Dandruff is a common condition that triggers small flakes of dry skin to shed from the scalp. It's estimated that roughly half of adults worldwide experience dandruff at some point during their lifetime.
Mild cases of dandruff usually can be treated at home by washing the hair with dandruff shampoo and taking good care of your hair and scalp.
However, because dandruff can be caused by multiple factors, including medical conditions, hair care habits, and other environmental triggers, exact treatment and prevention tactics can vary.
What Does Dandruff Look Like?
Dandruff appears as light-colored (white or yellow) skin flakes on the scalp. These flakes are relatively small but usually larger than the minor specks of skin that occur with a dry scalp.
Dandruff is mostly dead skin cells shed from the scalp. Sometimes, these flakes are mixed with dirt and oil.
In addition to the flaky symptoms, your scalp can appear swollen and red or otherwise discolored, depending on your skin tone.
The Common Cause: Seborrheic Dermatitis
While there are many different causes of dandruff, one of the common causes is seborrheic dermatitis.
Seborrheic dermatitis is an inflammatory skin condition that can develop on the scalp, among other parts of the body, such as the ears, eyebrows, beard, nose, or chest.
It causes dandruff that may be itchy and either dry or greasy. Seborrheic dermatitis also causes inflammation, which includes scalp swelling and skin discoloration.
Other Possible Causes
Contrary to popular belief, dandruff is not caused by poor hygiene. Instead, there are multiple other potential causes of dandruff, including:
- Eczema: Different types of eczema cause dry, itchy skin and rashes. If the condition occurs on the scalp, these itchy symptoms can trigger dandruff.
- Scalp irritation: Triggers like hair care products, hair dye, and hot showers can irritate the scalp and cause dandruff.
- Scalp psoriasis: This autoimmune condition can cause scaly and inflamed patches of skin on the scalp to develop, leading to flakiness.
- Scalp ringworm: Also called tinea capitis, this fungal infection prompts flaky, dry, itchy skin patches on the scalp.
Certain risk factors, like a family history of dandruff, may make it more likely for scalp flakes to develop.
How to Get Rid of It
Dandruff shampoois a main over-the-counter (OTC) tactic that helps offer relief for a flaky scalp. Experts recommend looking for a product with ingredients such as:
- Coal tar
- Ketoconazole
- Salicylic acid
- Selenium sulfide
- Zinc pyrithione
Sometimes, dandruff improves on its own if external triggers, like stress or dry climate, are temporary or avoidable. Consistently using an anti-dandruff shampoo can help manage flare-ups.
A Word From Verywell
For many with dandruff related to seborrheic dermatitis, it can help to wash the scalp more frequently and use an anti-dandruff shampoo containing anti-yeast ingredients like ketoconazole or exfoliating acids like salicylic acid to get rid of the buildup.
Home Remedies for Dry Scalp
If you havea dry scalp, it's typically best treated with a gentle, non-medicated shampoo to help restore moisture to the scalp.
While there is a lack of scientific evidence around treating a dry scalp with home remedies, some research suggests that the following ingredients could help restore moisture to the area:
- Aloe vera: The gel from this plant has been shown to help promote skin healing and reduce inflammation.
- Apple cider vinegar: Apple cider vinegar's antimicrobial properties might combat bacteria and other infections that can lead to a dry scalp.
- Coconut oil: In addition to being a solid skin moisturizer, coconut oil may also reduce inflammation and promote a healthy scalp.
- Tea tree oil: Often used as an ingredient in hair and skin care products, tea tree oil can help strengthen strands and support a healthy scalp.
Dandruff vs. Dry Scalp
Dandruff and dry scalp are separate but similar conditions of the scalp.
Dandruff is triggered by an underlying condition, like seborrheic dermatitis or scalp psoriasis, and leads to larger white- or yellow-colored skin flakes.
A dry scalp usually results in slightly smaller white-colored skin flakes. It's caused by a lack of moisture in the skin, which can happen with drying hair care products, low humidity, or cooler climates.
Prevention Methods
While it may not always be possible to prevent dandruff, there are a few tips that experts recommend to help decrease the chances of experiencing it, including:
- Maintain regular hair and scalp hygiene by regularly washing with a mild shampoo made for your hair type to remove buildup.
- Protect your scalp from ultraviolet (UV) rays, as a sunburn in that area can increase flaky skin.
- Limit triggers like harsh chemicals and drying ingredients.
- Reduce stress levels and get plenty of sleep, as stress can worsen dandruff symptoms or prompt flare-ups.
- Avoid scratching the scalp, as this irritates the skin further.
When to Contact a Healthcare Provider
In many cases, dandruff is mild and will resolve on its own without any medical attention. However, if you notice that your dandruff does not go away after consistently using an anti-dandruff shampoo and following prevention tactics, or if you're experiencing dandruff that seems to be particularly severe, it may be a good idea to check in with a primary care provider.
They may refer the patient to adermatologist(a health care provider who specializes in hair, skin, and nail diseases) who can offer a diagnosis and treatment plan if needed. A dermatologist can narrow down a potential underlying health condition, like seborrheic dermatitis, scalp psoriasis, or eczema, and can recommend a prescription-strength anti-dandruff shampoo or medication.
Summary
Dandruff is a common condition that causes white or yellow, dry, flaky scalp skin. There are various causes of dandruff, including seborrheic dermatitis, skin conditions like scalp psoriasis or scalp ringworm, and irritation from hair care products or environmental triggers.
Most of the time, using dandruff shampoo and maintaining a healthy hair and scalp routine can effectively eliminate dandruff. However, if you're noticing stubborn scalp flakes that don't seem to go away or are particularly severe, see a healthcare provider for an accurate diagnosis.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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By Cristina Mutchler
Mutchler is an award-winning journalist specializing in health and wellness content. She is based in Illinois.
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