Is It Normal for Children to Lose Hair Daily? Pediatric Hair Loss - Pediatrics

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Hair loss


Hello, doctor: I would like to ask if it is normal for a child to lose hair every day.
Sometimes there are about 20 strands of hair on the pillow.
Could you please help me with this question? Thank you!

Mami, 20~29 year old female. Ask Date: 2005/05/20

Dr. Zhang Peixin reply Pediatrics


Hello: Losing 20 strands of hair daily is considered normal, and adults can even lose up to 200 strands.
There is no need for concern.
Sincerely, Dr.
Chang Pei-Hsin, Pediatrics.

Reply Date: 2005/05/20

More Info


Hair loss in children can be a concerning issue for parents, but it's important to understand that some degree of hair shedding is completely normal. In fact, it is estimated that children can lose anywhere from 50 to 100 hairs a day, similar to adults. The number you mentioned, around 20 hairs on the pillow, falls well within the normal range and is generally not a cause for alarm.

Hair growth occurs in cycles, which include the anagen (growth), catagen (transitional), and telogen (resting) phases. During the telogen phase, hair is naturally shed as part of the hair growth cycle. This means that losing hair is a normal physiological process, and the hair that falls out is often in the telogen phase. If your child is losing hair but does not show signs of bald patches or thinning, it is likely just a normal part of their hair growth cycle.

However, there are instances where hair loss in children can be attributed to other factors. For example, medical conditions such as alopecia areata, a condition where the immune system attacks hair follicles, can lead to sudden hair loss. Additionally, stress, nutritional deficiencies, or underlying medical issues can also contribute to excessive hair shedding. In cases where hair loss is sudden, patchy, or accompanied by other symptoms (such as itching or redness), it is advisable to consult a pediatrician or dermatologist for a thorough evaluation.

In your case, if your child has been experiencing hair loss after a recent illness or while taking antibiotics, it may be worth considering that certain medications can sometimes lead to temporary hair shedding. Stress from hospitalization or changes in routine can also impact hair health. Seasonal changes can play a role as well, as some children may experience increased shedding during certain times of the year.

If you are concerned about the amount of hair your child is losing, it may be helpful to keep a record of the hair loss over a few weeks to determine if there is a pattern or if it seems to be increasing. This information can be valuable for a healthcare provider if you decide to seek further evaluation.

In summary, while it is normal for children to lose some hair daily, it is essential to monitor the situation. If the hair loss appears excessive, or if there are any accompanying symptoms, seeking medical advice is the best course of action. A healthcare professional can provide guidance, perform necessary tests, and help determine if any underlying issues need to be addressed. Remember, hair loss can be a complex issue, and understanding the context and individual circumstances is key to managing it effectively.

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