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Hairfall, pimples and hydrocephalus - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1770 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hello doctor
User :   lately ive been dropping lots of hair
Doctor :  
ok
User :   i seen a dermetologist too
Doctor :  
ok
User :   but did not help
Doctor :  
ok
User :   wat i was worrying abt was dat 2mnths ago i took an ipill twice in a span of 1 an a half manths
Doctor :  
ok
User :   and i have a hstory of losing hair after 18 in my family
Doctor :  
ok
Doctor :  
i will need to ask a few more questions, can i proceed?
User :   i generally used to drop abt 200-300 strands of hair on a daily baisi
User :   bt nw 300-400
Doctor :  
ok
User :   as wel i have a menstarl cycle prob too
Doctor :   ok
Doctor :  
please provide your age, location, marital status, and occupation
User :   i was put on harmones for a 3mnths
Doctor :  
ok
User :   k daoctor
User :   im 21 of age
User :   unmarried
Doctor :  
ok
User :   n im studying
Doctor :  
i will help you in understanding what is causing the hairfal and then guide you with the remedies
User :   k doctor
Doctor :  
Hair loss is a natural part of the body's process of renewal. As some hair falls out, new growth replaces it. However, this process may be accelerated by a number of conditions.
Doctor :  
Hormonal changes may contribute to rapid hair loss, such as during pregnancy or childbirth, or even when coming off the Pill. so as the fluctuations in hormone levels get cured, the hairfall too becomes controlled
User :   k
Doctor :  
even fluctuations in thyroid hormone is known to cause heavy hairfall
Doctor :  
Stress is another factor linked to hair loss. and most of the women suffer from hair loss due to stress
User :   k
Doctor :  
and if this runs in families, women tend to get something called as 'female pattern baldness'
User :   k
Doctor :  
and this is mainly related to hormonal changes in the body
Doctor :  
are you having problem of baldness?
Doctor :  
is the hair thinned out very much?
User :   no doctor,i had beautiful weel defined lng natural curls
User :   bt dats thinning
User :   nt baldness
User :   bt i always had a thin scalp
User :   so dats thinning
Doctor :  
ok
Doctor :  
i will come on to other causes too, you can then tell me what fits in your problem
User :   k
Doctor :  
another cause for heavy hair loss is
Doctor :  
something called as Telogen effluvium which is characterized by a general thinning of the hair and it is usually brought about as a result of some traumatic event causing sufficient stress to interfere with the normal hair growth cycle.
User :   k
Doctor :   menstrual period problems, and even pregnancy can cause this
User :   k
Doctor :  
and next major cause is patchy hair loss, where patches of hair fall are there, causing patches of baldness like areas in the head.
User :   k
User :   so do i have toundergo some tests??
Doctor :   there are certain conditions
Doctor :  
in which the immune system is affected and causes hairfall
Doctor :  
have you had any fever or any infection before all this started?
User :   i fall sick very often doctor
Doctor :  
ok
User :   nt serious probs bt high temp
Doctor :  
ok
Doctor :  
are you taking any medications now?
User :   no
User :   bt i take suppliments
Doctor :  
were you on birth control pills before?
Doctor :  
ok
User :   no doc
Doctor :  
ok
User :   i tuk only twice n dat is in d mnth of may,june n july
Doctor :  
i will suggest you to take few blood tests
Doctor :  
like TSH, FSH, LH, Prolactin, DHEA levels
User :   wuld any dygnostic center do all these tests??
Doctor :  
these will help to find out if the hormones fluctuations are the cause
Doctor :  
yes they will do these, but you will need a prescription for these
User :   k
User :   bt wuld any of dede tests reveal dat i was on a pill
Doctor :  
no
Doctor :  
they will not reveal the use of pills
Doctor :  
but they will tell us if the female hormones are affcted and if the male hormones/precursors are present
User :   ok
Doctor :   since your periods are affected, so these will help to know the current status of your body response
User :   ok
Doctor :   do you have dry scalp?
User :   will this hair loss cause baldess??
User :   no doc i dont
Doctor :  
is there problem of dandruff?
User :   not really bt may very very less sometimes
Doctor :   with prolonged hairlos, it might lead to baldness
Doctor :  
as normal hairloss is about 5-0-100 strands per day, but yours is 200-300 daily
Doctor :   i meant to say 50-100
User :   yes
User :   i was put on topical minoxidil topical solution 2%
Doctor :  
did this help?
