Dandruff is a silent attacker. It sticks on your scalp and harmless until it starts feeding bacteria in it with the help of sweat secreted by our scalp. The cause is unclear but believed to involve a number of genetic and environmental factors. The condition may worsen in the winter. It is not due to poor hygiene. The underlying mechanism involves the excessive growth of skin cells. The diagnosis is based on symptoms. Sometimes, excessive dandruff leads to hair fall and then need to consult a dermatologist for hair loss treatment.