Hair Loss and Nail Care: Common Concerns and Solutions - Dermatology

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Hello Dr.
Jiang,
I have a question about hair: After washing my hair, I notice that I lose about 5 to 10 strands when I use a hairdryer.
Is this considered normal? I seem to lose hair every day, and I find a lot of strands on the floor.
Do older individuals tend to lose hair more quickly, eventually leading to baldness? I’m not experiencing that issue now, but I’m worried about it happening in the future.
Are there any methods to maintain my hair and prevent this?
Regarding my nails: I have a habit of picking at my nails, and I often end up making them bleed.
Some of my nails are now very short and unsightly.
Is there a way to restore them to a beautiful state? They are growing back, but they don’t look very good.

Xiao Wei, 20~29 year old female. Ask Date: 2009/01/04

Dr. Jiang Yujiao reply Dermatology


Xiao Wei: Hair growth follows a specific cycle consisting of three phases.
On average, about 100 hairs fall out each day.
At your age of 22, it's important to avoid staying up late, maintain a regular schedule, and reduce stress to prevent excessive hair loss.
The habit of nail-biting can damage your beautiful nails, but fortunately, if you stop biting your nails, they will grow back beautifully in four to six months.

Reply Date: 2009/01/04

More Info


Hello! Thank you for your questions regarding hair loss and nail care. Let's break down your concerns into two main areas: hair loss and nail health.


Hair Loss
First, regarding your hair loss, it is important to understand that losing 5 to 10 strands of hair while blow-drying is generally considered normal. On average, it is normal for a person to lose about 50 to 100 hairs a day due to the natural hair growth cycle, which includes phases of growth, rest, and shedding. If you are noticing a significant increase in hair loss, or if your hair appears to be thinning, it may be worth investigating further.

As we age, it is common for hair density to decrease, and many people experience some degree of hair thinning or baldness. This can be influenced by genetic factors, hormonal changes, and overall health. If your family has a history of hair loss, you may be more predisposed to experiencing it yourself. However, there are several strategies you can adopt to maintain healthy hair and potentially slow down the process of hair loss:
1. Balanced Diet: Ensure you are consuming a diet rich in vitamins and minerals that promote hair health. Nutrients such as biotin, zinc, iron, and vitamins A, C, D, and E are particularly important. Foods like leafy greens, nuts, seeds, fish, and lean meats can be beneficial.

2. Gentle Hair Care: Avoid harsh treatments like excessive heat styling, chemical treatments, or tight hairstyles that can cause stress on the hair. When washing your hair, use a gentle shampoo and conditioner suited for your hair type.

3. Stress Management: High levels of stress can contribute to hair loss. Engage in stress-reducing activities such as exercise, meditation, or hobbies that you enjoy.

4. Consult a Dermatologist: If you are concerned about hair loss, consider consulting a dermatologist who specializes in hair disorders. They can provide a thorough evaluation and recommend treatments such as topical minoxidil or other therapies that may be appropriate for your situation.


Nail Care
Now, regarding your nail care concerns, it sounds like you have a habit of picking at your nails, which can lead to damage and even infection. Here are some tips to help you restore your nails and promote healthy growth:
1. Stop Picking: The first step is to try to break the habit of picking at your nails. This can be challenging, but you might find it helpful to keep your hands busy with other activities or to use fidget toys.

2. Moisturize: Apply a good quality hand cream or cuticle oil regularly to keep your nails and surrounding skin hydrated. This can help improve the appearance of your nails and prevent them from becoming brittle.

3. Nail Care Routine: Keep your nails trimmed and filed to prevent snagging. Use a gentle nail file to shape your nails and avoid using your nails as tools to prevent further damage.

4. Healthy Diet: Just like with hair, a balanced diet can also promote healthy nails. Ensure you are getting enough protein, as nails are primarily made of keratin, a type of protein.

5. Consult a Professional: If your nails are severely damaged or if you notice signs of infection (such as redness, swelling, or pus), it may be wise to consult a dermatologist or a nail care professional for advice and treatment options.

In conclusion, while some hair loss is normal, being proactive about your hair and nail care can help you maintain their health and appearance. If you have ongoing concerns, seeking professional advice is always a good step. Remember, taking care of your overall health will reflect positively on your hair and nails.

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