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Hair fall remedy,arthritis and thyroid problem in mother - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2126 Questions
Doctor :   Hi
Doctor :   Iam.Dr....
User :   hello
User :   sir my name is .....
Doctor :   Post your query
Doctor :   ok
User :   iam working as a software professional in Chennai
Doctor :   Hai
User :   I have a problem of falling Hair
Doctor :   Good
User :   it started around 4-5 years back
User :   i have consulted many hair specialists
Doctor :   ok
Doctor :   May i know your age?
User :   my hair keeps falling off from the front part of my head
User :   i am 25
Doctor :   Do you have hair fall?
Doctor :   ok
Doctor :   ok
User :   i think the problem started when i was around 18-19 years
Doctor :   That might be androgenic alopecia
Doctor :   which is very common in males
User :   can it be stopped
User :   or controlled atleast
User :   i left it as it is for long time
User :   but now i am worried
User :   becuase it shows the baldness now
Doctor :   yes
Doctor :   you can limit the fall
Doctor :   but cant fully stop that
Doctor :   since it
Doctor :   is genetic
Doctor :   and hormonal
User :   oh
User :   ok
Doctor :   it is due to testosterone hormone
Doctor :   that makes a male a male
Doctor :   so if your levels are reduced
Doctor :   you will have other problems
User :   oh
Doctor :   Androgenetic alopecia is a genetically determined disorder and is progressive through the gradual conversion of terminal hairs into indeterminate hairs and finally to vellus hairs.
User :   and i also heard that the rate will increase with age is it true?
Doctor :   Studies have indicated a self-renewal of the hair follicle via keratinocyte stem cells located at the area of the bulge of the hair follicle
Doctor :   yes
Doctor :   Androgenetic alopecia is an extremely common disorder that affects roughly 50% of men and perhaps as many women older than 40 years
User :   but i don't want to look bald not atleast till 35
Doctor :   Almost all patients with androgenetic alopecia have an onset prior to age 40 years, although many of the patients (both male and female) show evidence of the disorder by age 30 years.
Doctor :   ok
Doctor :   i understand
Doctor :   Only 2 drugs currently have US Food and Drug Administration (FDA)â??approved indications for treatment of androgenetic alopecia: minoxidil and finasteride.
Doctor :   Although the method of action is essentially unknown, minoxidil appears to lengthen the duration of the anagen phase, and it may increase the blood supply to the follicle.
Doctor :   Regrowth is more pronounced at the vertex than in the frontal areas and is not noted for at least 4 months.
Doctor :   Continuing topical treatment with the drug is necessary indefinitely because discontinuation of treatment produces a rapid reversion to the pretreatment balding pattern.
Doctor :   Finasteride has been shown to diminish the progression of androgenetic alopecia in males who are treated, and, in many patients, it has stimulated new regrowth.
Doctor :   Although it affects vertex balding more than frontal hair loss, the medication has been shown to increase regrowth in the frontal area as well
Doctor :   did you get it?
User :   yeah
Doctor :   so it do comes with side effects
User :   u meant if i stop using it after a short time
User :   it will increase the hair fall
Doctor :   yes
Doctor :   it can
User :   so for how long shall i use this
User :   i heard of minoxidil from many people
Doctor :   that depends on your hair loss
User :   which one is better among these two?
Doctor :   and areas that are bald
Doctor :   both are used
Doctor :   but it needs an examination first
Doctor :   only then you can have these
User :   i am losing hair from the front portions the two front sides of the head..
Doctor :   Low-level laser light therapy, in particular a red light hairbrushâ??like device has been marketed as an over-the-counter technique for hair growth.
Doctor :   Surgical treatment of androgenetic alopecia has been successfully performed for the past 4 decades. Although the cosmetic results are often satisfactory, the main problem is covering the bald area with donor plugs (or follicles) sufficient in number to be effective.
Doctor :   Micrografting produces a more natural appearance than the old technique of transplanting plugs.
Doctor :   Patients with less than 40 follicular units/cm2 in their donor areas are poor candidates for the procedure. Scalp reduction has been attempted to decrease the size of the scalp to be covered by transplanted hair.
Doctor :   Hair weaving techniques are available, and, together with hairpieces, they offer the patient a prosthetic method of coverage.
User :   can u give me any cost estimate of micrografting or any surgical treatment
Doctor :   did you understand?
Doctor :   varies from 0000-0000
Doctor :   and depends on the areas and technology
User :   i can't understand the terms actually i can make out u were talkign about some operations performed on hair replacement or something..
Doctor :   it can also vary in deffrnt areas
Doctor :   yes
Doctor :   I Was talking about hair grafting
User :   what all places i mean clinics or hospitals are best in this hair transplant stuff
Doctor :   Gulf agate helps in hair weaving
Doctor :   do search i net
User :   and are there any side effects for this surgery.....
Doctor :   no
Doctor :   usually not
User :   i see
Doctor :   ok
User :   and if i get operated can it again start falling
User :   i mean
User :   again hair fall start happening
Doctor :   yes
Doctor :   it can
Doctor :   but not as what you are facing now
User :   u mean
User :   it will start
User :   but it will be at a smaller rate or something?
Doctor :   yes
User :   that sounds good
Doctor :   you will look almost normal with hair weaving
Doctor :   so do try that
User :   because i feel i have not lost much hair if i compare my self to some of my friends.... who are almost bald now....
Doctor :   thats good
Doctor :   So dont worry
User :   and can u suggest some diet to keep my hair healthy or something
User :   i would really appreciate
User :   if u could tell me what to eat
Doctor :   yes eat more proteins in diet
User :   or something
User :   like egg proteins
Doctor :   yes sure
Doctor :   and a balanced diet
User :   proteinx with milk...