User :   ive stared using it only since 3days
Doctor :  
ok
Doctor :  
it is good
Doctor :  
and it prevents hairloss with upto 80% success rates
User :   for hw lng do i have to use it??
Doctor :  
however if the uderlying cause is due to hormones, then this too may not help much unless we correct that first
User :   ok
User :   bt the doctor ive met said any harmonal imbalance wuld show symptoms
User :   n im nt suffering from any of those
Doctor :  
ok
User :   so only a scan wuld help knw if a a have a harmonal prob
Doctor :  
the initial changes will not present with classic signs of hormone changes, only a few signs will be there
User :   or wth the cycle
User :   ok
Doctor :  
and a hormonal assay will give an answer to these
User :   ok
User :   n i take suppliments daily
User :   lke
User :   omega3
User :   calcium
Doctor :  
so next time you have an appointment with your doctor, ask him/her to prescribe hormone tests, to see if any changes are there
User :   essvit
User :   k
Doctor :  
yes you should continue taking them, they will help you
User :   im very worried abt this
Doctor :  
i will tell you the remedies, you can follow them along with the suppliments and minodixil
User :   k doctor
Doctor :  
1.Massage head with any of two or three oils. Almond, castor oils and sesame oil in equal proportions thrice a week
Doctor :  
massage with gentle but firm movements with fingertips all over scalp, the idea is to increase blood supply to scalwhich will strengthen the hair follicles from the root and stimulate more hair growth
Doctor :  
once done with this
Doctor :  
2. steam your hair an d wrap a warm towel around for about half an hour
User :   i do a hair massage with olive oil once a week bt dat only causes more hair loss when a brush
Doctor :  
4. shampoo it with rinsing well
Doctor :  
yes the hair massage causes the loose and damaged follicles to fall out
User :   ok
Doctor :  
but strengthen the existing ones
Doctor :  
the massage should be at the scalp, not to tangle the hairs more
User :   but since i have curly hair,my hair tends to get very knotty leading to hairfall when i brush
Doctor :  
you can use a wide toothed comb instead of brush to detangle hair before and after massage, this will help reduce the hairfall
User :   i use a detangling comb doctor
Doctor :  
ok
Doctor :  
that is good
Doctor :  
never comb hair when it is wet, you will pull out more hair follicles as scalp is wet and weak with wetness
Doctor :  
always let the hair dry a bit before combing
User :   yes i do it
Doctor :  
also never rub vigorously with towel, try to pat it dry with towel
User :   n i condition my hair too
Doctor :  
yes
User :   with loreal neofibrin
Doctor :  
when you condition it, remember to wash out the conditioner well, else it will cause more harm than good
User :   ok
Doctor :  
loreal is a trusted brand, and good for falling hair, you can also try dove hairfall therapy, this has helped a lot of women
Doctor :  
eat a handful of sesame seeds in morning
User :   ok
Doctor :  
try to rinse hair with cedar and vinegar mixture in the last rinse, this helps to nourish follicles and make them grow
User :   any diet particulars that you suggest doctor??
Doctor :  
if there are bald portions in head, you can rub with onion
Doctor :  
yes i am coming to that too once the remedies are done with
Doctor :  
you can massage coconut milk or Aloe Vera gel into the scalp and hair. Leave it for ½ hour, and then rinse with warm water. Repeat it for 3 times a week.
Doctor :   Massage honey with egg yolk into the scalp and hair. Leave for a 1/2 hour, then rinse to prevent hair loss.
Doctor :   you can use these home made hair packs that i told alteranatively twice a wee
Doctor :  
now coming to diet
Doctor :  
incorporate a glass of milk everyday
Doctor :  
take eggs atleast twice a week
Doctor :  
you can take a suppliment that contains these: Vit A, zinc, vIt B, Biotin, Vit C, copper, iron
Doctor :  
have food and milk products that are fortified with iron, and vitamins
Doctor :  
are you there?
Doctor :  
have you followed what i have said?
Doctor :   are you there??
