Why Am I Experiencing Increased Hair Loss? A Guide to Seeking Help - Family Medicine

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Hello, I have a question.
I have been experiencing significant hair loss recently, and it's not just a little bit; it's a lot.
Previously, I would only lose a small amount while washing my hair, but now, even a gentle tug results in a lot of hair falling out.
I'm not sure what the issue could be.
Should I get my health checked? Which specialist should I see?

Ya, 20~29 year old female. Ask Date: 2005/07/06

Dr. Huang Jianling reply Family Medicine


According to statistics, losing more than 100 hairs a day may indicate abnormal hair loss.
There are many possible causes for hair loss, which include the following: 1.
Genetic factors such as androgenetic alopecia caused by male hormones.
2.
Congenital factors like poorly developed hair follicles leading to thin and brittle hair.
3.
Stress factors such as hair loss after childbirth, severe illness, or exams.
4.
Nutritional deficiencies, such as lack of protein and iron.
5.
Physical factors like burns or electrical injuries.
6.
Chemical factors such as boric acid in shampoos or hair dye and perm solutions.
7.
Medication factors, including chemotherapy, antihypertensive drugs, ulcer medications, and vitamin A derivatives.
8.
Local skin conditions such as seborrheic dermatitis and lichen planus.
9.
Autoimmune conditions like lupus erythematosus.
10.
Endocrine factors such as hyperthyroidism.
11.
Infections from fungi and bacteria.
It is recommended to seek treatment at a dermatology clinic.
Sincerely, Dr.
Huang Jian-Ling, Family Medicine, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/07/06

More Info


Experiencing increased hair loss can be distressing, and it’s important to understand that there are numerous potential causes for this condition. Hair loss, or alopecia, can occur due to a variety of factors, including genetics, hormonal changes, stress, nutritional deficiencies, and underlying medical conditions. Given your description of significant hair loss, it is advisable to seek professional help to determine the underlying cause and appropriate treatment.


Common Causes of Hair Loss
1. Genetic Factors: One of the most common causes of hair loss is androgenetic alopecia, commonly known as male or female pattern baldness. This hereditary condition can lead to gradual thinning of hair, often starting at the temples or crown of the head.

2. Hormonal Changes: Hormonal fluctuations, particularly those related to thyroid issues, pregnancy, menopause, or conditions like polycystic ovary syndrome (PCOS), can contribute to hair loss.
3. Stress: Physical or emotional stress can trigger a type of hair loss known as telogen effluvium, where hair follicles enter a resting phase and subsequently shed more hair than usual.
4. Nutritional Deficiencies: A lack of essential nutrients, such as iron, zinc, and vitamins (especially B vitamins), can lead to hair thinning. A balanced diet is crucial for maintaining healthy hair.

5. Medical Conditions: Certain medical conditions, such as autoimmune diseases (like alopecia areata), scalp infections, or skin disorders (like psoriasis), can also result in hair loss.

6. Hair Care Practices: Excessive styling, chemical treatments (like dyeing or perming), and heat exposure can damage hair and lead to breakage and loss.


Steps to Take
1. Consult a Healthcare Professional: It’s essential to consult a dermatologist or a healthcare provider specializing in hair and scalp disorders. They can perform a thorough examination, review your medical history, and may recommend blood tests to check for underlying conditions or deficiencies.

2. Document Your Symptoms: Keep a record of your hair loss, including when it started, how much hair you are losing, and any other symptoms you may be experiencing. This information can help your doctor make a more accurate diagnosis.

3. Evaluate Your Diet and Lifestyle: Assess your nutritional intake and lifestyle habits. Ensure you are consuming a balanced diet rich in vitamins and minerals. Reducing stress through relaxation techniques, exercise, or counseling may also be beneficial.

4. Consider Hair Care Products: Be cautious with the hair products you use. Opt for gentle shampoos and conditioners, and avoid excessive heat styling or harsh chemical treatments that can exacerbate hair loss.

5. Explore Treatment Options: Depending on the diagnosis, treatment options may include topical treatments like minoxidil, oral medications, or lifestyle changes. In some cases, procedures like PRP (platelet-rich plasma) therapy or hair transplants may be considered.


Conclusion
Increased hair loss can be a multifaceted issue, and it’s crucial to approach it holistically. By seeking professional help, you can identify the root cause of your hair loss and explore effective treatment options. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare professional for guidance. Taking proactive steps now can help you manage your hair health and alleviate concerns about future hair loss.

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