Why Am I Losing 300 Hairs Every Wash? Hair Loss at 49 - Traditional Chinese Medicine

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If you lose about three hundred strands of hair every time you wash your hair, what should you do?


Hello, Dr.
Chang.

1.
In recent years, every winter, I feel discomfort on my forehead even after drinking a glass of plain water.
I can't quite describe the sensation, but it feels somewhat like a combination of dizziness and numbness, though it doesn't reach the level of actual dizziness or numbness.
Why is this happening?
2.
I am 49 years old (in traditional age) and female.
For over a decade (since I was in my thirties), I have been losing over three hundred strands of hair every time I wash my hair.
When I was younger, I didn't think much of it, but I've only recently realized the severity of the situation.
My hair volume has noticeably decreased (there's not much left), and my hairline is getting wider.
I would like to ask you:
a.
Is this normal aging, or is it a sign of premature aging? Many women in their fifties and sixties around me still have thick hair.

b.
I am very afraid of baldness.
Just thinking about washing my hair makes me anxious, as my hair falls out profusely as soon as it comes into contact with water.
After every wash, I definitely lose over three hundred strands.
Is there any treatment available?

Tu Tou, 40~49 year old female. Ask Date: 2018/01/26

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello: Traditional Chinese medicine states that the liver stores blood, and hair is a surplus of blood; when hair falls out, it indicates a depletion of blood.
The kidneys store essence and are responsible for bone marrow production; this essence is reflected in the eyes, and its manifestation is in the hair.
When both the liver and kidneys are deficient, it can lead to symptoms such as dizziness and hair loss.
This means that hair loss is significantly related to the liver and kidneys.
Your hair loss issue is not a normal part of aging; when you are younger, the rate of new hair growth is sufficient to prevent noticeable thinning.
As you age, the rate of new hair growth slows down, leading to hair volume issues.
Generally, people experience significant hair loss during periods of high stress or after serious illness.
If you are experiencing substantial hair loss at a young age, it is not considered normal.
It would be advisable to consult a traditional Chinese medicine practitioner nearby for assistance, although treatment may take a considerable amount of time and requires patience.
Wishing you a speedy improvement in your condition.
Zhang Weidong, Department of Traditional Chinese Medicine, Changhua Hospital.

Reply Date: 2018/01/26

More Info


Losing hair can be a distressing experience, especially when it feels like an excessive amount is coming out during routine activities like washing your hair. Based on your description, losing around 300 hairs every time you wash your hair is significantly above the normal range, which is typically 50 to 100 hairs per day. Let's delve into the potential reasons for your hair loss and explore possible solutions.


Understanding Hair Loss
1. Hair Growth Cycle: Hair goes through a natural growth cycle consisting of three phases: anagen (growth), catagen (transition), and telogen (resting). At any given time, about 85-90% of your hair is in the anagen phase, while 10-15% is in the telogen phase. When hair follicles enter the telogen phase prematurely or if there is an imbalance in this cycle, it can lead to increased shedding.

2. Age and Hormonal Changes: At 49, you are likely experiencing hormonal changes associated with aging, such as menopause, which can affect hair density and growth. Estrogen levels drop during this time, which can lead to hair thinning and increased shedding.

3. Genetics: Family history plays a significant role in hair loss. If your parents experienced significant hair loss, it could be a contributing factor to your current situation. This type of hair loss is often referred to as androgenetic alopecia, which can affect both men and women.

4. Health and Lifestyle Factors: Stress, nutritional deficiencies (such as iron or vitamin D), and underlying health conditions (like thyroid disorders or autoimmune diseases) can also contribute to hair loss. Additionally, excessive washing, especially with harsh shampoos or soaps, can irritate the scalp and exacerbate hair shedding.


Addressing Your Concerns
1. Is This Normal Aging?: While some hair loss is a normal part of aging, losing 300 hairs per wash is not typical. It may indicate an underlying issue that should be addressed. The fact that you notice a significant reduction in hair volume and widening hairline suggests that this may not just be a normal aging process but could involve other factors.

2. Fear of Hair Loss: It's understandable to feel anxious about hair loss, especially when it seems to be worsening. This fear can lead to a cycle of stress that may further exacerbate the problem. It is essential to approach this issue with a calm mindset and seek professional help.


Potential Solutions
1. Consult a Dermatologist: Given the severity of your hair loss, it would be wise to consult a dermatologist or a trichologist. They can perform a thorough examination of your scalp and hair, possibly including blood tests to check for deficiencies or hormonal imbalances. This will help identify any underlying conditions that may be contributing to your hair loss.

2. Topical Treatments: There are FDA-approved treatments for hair loss, such as minoxidil (Rogaine), which can help stimulate hair growth and slow down shedding. However, these treatments are most effective when started early in the hair loss process.

3. Nutritional Support: Ensure you are consuming a balanced diet rich in vitamins and minerals that support hair health. Supplements like biotin, iron, and omega-3 fatty acids may also be beneficial, but it’s best to discuss this with your healthcare provider.

4. Gentle Hair Care: Consider switching to a gentle, sulfate-free shampoo and avoid washing your hair daily if possible. Instead, try to wash your hair every other day or as needed. This can help reduce stress on your hair and scalp.

5. Stress Management: Since stress can contribute to hair loss, incorporating stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial.

6. Hair Restoration Options: If your hair loss continues to progress, you might want to explore options such as hair transplants or other cosmetic procedures. These should be discussed with a qualified specialist.


Conclusion
In summary, while some hair loss is a normal part of aging, losing 300 hairs every wash is concerning and warrants further investigation. It is crucial to consult with a healthcare professional to determine the underlying cause and explore appropriate treatment options. By addressing the issue holistically—considering factors like diet, stress, and hair care practices—you can take proactive steps toward managing your hair loss and improving your overall hair health.

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