Severe Hair Loss: Causes and Solutions - Dermatology

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Severe hair loss issue?


Hello, doctor.
Two months ago, after getting a haircut, I've been experiencing hair loss, losing almost 30 to 50 strands daily.
My hair used to be thick, but recently, people have commented that it seems to be thinning.
I consulted another doctor who prescribed a scalp lotion, but after using it for over a week, there was no improvement.
What should I do, doctor?

Juanmao, 20~29 year old female. Ask Date: 2008/02/12

Dr. Jiang Yujiao reply Dermatology


Dear Curly Hair: Losing 100 strands of hair a day is considered normal.
Sometimes, when sleep is poor, emotions are low, or stress levels are high, hair loss may increase.
Wishing you peace and health.
Sincerely, Dr.
Jiang Yu-Jiao, Director of the Dermatology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2008/02/12

More Info


Severe hair loss can be a distressing experience, and understanding its causes and potential solutions is crucial for managing the condition effectively. Based on the information provided, there are several factors that could be contributing to your hair loss, and addressing these can help you find a suitable solution.


Causes of Severe Hair Loss
1. Stress: High levels of stress can lead to a condition known as telogen effluvium, where hair follicles enter a resting phase and subsequently shed more hair than usual. Stressors can be emotional, physical, or environmental, and they can significantly impact hair health.

2. Diet and Nutrition: A poor diet lacking essential nutrients can lead to hair loss. Hair requires a variety of vitamins and minerals to grow healthily, including proteins, iron, zinc, and vitamins A, C, D, and E. If you have recently undergone weight loss, it’s possible that your body is not receiving adequate nutrition, which can exacerbate hair loss.

3. Genetics: Family history plays a significant role in hair loss. If there is a pattern of hair loss in your family, you may be genetically predisposed to conditions like androgenetic alopecia (male or female pattern baldness).

4. Medical Conditions: Certain medical conditions, such as thyroid disorders, autoimmune diseases, or scalp infections, can also lead to hair loss. It’s essential to rule out these conditions with a healthcare professional.

5. Hair Care Practices: Aggressive hair treatments, such as frequent dyeing, heat styling, or harsh chemical treatments, can damage hair and lead to breakage and loss. If you have recently dyed your hair multiple times, this could be a contributing factor.


Solutions for Managing Hair Loss
1. Consult a Dermatologist: Since you have already seen a doctor, it may be beneficial to seek a second opinion or consult a dermatologist specializing in hair loss. They can perform a thorough examination and possibly recommend blood tests to check for underlying conditions.

2. Nutritional Support: Focus on a balanced diet rich in proteins, vitamins, and minerals. Foods such as eggs, nuts, leafy greens, fish, and whole grains can support hair health. Consider consulting a nutritionist for personalized dietary advice.

3. Stress Management: Incorporate stress-reducing activities into your routine, such as yoga, meditation, or regular exercise. These practices can help lower stress levels and potentially improve hair growth.

4. Topical Treatments: Minoxidil is a common over-the-counter topical treatment that can help stimulate hair growth in some individuals. However, it’s essential to use it under the guidance of a healthcare professional, as it may not be suitable for everyone.

5. Avoid Harsh Hair Treatments: Limit the use of heat styling tools and chemical treatments. Opt for gentle hair care products and avoid hairstyles that pull on the hair, as these can lead to traction alopecia.

6. Patience and Monitoring: Hair growth takes time, and it may take several months to see significant improvement. Keep track of your hair loss and any changes you notice, and maintain regular follow-ups with your healthcare provider.


Conclusion
Severe hair loss can stem from various factors, including stress, diet, genetics, and hair care practices. By addressing these underlying issues and seeking professional guidance, you can develop a tailored approach to manage your hair loss effectively. Remember, early intervention is key, so don’t hesitate to reach out for help and support as you navigate this challenging experience.

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