I have been experiencing hair loss, particularly in the center of my scalp moving forward?
Hello Doctor: I started experiencing hair loss around November to December of last year.
I live in Keelung, but I study in Chiayi, where the food is a bit saltier.
Additionally, I tend to stay up late (sometimes all night).
Every time I wash my hair, I notice that I lose more than 7 or 8 strands, and a lot of hair falls out while rinsing.
I also lose hair when I normally touch my scalp.
Is this really the reason for my hair loss, or could it be due to excessive physiological demands? Furthermore, I have bumps on my scalp that resemble acne.
I visited a dermatologist, but the doctor only mentioned that it was scalp folliculitis.
However, the bumps on my scalp keep changing locations.
I have researched and found that some people suggest it might be androgenetic alopecia stage two.
Is it possible to treat this? I'm only 20 years old, and I don't want to go bald like this.
Douhua, 20~29 year old female. Ask Date: 2009/03/09
Dr. Jiang Yujiao reply Dermatology
Tofu pudding: Hello! At your age, it is unlikely that you are experiencing male pattern baldness.
Sleep, emotional stress, and pressure can all contribute to hair loss, which are the primary reasons for hair loss at your age.
Fortunately, once the underlying issues are addressed, hair can regrow.
The occurrence of acne can also be attributed to these factors, as they can affect hormone secretion, leading to excessive oil production that may clog hair follicles and result in folliculitis.
It is advisable to maintain a diet low in oil and sugar.
Response from Jiang Yujiao.
Reply Date: 2009/03/09
More Info
Hair loss in young adults can be a distressing experience, and it’s important to understand the potential causes and solutions. Based on your description, there are several factors that could be contributing to your hair loss.
Firstly, dietary habits play a significant role in hair health. You mentioned that since moving to Chiayi, your diet has become saltier. High salt intake can lead to dehydration and may affect overall health, including hair growth. A balanced diet rich in vitamins and minerals, particularly those known to promote hair health—such as biotin, zinc, iron, and vitamins A, C, D, and E—is crucial. Consider incorporating more fruits, vegetables, lean proteins, and whole grains into your meals.
Secondly, lifestyle factors such as sleep patterns can significantly impact hair health. You noted that you often stay up late or pull all-nighters. Lack of sleep can lead to increased stress levels, which is a known factor in hair loss. Chronic stress can disrupt the hair growth cycle, leading to conditions like telogen effluvium, where hair follicles prematurely enter the resting phase, resulting in increased shedding. Establishing a regular sleep schedule and finding ways to manage stress—such as through exercise, meditation, or hobbies—can be beneficial.
You also mentioned experiencing scalp issues, such as bumps resembling acne, which have been diagnosed as folliculitis (inflammation of the hair follicles). This condition can lead to hair loss if not treated properly. It’s essential to follow up with a dermatologist for appropriate treatment, which may include topical antibiotics or anti-inflammatory medications. Maintaining a clean scalp and avoiding harsh hair products can also help.
Regarding your concern about male pattern baldness (androgenetic alopecia), it’s important to note that while this condition can begin in young adulthood, it is not the only cause of hair loss. Genetic predisposition plays a role, but environmental factors, hormonal changes, and overall health are also significant contributors. If you suspect that you may be experiencing early signs of male pattern baldness, consulting with a dermatologist or a trichologist (a specialist in hair and scalp health) can provide you with tailored advice and treatment options. Treatments such as minoxidil (Rogaine) or finasteride (Propecia) may be recommended, but these should be discussed with a healthcare professional to weigh the benefits and potential side effects.
In summary, your hair loss could be attributed to a combination of dietary changes, lifestyle factors, and scalp health issues. It’s crucial to address these areas holistically. Focus on improving your diet, establishing a healthy sleep routine, managing stress, and seeking appropriate medical advice for your scalp condition. With the right approach, many young adults can effectively manage hair loss and maintain healthy hair. If you continue to experience significant hair loss, don’t hesitate to seek further evaluation from a healthcare provider to explore additional underlying causes and treatment options.
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