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Dry Scalp: Top Causes and Treatments

Dry Scalp: Top Causes and Treatments
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Written by Andrew Le, MD.
Medically reviewed by
Last updated May 15, 2024

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If you’ve ever scratched your head and noticed a snowfall of white flakes, it’s not necessarily dandruff. You may be suffering from dry scalp, a common issue that is not only a nuisance and embarrassing but can also develop into a more severe dermatological condition. Read on to learn the underlying issues that lead to dry scalp, how to treat them, and how to create a routine to restore a healthy scalp and better hair days.

Key Takeaways

  • Dry Scalp occurs when your scalp lacks enough oil or moisture. It leads to an itchy scalp and visible flakes and is often confused with dandruff, dry hair, or hair loss.
  • Many factors can contribute to a dry scalp, including weather, skin conditions, hormonal imbalances, poor diet, hair care products, stress, age, genetic predispositions, washing your hair too much or too little, hard water, and some medical conditions.
  • Treatment involves identifying and treating the specific cause. Solutions range from medical treatment for dermatological conditions to hydrating and nourishing shampoos, dietary changes, natural remedies, reducing stress, changing your hair care routine, and addressing environmental factors.
  • If your dry scalp symptoms don’t improve with recommended solutions, see a dermatologist.
  • Long-term scalp health depends on the appropriate treatment, daily care, and preventative measures, including a gentle hair care routine with moisturizers and natural oils, protecting your scalp from extreme heat or cold, eating a balanced diet, drinking adequate water daily, and managing stress.

Understanding Dry Scalp

Dry scalp occurs when your scalp lacks adequate oil and moisture and becomes dehydrated. It may even feel tight. An itchy scalp and visible flakes are the most common symptoms, so it’s often mistaken for dandruff.

However, dry scalp often stems from an underlying condition, such as seborrheic dermatitis or psoriasis. Apart from itchiness, you might also have dull, dry hair. Over time, the condition can even lead to hair loss. Using harsh hair products too frequently or chemical hair treatments like dying your hair could also rob your scalp of its natural oils and contribute to the condition.

The Importance of Addressing Dry Scalp Early

Neglecting your symptoms doesn’t just mean a future of bad hair days. Ignoring an ongoing dry and itchy scalp can lead to more severe issues like inflammation, bacterial infection, and prolonged hair loss. It may also eventually escalate to a harder-to-treat condition like seborrheic dermatitis—also known as sebopsoriasis—characterized by red and inflamed patches on an oily, itchy, and flaky scalp.

Identifying and treating the causes of your dry scalp before your symptoms escalate is key to managing and eliminating your symptoms and eventually restoring a healthy scalp.

Top Causes of Dry Scalp

Understanding what's causing your dry, itchy scalp is the first step towards finding the treatment.

Weather and Environmental Factors

Ever wonder why your scalp tends to feel itchier during the colder months? weather and environmental factors can significantly affect your scalp’s condition. Winter’s cold winds and the dry heat inside your home can lead to excessive scalp dryness. Alternatively, during the summer, high heat and humidity can cause excessive perspiration, which can leave your scalp dry and tight when it evaporates.

Skin Conditions and Dermatological Issues

Dermatological issues like seborrheic dermatitis, scalp psoriasis, eczema, and sensitive skin can all lead to a dry, flaky scalp. You may have one of these conditions, particularly if your scalp is red and extremely itchy. You should see a dermatologist who can make an accurate diagnosis. They will recommend a targeted treatment like a medicated shampoo, scalp scrub, or a salicylic acid topical solution to remove the dead skin cells.

Hormonal Imbalances and Changes

Our body's hormone levels are constantly fluctuating, and any significant shift can show up on your skin—including the scalp. Surges in androgen, for instance, can cause scalp dryness and hair loss by shrinking your hair follicles. Elevated cortisol levels, often caused by stress, can eventually lead to some scalp conditions.

Poor Hydration and Diet

What you eat and drink directly influences the health of your skin and scalp. Not drinking enough water every day and not getting enough essential vitamins and nutrients can both contribute to scalp dryness. In particular, be sure you’re getting enough good fats, particularly vitamin E and foods high in omega 3 fatty acids, which are vital for your skin’s health and moisture levels. The body can't produce these fats on its own, so including them in your diet is a must. Making sure you have the proper food and hydration can help combat scalp dryness from the inside out.

Hair Care Products

Some hair care products and treatments can wreak havoc on your scalp. Excessive use of hairsprays, styling gels, even your regular shampoo—if it's full of chemicals and sulfates—can strip the scalp of its natural oils and cause irritation, leading to a dry scalp.

