Weight Loss and Hair Loss: The Impact of Autonomic Dysfunction

Weight issues, autonomic nervous system disorders, gastrointestinal problems?

I have recently been experiencing irregular sleep patterns, often staying up all night and sometimes going over 24 hours without sleep, followed by long sleep sessions of about 12 hours.
This situation has persisted for a while, and around May of this year, I noticed an unusual amount of hair loss (the amount of hair loss is quite significant; when I wash my hair, I lose about 2 to 3 strands with each wash, and I also lose about 2 strands when I run my fingers through my hair).
In early July, I weighed myself and found that my weight had dropped from 54.6 kg to 52.9 kg (but I am unsure when this weight loss began; I only realized it when I visited a clinic for treatment).
Recently, I quickly underwent an upper gastrointestinal endoscopy, and the doctor said there were no abnormalities at the gastroesophageal junction and no signs of gastric ulcers, but they did find a polyp in the esophagus, which was removed and sent for biopsy.
The doctor mentioned that it appeared benign and also noted excessive gastric acid, so they prescribed medication to reduce stomach acid.
However, I am currently more concerned because I had previously paid for tests for hyperthyroidism and blood tests at the beginning of this year, all of which returned normal results, so I should be able to rule out diabetes and hyperthyroidism as causes of my weight loss.
The results from the endoscopy also showed no significant abnormalities, so how can I explain my weight loss and abnormal hair loss? I am worried that it might be due to gastroparesis...
or could it be possible that long-term irregular sleep patterns have led to autonomic nervous system dysfunction? I have been staying up late for two years, and it is only recently, with increased late-night activities, that I have started experiencing abnormal hair loss and weight loss.
I would like to ask if autonomic nervous system dysfunction or gastroparesis can lead to abnormal hair loss and weight loss.
If it is an issue with autonomic nervous system dysfunction, is it possible to resolve it by adjusting my sleep patterns from now on? I appreciate the time you took to read my concerns, and I thank you for your help.

Xiao Cai, 20~29 year old female. Ask Date: 2023/09/04

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be autonomic nervous system dysfunction, which can be managed and monitored for weight changes by a psychosomatic medicine specialist.

Reply Date: 2023/09/04

More Info

The relationship between weight loss, hair loss, and autonomic dysfunction is a complex one that involves multiple physiological and psychological factors. Your concerns about abnormal hair loss and unintended weight loss, especially in the context of irregular sleep patterns and stress, are valid and warrant a thorough understanding.

Firstly, hair loss can occur due to various reasons, including hormonal changes, nutritional deficiencies, stress, and medical conditions. In your case, the irregular sleep patterns and significant stress you have been experiencing can lead to a condition known as telogen effluvium. This is a temporary form of hair loss that occurs when a significant number of hair follicles enter the resting phase of the hair growth cycle prematurely, often triggered by stress, illness, or drastic changes in lifestyle.

Your weight loss, from 54.6 kg to 52.9 kg, could be attributed to several factors. Stress and poor sleep can lead to changes in appetite and metabolism, which may result in weight loss. Additionally, the gastrointestinal issues you mentioned, such as excessive stomach acid and the presence of polyps, could also contribute to changes in your eating habits and overall health, potentially leading to weight loss.

Regarding autonomic dysfunction, this condition can affect various bodily functions, including digestion, heart rate, and even hair growth. The autonomic nervous system regulates involuntary bodily functions, and when it is out of balance, it can lead to symptoms such as fatigue, digestive issues, and hair loss. Chronic stress and irregular sleep patterns can exacerbate autonomic dysfunction, leading to a cycle of symptoms that can be challenging to break.

To address your concerns, it is crucial to consider the following:
1. Sleep Hygiene: Establishing a regular sleep schedule can significantly improve your overall health. Aim for 7-9 hours of quality sleep each night. Avoid stimulants like caffeine and screens before bedtime.

2. Stress Management: Incorporating stress-reducing activities such as mindfulness, meditation, yoga, or regular exercise can help alleviate the stress that may be contributing to your symptoms.

3. Nutrition: Ensure you are consuming a balanced diet rich in vitamins and minerals that support hair health, such as biotin, zinc, and vitamins A, C, D, and E. If you are experiencing gastrointestinal issues, consider consulting a nutritionist to help tailor your diet to your needs.

4. Medical Evaluation: Since you have already undergone tests for hyperthyroidism and other conditions, it may be beneficial to follow up with a healthcare provider to explore other potential causes of your symptoms, including hormonal imbalances or nutritional deficiencies.

5. Consult Specialists: If your symptoms persist, consider consulting both a dermatologist for your hair loss and a gastroenterologist for your gastrointestinal concerns. They can provide targeted treatments and recommendations based on your specific situation.

In summary, while autonomic dysfunction and irregular sleep patterns can contribute to hair loss and weight changes, addressing these issues through lifestyle modifications and medical consultations can lead to improvements. It is essential to take a holistic approach to your health, focusing on both physical and mental well-being. If you can establish a more regular routine and manage stress effectively, you may find that your symptoms improve over time.

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