User :   ok doc
User :   yes
User :   had a disturbance
User :   im sorry
Doctor :  
it is fine
Doctor :  
we are there to help you
Doctor :  
continuing with the diet recommendations
User :   k
Doctor :  

fish oils, chicken, liver, soybeans, leafy vegetables, orange juice, avocado, beets, broccoli,
Doctor :   whole grain cereals, berries and seafoods are few to mention.
User :   i take lots of chicken n meat,fish too
Doctor :  
these give good supply of essential nutrients that help to prevent further hairloss and promote new hair growth.
User :   i drink milk daily without fail
Doctor :  
also having seeds and nuts regularly prevent weakness of the hair shaft and prevent breakage.
Doctor :   yes hat is good, you should continue taking milk
User :   seeds in the sense??
User :   sesame??
Doctor :  
seeds like sesame seeds,
User :   k
Doctor :  
melon seeds
Doctor :  
also legumes
User :   okay
User :   and i want to if all this sudden hairloss is due dat pill
Doctor :  
it could be
User :   k
Doctor :  
we cannot say for sure unless we do the hormone tests
Doctor :  
to see if there is existing fluctuations going on
Doctor :  
even after stopping the pills
User :   i will get a harmone test done right today
Doctor :  
ok
Doctor :  
that is good for a start
User :   i something elase that i have to do doctor??
User :   and i just wanna tell to the medicines the docor prscribed me
Doctor :   as of now that should be fine
Doctor :  
you also do a tricho analysis
Doctor :  
for your scalp
Doctor :  
to see the pattern of baldness if any
User :   minoxidil 1ml twice daily
Doctor :  
and also know if new hair growth is there
User :   tricovit
Doctor :  
yes please continue the minodixil
User :   n folica tinc for applying
Doctor :  
yes
User :   can i apply it
User :   is it fine??
Doctor :   yes
User :   and doctor wuld future use of pills cause pregnancy probs??
Doctor :  
but i guess the diet changes and the home remedies will help you better
Doctor :  
yes try to avoid future use of pills once any problem is detected in hormone tests
Doctor :   if you do not have any underlying health issues, this will not be a problem
User :   k
Doctor :  
Is there any thing else I can help you with?
User :   and want remedies do you suggest for dandruff
User :   any medicatio??
User :   my sister suffers from dandruff problem
Doctor :   ok
Doctor :  
dandruff can be effectively treated with
Doctor :  
the diet changes, Vit E and A, same hair packs, oiol massage
Doctor :  
and medically
Doctor :  
you can tel her to use Nizral shampoo
Doctor :  
twice a week
Doctor :  
for four to six weeks
Doctor :  
scalp should not be left dry in such cases
Doctor :  
Is there any thing else I can help you with?
User :   n doctor where do dey do tricho analysis??
User :   any diognostic center??
Doctor :   any hair treatment clinic should do
Doctor :  
any dermatology center
User :   ok
Doctor :  
or a hospital with full fledges dermatology unit will have this facility
User :   k
User :   so il go get all dese done
Doctor :  
ok
User :   n get back to u if things dnt work
Doctor :  
yes
Doctor :  
surely
Doctor :  
you can chat with our doctors 24/7 for medical queries.
User :   n could i know your name doctor so dat i could get back to you nxt time
Doctor :   or if you want to talk to me spefically
User :   yes
Doctor :  
you can ask for Dr. XXXXXXXX
User :   thank u daoctor
Doctor :  
and chat with me, or mail me YYYY@YYYY with your query addressed to me
User :   ok
Doctor :  
Is there any thing else I can help you with?


User :   and doctor is dere something dat u can suggest me for pimples??
User :   i mean i dnt have severe acne prob
User :   bt i do get dem
Doctor :   yes surely
Doctor :  
ok
Doctor :  
Please fill the feedback form for the previous query and say done when done.
Doctor :  
i will help you with acne/ pimples query too
User :   i did fill it doctor
Doctor :  
ok
Doctor :  
thanks
Doctor :  
now coming to acne
Doctor :  
what is your skin type?
User :   i get zits first
Doctor :  
ok
User :   n dey stay for a while n then burct into pimples
Doctor :  
ok
Doctor :  
so you get the problem of white heads/blackheads first and then the pimples?
