Hair Loss and Abnormal Hair Growth: Causes and Solutions - Family Medicine

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Hair loss and hair abnormalities?


Hello, doctor.
I've been experiencing increased hair loss over the past year, sometimes losing around 50 to 60 strands during a single shampoo.
The hairline on the top of my head seems to be becoming more pronounced.
Conversely, I've noticed that the hair on my legs has become thicker and longer, and I've also started to grow hair around my belly (near the navel), chin, and chest (with a few sporadic strands on the chest and chin).
What could be the possible reasons for this? Additionally, if I were to visit a hospital, which department should I consult?

amy, 20~29 year old female. Ask Date: 2018/05/25

Dr. Liao Yaopan reply Family Medicine


Hello, based on your description, it may be related to the endocrine system.
It is recommended to consult with a metabolic specialist for evaluation.
Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2018/05/25

More Info


Hair loss can be a distressing experience, and understanding its causes and potential solutions is crucial for managing the condition effectively. Based on your description, it seems you are experiencing significant hair loss on your scalp while simultaneously noticing increased hair growth in other areas, such as your abdomen, chin, and chest. This combination of symptoms can be indicative of several underlying conditions, and it's essential to approach this issue holistically.


Possible Causes of Hair Loss
1. Genetic Factors: Family history plays a significant role in hair loss. Conditions like androgenetic alopecia (commonly known as male or female pattern baldness) can be inherited. If you have relatives with similar hair loss patterns, this could be a contributing factor.

2. Hormonal Changes: Hormonal imbalances can lead to hair loss and abnormal hair growth. Conditions such as polycystic ovary syndrome (PCOS) in women can cause increased androgen levels, leading to hair thinning on the scalp and excessive hair growth in areas where men typically grow hair.

3. Stress and Lifestyle Factors: Chronic stress, poor sleep, and an unbalanced diet can exacerbate hair loss. Stress can trigger a type of hair loss known as telogen effluvium, where hair follicles prematurely enter the shedding phase.
4. Nutritional Deficiencies: Lack of essential nutrients, such as iron, zinc, and vitamins, can lead to hair thinning. A balanced diet rich in these nutrients is vital for maintaining healthy hair.

5. Medical Conditions: Certain medical conditions, including thyroid disorders, autoimmune diseases, and scalp infections, can lead to hair loss. It's essential to rule out these conditions through proper medical evaluation.


Recommendations for Management
1. Consult a Specialist: Given your symptoms, it would be advisable to see a dermatologist or a trichologist (a specialist in hair and scalp disorders). They can perform a thorough examination, possibly including blood tests, to determine the underlying cause of your hair loss and abnormal hair growth.

2. Consider Hormonal Evaluation: If hormonal imbalances are suspected, your doctor may recommend tests to evaluate your hormone levels. This is particularly important if you are experiencing symptoms like irregular menstrual cycles or other signs of hormonal imbalance.

3. Nutritional Assessment: Evaluate your diet to ensure you are getting adequate nutrition. Incorporating foods rich in iron (like spinach and legumes), zinc (found in nuts and seeds), and vitamins A, C, D, and E can support hair health. If necessary, consider consulting a nutritionist for personalized dietary advice.

4. Stress Management: Implementing stress-reduction techniques such as mindfulness, yoga, or regular exercise can help mitigate the effects of stress on your body, including your hair.

5. Topical Treatments: If diagnosed with androgenetic alopecia, treatments such as minoxidil (Rogaine) may be recommended. This topical solution can help stimulate hair growth and slow down hair loss. However, it’s essential to use such treatments under medical supervision to ensure they are appropriate for your specific condition.

6. Avoid Harsh Hair Treatments: Minimize the use of chemical treatments, heat styling, and tight hairstyles that can further damage your hair. Gentle hair care practices can help reduce breakage and loss.


Conclusion
In summary, your hair loss and abnormal hair growth could be attributed to a combination of genetic, hormonal, and lifestyle factors. It is crucial to seek professional medical advice to accurately diagnose the underlying cause and develop an appropriate treatment plan. By addressing these issues holistically, you can improve your hair health and overall well-being. Remember, early intervention is key in managing hair loss effectively, so don’t hesitate to reach out to a healthcare provider for assistance.

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