days.

    Good luck.

    I recommend a visit to a dermatologist. You may have a fungal infection or seborrhea, both easily fixed. At the least, they may have access to products not available OTC. Good luck!

    I'd talk to a dermatologist. Personally I wash my hair a few times a week and use 0.05% solution of Lidex, a corticosteroid. My dry scalp is not pregnancy related.

    Possibly psoriasis of the scalp, have you seen a dermatologist? They may be able to diagnose your problem.

    Hi there,

    You may want to check with your doctor to see if you have psoriasis. I never had it until after my son was born and it is on my scalp and itches sometimes and flakes. My dr sent me to a dermatologist who gave me a medicated shampoo and some topical ointment.  Hope this helps.

    V.

    If over the counter solutions are not working then it's time to see a dermatologist.  I had the same issue and no success with otc products.  One dr visit, one prescription and the problem was resolved.   No more itching.  

    I had the same thing several years ago and have been treating with apple cider vinegar before shampooing.  I just pour a few tablespoons on the affected areas, rub it around a little and let it sit for 3 minutes. Then rinse and shampoo with a mild kids  shampoo that works for me.  Nothing else seemed to beat it and Kaiser just kept trying to get me to use steroid ointment on the areas, which caused more problems.  

    Be careful with your eyes -- don't want to get the vinegar in them.

    I know it is working, because if I stop with the vinegar for a week or so, the problem definitely comes back and takes a few weeks to go away again.

    You may want to ask your doctor if it could be psoriasis. My scalp is often itchy and flaky because of psoriasis and there are treatments and diet changes that can help. Dairy is a common trigger (and it is for me) and not resisting getting a latte this morning has left me scratching my head all day. For me it's the right side of my head near the hairline above my ear. Took years to get this diagnosed so be sure you bring it up since many doctors don't seem to recognize psoriasis symptoms. Good luck.

    Hi. I have also suffered from this. I tried to look at it as a problem with internal balance, instead  of applying external remedies. The things that seemed to work for me were less sugar, and including more fats in my diet. I had been on a low fat diet for a long time, and my body seemed to be low in some of the healthy fats. I focused on coconut oil 1-2 tablespoons daily, omega 3's (fish oil) and a whole saturated fat (ghee). Over time, my body seems replenished and I no longer have a dry scalp. 

    I've had similar problems in the past and now stick to certain shampoos that I know won't irritate my scalp. Unfortunately they tend to be expensive, and I haven't found any drug store shampoos that don't give me trouble. Currently I am using Davines "award winning well being" shampoo every other day, which keeps me dandruff free most of the time. If my scalp starts feeling itchy or flaky, I'll use their "purifying" shampoo to nip it in the bud (once a month or less). 

    Hope you find something that works for you. Dandruff sucks. 

    Try treating your scalp with jojoba oil infused with tea tree essential oil. 

    I used to have psoriasis on my scalp (it was bad, and there was a lot of it). I still have a little on elbows, knees, ears, but none on scalp. I attribute this to daily Vitamin D supplements (I take 5000 IU), and topically, using hair products with the shortest ingredients lists, no 'cones, SLS. Dr. Hauschka scalp and hair revitalizing tonic may have helped. A friend says she prefers the Aveda scalp product. Over the many years before Vit D, the tar and other medicated shampoos never worked for me. Finally, after some months on D, Elocon lotion worked (it hadn't in the past) in a week or so. That was ~7 years ago. I still color my hair with nary a flare up and no derm rx products on scalp. Also try a Fish oil supplement, taken with D, if you're not already. That works for someone I know who's had some itchy (arm) skin since pregnancy. Good luck!