Stress and Lifestyle Factors

Your everyday choices affect your overall health, including the condition of your scalp. Not getting enough sleep, smoking, enduring constant stress, and drinking too much caffeine or alcohol can all contribute to a dry and itchy scalp. Maintaining your health and emotional well-being should be a priority and has more influence than even your hair care products on the health of your scalp.

Age and Genetic Predisposition

Your skin, including your scalp, becomes drier as you age. Aging tends to slow down the regeneration of skin cells. That can lead to an accumulation on your scalp and form visible flakes. It also tends to run in families, so if your parents had a dry scalp, you’re more susceptible to developing it.

Washing Hair Too Much or Not Enough

Dry scalp can be from over-washing or under-washing your hair. Washing your hair too often, particularly with shampoo that contains drying sulfates, can strip away your scalp's natural oils. On the other hand, not washing it enough can lead to a buildup of oil, dead skin cells, and hair care products, which can also lead to a dry and irritated scalp.

Hard Water and Chemical Exposure

Hard water, which has a higher mineral content than other water, can leave a residue on your scalp that causes dryness. If you’re a swimmer and spend a lot of time in pools, you’re familiar with the high levels of chlorine that wreak havoc on your hair and scalp. Coloring your hair is another common cause of dry scalp due to the chemicals used in hair dye, which can be irritating and drying.

Medical Conditions and Medications

Certain medical conditions, including hypothyroidism, can cause a dry scalp. Some medications, such as those for acne and cancer in particular, lead to dryness throughout the body, including the scalp. If you suspect that your medication is causing your scalp irritation, consult the prescribing healthcare provider or a dermatologist.

Effective Treatments for Dry Scalp

The best solution isn’t one-size-fits-all and is never an overnight fix. Treatments include hydrating shampoos, medicated creams and lotions, and natural remedies.

Hydrating and Nourishing Shampoos

The first step in treating a dry, itchy scalp involves switching out your current shampoo for one that is hydrating, nourishing, and non-irritating. Look for gentle shampoos, that are of sulfates, harsh detergents, and common allergens. Ingredients like aloe vera, Vitamin E, coconut oil and olive oil not only provide much-needed moisture, but they are especially beneficial for relieving scalp dryness and irritation for sensitive skin.

Medicated Treatments for Dermatological Issues

If your dry scalp is caused by conditions like psoriasis or seborrheic dermatitis, a medicated shampoo containing salicylic acid, or a similar-acting prescription treatment from a dermatologist may be the most effective approach. If your symptoms are a side effect of another skin condition, see a dermatologist. They can prescribe a treatment to help manage the root cause, which can help to alleviate your scalp symptoms.

Natural Remedies and Home Solutions

Fortunately, there are effective natural remedies. Scalp scrubs can help exfoliate the dead skin on a flaky scalp, and aloe vera can provide additional soothing relief and help reinforce your skin barrier. Essential oils like coconut oil and tea tree oil moisturize and deliver nutrients to your scalp. They also promote hair growth by stimulating your hair follicles. An olive oil and vitamin E mix is another potent duo known to promote scalp health.

Stress Reduction

Managing stress may help scalp health. Chronic stress can disrupt your hormone balance, leading to various skin and scalp conditions. Practicing mind-body techniques, getting enough rest, and maintaining a regular exercise routine can help keep your stress levels in check.

Adjust Your Hair Care Routine

Switching up your hair care routine may relieve scalp dryness if you blow dry or straighten your hair. Avoid harsh chemical treatments and excessive heat, and wash your hair every two to three days rather than every day. Find a balance that allows your scalp to benefit from the oil it needs without going so long between shampoos that too much builds up.

Manage Environmental Factors

Weather changes and water quality can both affect your scalp. In dry climates or during colder months, using a humidifier and drinking extra water to stay hydrated can help maintain scalp moisture. A water-softening system might improve your dry scalp condition if you're dealing with hard water.

Eat a Balanced Diet and Drink Enough Water

Your diet today has lasting effects, and may influence the condition of your scalp. Drinking enough water can keep your skin and scalp hydrated. Foods rich in Omega-3 fatty acids, as well as vitamins A, C, and E will help promote a healthy moisture balance in your scalp. Other nutrients, including minerals like zinc and selenium are also involved in preventing hair loss. The best insurance for your long-term scalp health is making sure you’re getting all of the essential nutrients your body needs.

When to Seek Professional Help

If your symptoms don’t go away or get worse after trying the suggested treatments, see a dermatologist. They can provide a proper diagnosis and a targeted treatment plan.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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