User :   i have nt very oily n nt very dry types of skin
User :   nt blackheads actually
Doctor :   ok
User :   bt its like a small thing on skin
Doctor :  
then please describe in detail
Doctor :  
ok
User :   and we have a histry oh acne in my family
Doctor :   ok
User :   bt i dnt suffer from severe acne bt moderate
User :   i use a face wash thrice daily
Doctor :   ok
Doctor :  
is it a soap based or non-soap based face wash?
User :   i scrub my face almost daily with vegetables or fruits
User :   like carrot,beetroot
Doctor :  
ok
User :   n use a cleansing milk n a toner
User :   i use a tee tree face wash,loreal white perfect
User :   i used a cindamycin phosphate get
Doctor :   ok
Doctor :  
please give me a few minutes
User :   okay
Doctor :  
i am attending a phone call from patient
User :   okay doctor
Doctor :  
you can continue typing what you want to say
Doctor :  
i will get back to you
User :   k
User :   cindamycin doesnt reaally work
User :   i even use face packs especially sandalwood ones
Doctor :  
thanks for your co-operation
Doctor :  
and understanding
User :   dats fine doctor
User :   its my pleasure
Doctor :   coming to your acne problem
Doctor :  
you are doing quite a bit that you need to do
Doctor :  
you can continue these
User :   k
User :   is it common to have acne at 21
Doctor :  
however i will suggest you a few things that will help you better
User :   okay
Doctor :  
yes it is .and it is called adult acne, it is a little different than teen acne.
User :   ohk
Doctor :  
Acne usually begins with blackheads, which are not dirt, but a result of oil and dead cells getting trapped in a skin pore which blocks the duct and mixes with bacteria. On exposure to air, they turn black. They turn into red pimples when they become inflamed and spread when touched with dirty hands. Once the pimple becomes infected, it develops a whitehead or a pustule, which upon breaking cause scars.
Doctor :   Stress that causes oil glands to oversecrete. Bad cosmetics leading to bacteria-laden pores. Hormones causing the sebaceous glands in the skin to overact and last but not the least, birth control pills with androgen in them causing breakouts.
Doctor :   also the use of pills and family history and poor diet can be a cause
User :   okay
Doctor :  
you can follow these few tips that i will give
User :   okay
Doctor :  
this should help you in conquering them
User :   ok
Doctor :  
1.Do not ever pick, pop or squeeze the pimples/blackheads, or otherwise mess with your skin. These will lead to infection or scarring, almost always making the acne worse. . If you must pick, please be sure to immediately apply a topical antibiotic to help prevent any infection setting in.
Doctor :   2.Wash your dirty towels and pillowcases regularly as they are known to harbor/carry bacteria and germs that will make the acne worse. or start new ones.
User :   k
Doctor :  
3. if you are oiling your hair and leaving overnight, then be sure to pull it back, such that face does not get the oil on it
User :   ok
Doctor :  
4.have a shower or wash immediately after a workout, this will help to clear the pores that are opened
User :   ok
Doctor :  
also avoid hot humid conditions an dgyms
Doctor :  
5.Wash your skin gently with a mild non-soap based facewash or cleanser and warm water once or twice daily. Hot water and harsh cleansers are known to irritate your skin.
User :   k
Doctor :   what you are doing is fine, but use a non soap based face wash and cleanser
User :   okay doctor
Doctor :  
6. use cosmetics that are labeled as :"non-acnegenic' or 'non-comedogenic'
User :   can u suggest a few brands that are trusted
Doctor :  
7. loreal, ponds are good
User :   okay
User :   and what about the face wash
User :   any thing in particular dat u suggest for my skin types
Doctor :  
you can use the same brand products.
User :   and what about himalay
User :   himalaya
Doctor :  
they are good, but land up irritating sensitive skin which makes problems worse
User :   ok
Doctor :  
ponds is trusted and efficacy is proven to control pimples and prevent further eruptions
User :   how do i get rid of scars??
Doctor :  
similarly loreal is also good
Doctor :  
i am coming to that
Doctor :  
you can drink plenlty of water, to keep skin hydrated and flush out dirt form pores.
