Hair Loss: Oiliness, Stress, and Regrowth Concerns - Dermatology

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Some questions?


Hello! I have some questions that I would like to clarify.

1.
I've been staying up late recently, and my scalp has been very oily with dandruff.
Could this be due to excessive heat in my body, leading to oiliness and affecting my hair loss?
2.
I've heard that psychological factors can also have an impact.
I'm quite worried about going bald, even though no one in my family has experienced it.
I don't know why I feel this way, and I often think about it.
Does this really affect hair loss? If it does, will the hair that falls out grow back?
3.
If my hair loss is indeed due to excessive heat, emotional issues, stress, or self-discipline problems, and I manage to improve these issues, will my hair still grow back?
Thank you! Could you please answer each question individually? This way, I can better understand what I want to know! Thank you!

Saren, 10~19 year old female. Ask Date: 2008/02/29

Dr. Huang Ruiyun reply Dermatology


1.
It is the result of "staying up late" that leads to oily scalp and dandruff; there is no need to worry about "heat" in the body, as reducing heat is ineffective.
The key point is "not staying up late." Oily scalp does not cause "hair loss," as these two issues are not directly related.
2.
I have seen many cases where there is no actual baldness issue, yet individuals are inexplicably focused on worrying about hair loss.
I hope you are not the next case.
3.
This type of hair loss will regrow and will not lead to baldness.

Reply Date: 2008/02/29

More Info


Understanding hair loss can be quite complex, especially when it involves factors like oiliness, stress, and psychological concerns. Let’s break down your questions one by one.

1. Oiliness and Dandruff: You mentioned that you've been experiencing oily scalp and dandruff, and you're wondering if this is due to "excess heat" in your body. While traditional beliefs may link oiliness to heat, from a medical standpoint, the primary cause of an oily scalp is often related to overactive sebaceous glands. Late nights and irregular sleep patterns can exacerbate this condition, leading to increased oil production. However, oiliness itself does not directly cause hair loss. Instead, it can lead to scalp issues like seborrheic dermatitis, which may contribute to hair shedding if not treated properly. It's essential to maintain a proper hair care routine, including using a suitable shampoo that targets excess oil and dandruff, to keep your scalp healthy.

2. Psychological Impact on Hair Loss: You expressed concern about your hair loss and whether your anxiety about it could be contributing to the problem. Psychological stress can indeed play a significant role in hair loss. Conditions like telogen effluvium, where hair follicles prematurely enter the resting phase due to stress, can lead to noticeable shedding. It's important to recognize that worrying excessively about hair loss can create a cycle of stress that may worsen the situation. If your hair is shedding due to stress, there is a good chance that once you manage your anxiety and stress levels, your hair can regrow. However, the regrowth process may take time, and patience is key.

3. Addressing Stress and Its Effects: You asked if improving your emotional and stress-related issues would help your hair regrow. The answer is yes, to a certain extent. If your hair loss is primarily due to stress or lifestyle factors, addressing these issues can lead to improvement. Implementing stress management techniques such as mindfulness, regular exercise, and adequate sleep can positively impact your overall health and potentially promote hair regrowth. However, if there are underlying medical conditions or genetic factors contributing to your hair loss, these may require specific treatments.
In summary, while oiliness and stress can contribute to hair loss, they are not the sole factors. It's crucial to adopt a holistic approach to your hair health, which includes proper scalp care, managing stress, and maintaining a balanced lifestyle. If your concerns persist or worsen, consulting with a dermatologist or a trichologist can provide you with tailored advice and treatment options. Remember, hair regrowth is often a gradual process, and maintaining a positive mindset can be beneficial during this journey.

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