 
                            Suggest Treatment For Severe Hair Fall
 
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Sun, 11 Oct 2015
                                           
                                        
                                        
                                        
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                                             Sun, 11 Oct 2015
                                                
                                            
                                                Answered on
                                                
                                                Sun, 11 Oct 2015
                                                
                                            
                                                Answered on
                                             
                                             Mon, 2 Nov 2015
                                                
                                                
                                                Last reviewed on
                                                
                                                Mon, 2 Nov 2015
                                                
                                                
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                                            Question : Hello doctor,
My son is now 26 years old.Since last 2-3 years he has been continuously loosing most of his hair inspite of all the nutrient supplies & treatments.He always had a thick & good textured hair, I never thought he will ever go bald but now almost his scalp is visible.Kindly suggest some remedy.
                            My son is now 26 years old.Since last 2-3 years he has been continuously loosing most of his hair inspite of all the nutrient supplies & treatments.He always had a thick & good textured hair, I never thought he will ever go bald but now almost his scalp is visible.Kindly suggest some remedy.
                                    Brief Answer:
Need more information.
Detailed Answer:
Hi
Thank you for asking HCM.
I have gone through your query. Considering your age and sex it can be most likely androgenetic alopecia also called male pattern hair loss. In such case long term use of minoxidil and capixyl will be helpful.
How is the pattern of hair loss? Is it more on frontal and crown areas?
Does his father has same type of hair fall?
Have you ruled out anemia, hypothyroidism and vitamin D deficiency?
Is he a vegetarian?
What medications have you used?
Please update with answers to above questions.
I am happy to help you.
Thanks.
                                    
                            Need more information.
Detailed Answer:
Hi
Thank you for asking HCM.
I have gone through your query. Considering your age and sex it can be most likely androgenetic alopecia also called male pattern hair loss. In such case long term use of minoxidil and capixyl will be helpful.
How is the pattern of hair loss? Is it more on frontal and crown areas?
Does his father has same type of hair fall?
Have you ruled out anemia, hypothyroidism and vitamin D deficiency?
Is he a vegetarian?
What medications have you used?
Please update with answers to above questions.
I am happy to help you.
Thanks.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                          
 
                                    
                                    
                                 
  
 
                                    Hair loss is more on frontal & crown area.His father also has the same pattern but started loosing his hair only after 40.
He is a vegetarian.
Though not sure about the vitamine D deficiency,hypothyroidism & anemia is ruled out.
Medicines are zinc & vitamine supplements given by the trichology centre & treatment is stem therapy treatment which contains extracts of swiss apple,argan tree extracts etc. & also hair nourisher tonic which most probably contains minoxidil.
If this is a genetic pattern he doesn't have any hope for the reversal of hair problem?
I have also heard that once you stop using minoxidil you will completely loose the remining hair also though trichology centre advised him to use the hair nourisher only for 2 years.
                            He is a vegetarian.
Though not sure about the vitamine D deficiency,hypothyroidism & anemia is ruled out.
Medicines are zinc & vitamine supplements given by the trichology centre & treatment is stem therapy treatment which contains extracts of swiss apple,argan tree extracts etc. & also hair nourisher tonic which most probably contains minoxidil.
If this is a genetic pattern he doesn't have any hope for the reversal of hair problem?
I have also heard that once you stop using minoxidil you will completely loose the remining hair also though trichology centre advised him to use the hair nourisher only for 2 years.
                                    Brief Answer:
Most likely Androgenetic alopecia.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Your problem is most likely adrogenetic alopecia ( male pattern hair loss). It is genetic.
Using minoxidil solution is the FDA approved therapy for this. Minoxidil should be used for long term to get benefit and it should be continued also. You can get results after 4 months of usage. Minoxidil doesn't cause fall of hair you already have when you discontinue it. It may cause fall of hair which you got after minoxidil usage when you discontinue it.
You can also use ketoconazole based shampoos twice weekly.
Vitamin D levels and vitamin B12 levels levels should be checked. In case of deficiency supplements of those should be taken. B12 deficiency is common in vegetarians.
There is also a new preparation used for androgenetic alopecia called capixyl. This is also effective when used twice daily on scalp.
If all these are not effective then you can consider hair transplantation.
Hope this may help you. Let me know if anything not clear.
Thanks.
                                    
                            Most likely Androgenetic alopecia.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Your problem is most likely adrogenetic alopecia ( male pattern hair loss). It is genetic.
Using minoxidil solution is the FDA approved therapy for this. Minoxidil should be used for long term to get benefit and it should be continued also. You can get results after 4 months of usage. Minoxidil doesn't cause fall of hair you already have when you discontinue it. It may cause fall of hair which you got after minoxidil usage when you discontinue it.
You can also use ketoconazole based shampoos twice weekly.
Vitamin D levels and vitamin B12 levels levels should be checked. In case of deficiency supplements of those should be taken. B12 deficiency is common in vegetarians.
There is also a new preparation used for androgenetic alopecia called capixyl. This is also effective when used twice daily on scalp.
If all these are not effective then you can consider hair transplantation.
Hope this may help you. Let me know if anything not clear.
Thanks.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                          
 
                                    
                                    
                                 
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