Doctor :  
drink atlesat 8-10 glasses per day
Doctor :  
use topical retinoids to apply ob pimples to control them
User :   k
Doctor :  
wash face with benzoyl peroxide to treat and prevent further breakouts
Doctor :  
wash twice daily
User :   k
Doctor :  
for the scars due to acne
Doctor :  
use products with AHA
Doctor :  
Alpha-Hydroxy Acid
Doctor :   these are available in ponds
User :   k
Doctor :   these help in lightening them and slowly they dissappear
User :   k
Doctor :  
you can also use brigt day cream
Doctor :  
which has sunscreen in it
Doctor :  
to protect skin form scarring due to environmental causes
Doctor :  
is there anything else i can help you with?
User :   yes doctor i want to ask a few things about pregnancy
User :   can i go ahead??
Doctor :  
if all these measures fail to help, then you can ask your dermatologist to try doxycycline . it is an antibiotic
Doctor :  
yes pleas proceed with your querye
User :   yes doctor
User :   my fiancee has a brother who has mental disorder
User :   wuld it have an impact on my kids too??
Doctor :  
ok
Doctor :  
what disorder does he have?
User :   he had an excess secretion of water in the brain
Doctor :  
as these depend on the kind and whether theay can be heriditary
Doctor :  
ok
User :   due to which he cant take ant sort of stress like studying n etc
User :   as well has fits
User :   his mothers brother had the same prob too
User :   due to which he passed away at a very early age
User :   so is it genetic??
Doctor :  
ok
User :   would it cause any trouble to my chidlren
Doctor :  
i will help you in this
User :   k
Doctor :  
Human hydrocephalus is a significant medical condition with an estimated incidence of 1 in 1500 births
Doctor :   and It is estimated that about 40% of hydrocephalus cases have a possible genetic etiology
User :   k
User :   can this be detected during pregnancy
Doctor :   and this gets more severe in cases of maternal alcoholism
Doctor :  
it can be detected in pregnacy in fifth and then 7th month scan
Doctor :  
where the skull of the baby will loook big
User :   bt deres nothng that can be done at dat stage og pragnancy??
Doctor :   no
Doctor :  
only once the baby is born
User :   nt even an abortion??
Doctor :  
there will be treatment options to correct it
User :   like?
Doctor :  
abortion can be done before f=5 months, after that, even that is dangerous
User :   k
Doctor :  
there are operations to correct this
Doctor :  
like by putting a stent etc
User :   okay
Doctor :  
if you want to prevent this at the beginning
Doctor :  
you can both go for a genetic counselling
User :   k
Doctor :  
which will help to clear your doubts effectively
User :   yes
Doctor :  
more so chromosomal analysis will tell you the type of chromosome your fiancee and you are having, and whether the pregnancy can result in this defect in baby.
User :   ok
User :   n doctor could i know the right age to have babies
User :   especially when dere is a history of dis prob
Doctor :   it will be better to finish your family before 30 years of age
Doctor :  
as the quality of maternal eggs deteorates after that
Doctor :  
may i know the age of your fiancee?
User :   he is a 24
Doctor :  
ok
Doctor :  
then both of you should finish family before both get more than 30 yrs of age
User :   okay
Doctor :  
this will help ensure good quality reproductive cells that will take part in fertilization resulting in conception
Doctor :  
also both of you should maintain good diet
User :   like??
Doctor :  
suppliment zinc and seafood in diet to ensure good reproductive cells
Doctor :  
they known to nourish them
User :   my fiancee is on the bulkier side
Doctor :  
ok
User :   he has very irregular food timings
Doctor :  
try to counsel him to regular food habits and also to reduce weight
Doctor :  
what is his height and weight (in kg)
User :   he is 5 8
User :   n 74kgs
Doctor :  
ok
Doctor :  
his weight seems to be a little on the more side
Doctor :  
tel him to reduce atleast 3-4 kg
Doctor :  
that should be fine
Doctor :  
Is there any thing else I can help you with?
User :   k
User :   im 46 n 5 4
Doctor :   ok
User :   am i fine n healthy
Doctor :  
ok
Doctor :  
yes, you can still put on two to three kgs more
Doctor :  
it will be fine
Doctor :   Is there any thing else I can help you with?

User :   thank u doc
User :   imdone wth al my doubts
User :   ill do all dat uve suggested n see for a month
User :   n incase i have anyother prob
User :   il get back to you
Doctor :   sure
User :   thank u doctor
Doctor :  
Please fill the feedback form say done when done.
User :   k
User :   done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   bye
Doctor :   bye for now
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