Doctor :   yes good
Doctor :   take a good sleep too
User :   oh
Doctor :   dodnt stress too much
User :   yeah
User :   actually how many hours of sleep is essential for an adult
Doctor :   all what you need to be healthy
User :   is it 6 or 8
Doctor :   that will work for your hair too
User :   yeah thats very true
Doctor :   8
User :   oh
User :   and i smoke also occasionally
User :   i mean its not too much
Doctor :   ok try quitting
User :   but 1-2 cigaretes daily
Doctor :   that will increse blood supply
Doctor :   ok
User :   yeah i have to quit before getting married actually
User :   thanks sir that was very much enlightening
Doctor :   yes
Doctor :   keep your body healthy
User :   and sir can i ask you some more advice
User :   ?
User :   regarding my mother?
User :   i mean if you are ok with it?
Doctor :   yes sure
User :   ok! so my mother is around 50
User :   might be 48 or something
User :   she got operated for
User :   stone in gall bladder
Doctor :   ok
User :   and 4-5 years latter now she has developed severe arthritis problem
Doctor :   ok
User :   in the joints knee portion and all
Doctor :   is she having diabetes?
User :   it pains and she cannot walk or climb
User :   no
Doctor :   ok
User :   but she has got Thryoid problem
Doctor :   ok
User :   and her legs would swell
User :   doctors say her uric acid level has gone up
Doctor :   did she try pain drugs?
Doctor :   ok'
User :   and thyroid problem is there for long time
Doctor :   gout can develop
Doctor :   so keep the uric acid level controlled
User :   but now this arthritis problem is creating lot of trouble for her
User :   and real problem is with what to eat in the diet
User :   i tried searching on net
User :   but i could not find something real good diet plan and all
User :   can u suggest something in this regard.
Doctor :   get good vegetables in diet
User :   where can i take her to or what is the treatment or something
Doctor :   and ahve an egg
Doctor :   a day
User :   and she is a pure vegetarian
Doctor :   do regualr exercises too
Doctor :   ok
Doctor :   go for vegetables
User :   what all vegetables ?
Doctor :   green leafy ones more
Doctor :   then carrot,beans etc
Doctor :   did she take an xray
Doctor :   if calcium def is there
Doctor :   she might need calcium tablets too
User :   any body in there?
Doctor :   yes sure
User :   hello si
User :   i had the following query
Doctor :   yes sure
User :   u remember i told u about my mother
Doctor :   yes
User :   If you could suggest what all vegetables she can eat. I mean what all things she can eat. Like specifically what all vegetables or fruits, juices or anything. Lot of doctors has said don't eat pulses etc. But they did not suggest what all things she can eat
Doctor :   abaout gout
User :   is it a medicine?
Doctor :   A diet rich in sugars and fats as well as one having a low-fiber content, is the most likely contributing factor to the formation of gallstones in humans,
Doctor :   Other contributory conditions to gallstones could be the presence of disorders such as inflammatory bowel disease, and other digestive tract disorders.
User :   actually her problem now is
User :   for arthritis
Doctor :   Eat lots of fibre rich vegetables
User :   and
User :   thyroid
User :   and the pain she gets in her knees is very severe
Doctor :   ok
User :   no her cholesterol level is normal only
Doctor :   gout is increased by proteins
Doctor :   like cereals
Doctor :   its breakdown product causes gout
Doctor :   it accumulates and creates inflammation
Doctor :   Self-Care at Home includes
Doctor :   keep the swollen joint elevated above your chest as much as possible.
Doctor :   While a joint is hot and swollen, you may want to use a cane or similar support to keep your weight off that joint.
Doctor :   # Ice packs can be helpful in relieving pain and reducing inflammation.
Doctor :   Maintaining adequate hydration is key for minimizing attacks.
Doctor :   Surgery is rarely needed for gout unless significant joint damage has occurred from lack of effective treatment.
Doctor :   Gouty arthritis is treated in two stages.
Doctor :   The first stage is to treat the acute arthritis
Doctor :   The second stage is to prevent gouty arthritis attacks from happening again
Doctor :   Eat a low-cholesterol, low-fat diet. People with gout have a higher risk for heart disease. This diet would not only lower your risk for gout but also your risk for heart disease. Control your cholesterol.
Doctor :   Avoid foods that are high in purines (the biochemical in foods that is metabolized into uric acid), including shellfish and red meats.
Doctor :   Slowly lose weight. This can lower your uric acid levels. Losing weight too rapidly can occasionally precipitate gout attacks
Doctor :   ncrease your intake of dairy products, such as nonfat milk and yogurt, because they can lower the frequency of gout attacks.
Doctor :   Avoid fructose, such as in corn syrup and diet sodas.
Doctor :   The prognosis for gout is excellent if you are properly diagnosed and treated.
Doctor :   got it
Doctor :   Is she having frequent attacks now?
Doctor :   Corticosteroids can also be injected into the swollen joint. Resting the joint temporarily, after it is injected with steroids, can be helpful.
Doctor :   Dietary changes can help reduce uric acid levels in the blood. Since purine chemicals are converted by the body into uric acid, purine-rich foods are avoided. Examples of foods rich in purines include shellfish and organ meats such as liver, brains, kidneys, and sweetbreads.
Doctor :   Researchers have reported, in general, that meat or seafood consumption increases the risk of gout attacks, while dairy food consumption seemed to reduce the risk
Doctor :   Protein intake or purine-rich vegetable consumption was not associated with an increased risk of gout.
Doctor :   New medications to increase the elimination of uric acid in the urine (such as benzbromarone) and lower uric acid blood levels (such as PEG-uricase) are being evaluated in clinical trials.
Doctor :   is there anything else i can help you with?
Doctor :   Thanks for consulting..Bye for Now..
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