Skin and Hair Issues: Stress-Related Symptoms in Teens - Dermatology

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After the third year of junior high, I'm not sure if it's due to stress or something else, but I've been experiencing many issues that I never had before (currently a first-year high school student).

1.
For instance, I developed hives before the Lunar New Year, and they still flare up every few days (affecting my entire body except for my face).
I've seen many doctors, but nothing has helped, and we can't identify the cause (sometimes it occurs even when I haven't eaten anything).

2.
Additionally, I've been experiencing significant hair loss.
Although I've heard that long hair tends to shed more, I'm losing a lot—my comb is full of hair after just one use, and during washing, the hair loss is so excessive that it clogs the drain.

3.
I also have nasal allergies (which have occurred occasionally, but I never had this issue before).
The first episode happened while cleaning the bathroom when I inhaled hydrochloric acid; I started sneezing uncontrollably, followed by a runny nose, and it got so severe that I was tearing up (now it happens frequently).
Sometimes, if I breathe in too quickly or inhale cold air, my nose hurts.

4.
I'm not sure what's going on, but my left knee hurts, and I can't fully extend it.
Even when I do manage to straighten it, I can only hold it for a short time before it starts to hurt, which has caused me to stand with a slight limp.

5.
Lastly, even though I'm not doing much, I often experience lower back pain.

Ying, 10~19 year old female. Ask Date: 2005/03/30

Dr. Huang Ruiyun reply Dermatology


Based on all the questions you have raised, I recommend that you visit a medical center to see a specialist in Allergy, Immunology, and Rheumatology (a subspecialty within Internal Medicine) for a thorough evaluation.

Reply Date: 2005/03/30

More Info


Understanding the connection between stress and various skin and hair issues, especially in teenagers, is crucial for addressing the concerns you've raised. It seems that you are experiencing multiple symptoms, including urticaria (hives), significant hair loss, nasal allergies, knee pain, and general body aches. Let's break down these issues and explore their potential connections to stress and lifestyle factors.

1. Urticaria (Hives): The appearance of hives can often be linked to stress, allergies, or other underlying health conditions. Stress can trigger or exacerbate skin reactions, as it affects the immune system and can lead to increased histamine release, which causes hives. If you've seen multiple doctors without a clear diagnosis, it may be helpful to keep a diary of your symptoms, noting when they occur, what you were doing, and any foods you consumed. This can help identify potential triggers, whether they are stress-related or environmental.

2. Hair Loss: It's common for teenagers to experience hair loss due to various factors, including stress, hormonal changes, and nutritional deficiencies. Stress-induced hair loss, known as telogen effluvium, occurs when hair follicles prematurely enter the resting phase, leading to increased shedding. Given that you mentioned significant hair loss when brushing or washing your hair, it’s essential to manage stress levels and ensure you are maintaining a balanced diet rich in vitamins and minerals that support hair health, such as biotin, zinc, and iron.

3. Nasal Allergies: The onset of nasal allergies can also be stress-related. Stress can weaken the immune system, making you more susceptible to allergens. Additionally, environmental factors, such as exposure to irritants (like cleaning products), can trigger allergic reactions. If you notice that your symptoms worsen in certain environments, it may be beneficial to avoid those triggers and consult an allergist for further evaluation.

4. Knee Pain: The knee pain you are experiencing could be due to various reasons, including overuse, improper posture, or even stress-related muscle tension. Stress can lead to muscle tightness and discomfort, which may manifest as joint pain. It’s important to engage in regular physical activity, focusing on strengthening exercises for your legs and maintaining flexibility through stretching.

5. General Body Aches: Chronic stress can lead to muscle tension and pain throughout the body. This is often referred to as psychosomatic pain, where emotional stress manifests physically. Incorporating relaxation techniques, such as mindfulness, yoga, or deep-breathing exercises, can help alleviate some of these symptoms.

In summary, the symptoms you are experiencing may be interconnected and exacerbated by stress. It is essential to address both the physical and emotional aspects of your health. Here are some recommendations:
- Stress Management: Engage in activities that help reduce stress, such as exercise, meditation, or hobbies you enjoy. Consider talking to a counselor or therapist if you feel overwhelmed.


- Healthy Lifestyle: Maintain a balanced diet, stay hydrated, and ensure you are getting enough sleep. Nutritional deficiencies can contribute to hair loss and other health issues.

- Medical Consultation: Continue to seek medical advice for your symptoms. A dermatologist can help with hair loss, while an allergist can assist with nasal allergies. If the knee pain persists, consider seeing an orthopedic specialist.

- Symptom Tracking: Keep a detailed record of your symptoms, triggers, and any changes in your lifestyle or environment. This information can be invaluable for healthcare providers in diagnosing and treating your conditions.

By taking a holistic approach to your health, addressing both stress and physical symptoms, you can work towards improving your overall well-being.

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