<s>[INST] age-29, height-5ft 2", weight-50kg, medical history-no special ailment to mention, Query-I am having severe hair fall and itching scalp since few months. I do not think it is due to dandruff. I am oiling my hair once in a weak and wash it in the next day. I am using dope daily therapy shampoo. Please advice me.. [/INST] Hi,It may be telogen effluvium with scalp prurigo. Consult the dermatologist for the perfect diagnosis and proper treatment. Stress and worries may cause prurigo of scalp,which may be responsible for the severe pruritus. The psychological upsets may also cause hair loss in telogen stage..so called telogen effluvium. Antihistaminics like levocetirizine 5 mg twice daily with oral steroids in tapering dose might improve the prurigo of scalp. Apply mild steroid lotion on the scalp,which may reduce the hair fall along with relief in pruritus.Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilyas Patel, Dermatologist </s>