You may also (temporarily) lose some hair.
Bleeding can also result from dryness of the scalp.
Your doctor will use a local anesthetic to prevent pain when performing the biopsy.
Be sure to use the shampoos just on your scalp, not all over your hair. Your doctor may also inject steroids into some of your lesions to help slow down the reaction. Other treatments can include things like ultraviolet light, oral retinoids (a form of synthetic vitamin A), and antimicrobial medications (if you develop a yeast infection).
See your doctor to be sure about what is causing the flaking on your head.