Suggest Remedy For Hairfall

Brief Answer:
Causes of hair loss can be multiple. Telogen effluvium is common in females

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have taken note of your query.
I would like to gather more information from you in order to be able to guide you better,

-The duration of your hair fall? How many hair strands do you lose per day, the approximate number (whether < 50, 50-100 Or >100)?

-Do you have dandruff?

-Any history of Thyroid (Hypothyroid or Hyperthyroid)? Have you ever been investigated for this?

-Any history of Sudden/Significant weight loss preceding hair loss?

-Any history of major stressful event preceding hair loss (preceding 3-6 months) e.g history of medical illness (e.g jaundice, malaria, typhoid, dengue etc) Or any preceding surgery Or any other major psychological/mental stress?

-Is the hair fall related to recent delivery/post pregnancy telogen effluvium?

Hair loss can be due to various reasons. In females the most common cause of hair fall is Telogen Effluvium. It can be acute or Chronic.
Other common cause of hair fall in females is Androgenetic Alopecia, usually noticed as gradual thinning, widened part-width and decrease in hair volume over a period of time.

Sudden/ acute hair fall is commonly due to Telogen Effluvium.
Telogen is the resting phase of hair growth cycle and once hair enters Telogen, it is shed over the next few days.
There may be various causes for transition to telogen phase. Most of these causes are identifiable in the history of the patient, in the preceding 3-4 months before onset of Telogen.
Telogen usually begins 2-3 months after a stressful event/ triggering event. This stressful event can be a preceding medical illness like e.g dengue, malaria, jaundice etc; a major surgery is also usually followed by telogen that begins 3-4 months after the stressful event.
Other common causes are deficient Iron stores; Weight loss/ dieting; post pregnancy/ post partum, certain drugs etc.
These causes if identified can be addressed appropriately.
Telogen usually lasts 3-6 months and hair loss recovers if the inciting factor is identified and removed.
Thyroid should be tested and ruled out as well as body Iron stores should be measured.
Sometimes telogen can be long lasting i.e chronic diffuse telogen hair loss, if the inciting cause is persistent e.g thyroid abnormalities, Iron deficiency etc.
Chronic Telogen effluvium is usually idiopathic i.e has no known underlying cause.

I usually ask my patients of telogen to take a good healthy diet rich in nutrients, vitamins and minerals.
An Iron supplement may be added over the next 4-6 months as Iron stores are a common cause of hair fall in females.
A Biotin supplement is also beneficial for hair. Biotin helps in recovery and is essential in the synthesis of protein that builds hair.

Androgenetic alopecia on the other hand is gradually progressive thinning and decreased hair density from the top of the scalp.
This is manifested as wide part-width, initially and later on by greatly decreased hair volume.

In addition to the above, topical 2% minoxidil solution/ liquid may also be started and is quite useful in cutting short telogen effluvium as well as useful in androgenetic alopecia.

Regards

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