Hair Breakage in Children: Causes and When to Seek Help

Hair is broken in the middle?

Hello, I would like to ask a question.
My nine-year-old niece has recently been experiencing frequent natural breakage of her hair.
The hair is not breaking at the roots but rather in the middle, and it's not just one strand but about a small bunch.
I believe this is not related to something like cancer-related hair loss.
What could this situation be? If we need to see a doctor, which specialist should we consult?

andy, 20~29 year old female. Ask Date: 2003/05/04

Dr. Xiao Huibin reply Rare Disease

Hair breakage is usually caused by scalp infections or issues with the hair quality itself, and it is advisable to consult a dermatologist for treatment.
If there is also a lighter hair color or curling phenomenon, it may indicate a metabolic disorder (such as deficiencies in zinc, copper, amino acids, etc.), and a referral to a pediatric metabolic specialist should be considered.
Thank you.

Reply Date: 2003/05/04

More Info

Hair breakage in children can be concerning for parents and caregivers, especially when it appears suddenly and in clusters. In the case of your nine-year-old niece, the observation of hair breaking in the middle rather than at the roots suggests that the issue may not be related to conditions that cause hair loss, such as alopecia or cancer. Instead, hair breakage can stem from a variety of factors, including physical damage, nutritional deficiencies, or underlying health conditions.

Common Causes of Hair Breakage:
1. Physical Damage: One of the most common reasons for hair breakage in children is physical stress on the hair. This can occur from tight hairstyles, such as ponytails or braids, which can pull on the hair shaft and lead to breakage. Additionally, excessive brushing or using harsh hair accessories can also contribute to this problem.

2. Environmental Factors: Exposure to harsh environmental conditions, such as sun, wind, and chlorine from swimming pools, can weaken hair and make it more prone to breakage. Seasonal changes can also affect hair health, as humidity and temperature fluctuations can alter the moisture balance in hair.

3. Nutritional Deficiencies: Hair health is closely linked to nutrition. Deficiencies in essential vitamins and minerals, such as zinc, iron, and biotin, can lead to weakened hair. A balanced diet is crucial for maintaining healthy hair, and any significant changes in diet or eating habits should be evaluated.

4. Medical Conditions: Certain medical conditions can also lead to hair breakage. For example, conditions like hypothyroidism, hormonal imbalances, or metabolic disorders can affect hair health. If there are other symptoms present, such as changes in skin, nails, or overall health, it may warrant further investigation.

5. Chemical Damage: The use of hair products containing harsh chemicals, such as dyes, relaxers, or styling products, can weaken hair and lead to breakage. It's important to use gentle, child-friendly hair care products.

When to Seek Medical Help:
If the hair breakage persists or is accompanied by other concerning symptoms, it is advisable to consult a healthcare professional. In this case, a pediatric dermatologist would be the most appropriate specialist to evaluate your niece's condition. They can conduct a thorough examination of the hair and scalp, review her medical history, and possibly perform tests to rule out any underlying health issues.

During the consultation, the doctor may ask about your niece's hair care routine, diet, and any recent changes in her health or environment. They may also recommend specific treatments or lifestyle changes to improve hair health, such as using gentle hair care products, avoiding tight hairstyles, and ensuring a balanced diet rich in essential nutrients.

Conclusion:
In summary, hair breakage in children can be attributed to a variety of factors, including physical damage, environmental influences, nutritional deficiencies, and underlying medical conditions. While it may not be indicative of a serious health issue, monitoring the situation and seeking professional advice is essential if the problem persists. A pediatric dermatologist can provide the necessary guidance and treatment options to help restore your niece's hair health.

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