Conversation: The conversation between human and AI assistant.
[|Human|] i have had lumps and dents on my scalp along with little pimple like red spots. it sometimes feels like i have bugs crawling around in my hair (but i dont). my scalp itches and my head is very tender. i have patches of scaly flakes, and this is all accompanied by lots of hair shedding. my hair has gotten 10 times thinner over the course of the 4 years this has been going on. the dermatologist had given me salinium sulfied for it which helps with the itching but not the hair loss. i have had blood tests and all are normal. after i wash my hair and run my fingers through it, a ton of hair comes out. when i get out of the shower and comb my hair a lot more comes out.  i need help and im not getting any answers from the dermatologist. even when i am not touching my scalp it is very tender. please help
[|AI|]  Hi! Welcome to Chat Doctor. Com. I have read your query in detail and do understand your concern. Excessive hair fall can be due to male pattern baldness, physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use of hair supplements containing biotin will be of help. Minoxidil 2% lotion can be applied over the affected area twice daily for hair loss. You may use certified based shampoo twice a week for improving infection of the scalp which might be causing tenderness. Avoid routine application of gels or frequent blow Chat Doctor.  Hope this helps! Good luck