Increased Hair Loss: When to Seek Further Medical Advice - Dermatology

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Increased hair loss can be a distressing experience, and it's important to understand the underlying causes and when to seek further medical advice. Based on your description, it seems you have been experiencing significant hair shedding, especially after a recent car accident, and have noticed a marked increase in the number of hairs lost during washing and styling.
1. Medical Evaluation: You mentioned that your dermatologist examined your scalp and found no signs of balding, and your hair follicles appeared normal, although there was some inflammation. The treatment prescribed, E SOLN (Episone Solution), is typically used to address scalp inflammation and may help improve your condition. While your dermatologist did not order blood tests, if you continue to experience excessive hair loss or if your symptoms worsen, it may be prudent to seek a second opinion or additional testing. Blood tests can help rule out underlying conditions such as thyroid disorders, iron deficiency, or hormonal imbalances that could contribute to hair loss. You can consult either a general dermatologist or a specialized clinic for further evaluation.

2. Understanding Hair Loss: Losing more than 100 hairs a day is often considered excessive, but it’s important to note that hair shedding can vary widely among individuals. Factors such as hair density, hair type, and overall health can influence how much hair you lose daily. It’s also worth mentioning that stress, whether physical (like from an accident) or emotional, can trigger a type of hair loss known as telogen effluvium, where hair follicles prematurely enter the resting phase, leading to increased shedding.
3. Hair Growth Cycle: The hair growth cycle consists of three phases: anagen (growth), catagen (transition), and telogen (resting). During the telogen phase, hair is shed naturally. If you have a lot of hair, you might not notice a significant decrease in volume even if you are losing more hair than average. However, if the shedding continues or if you notice thinning areas, it’s essential to monitor the situation closely.

4. Stress and Psychological Impact: Your concern about hair loss and the fear of going bald can create a cycle of stress that may exacerbate the problem. It is crucial to address both the physical and emotional aspects of hair loss. Consider engaging in stress-reducing activities such as exercise, meditation, or counseling.
5. When to Seek Further Help: If your hair loss persists despite treatment or if you notice other symptoms such as scalp irritation, changes in hair texture, or thinning patches, it would be wise to revisit your dermatologist or seek a trichologist (a specialist in hair and scalp disorders). They can provide a more comprehensive evaluation and may suggest treatments such as topical minoxidil, oral medications, or even lifestyle changes that could help mitigate hair loss.

In summary, while your current treatment may address the inflammation, it’s essential to remain vigilant about your hair loss. If you feel that your concerns are not being adequately addressed, don’t hesitate to seek further medical advice. Remember, early intervention can often lead to better outcomes in managing hair loss.