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Heavy hair fall, dandruff with irregular periods. - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1525 Questions
User:gud mrng doctor !!
Doctor:Good morning
Doctor:How can I help you?
User:since 1 and half month I am suffering with huge hair fall
User:normally in winter little hair fall wil be there for me bt this time its very huge
User:I am using herbal shampoo only
User:any reason for happening like this
User:while travelling in 2wheeler also i am fully covering my hair with cloth
User:pl suggest a way out
Doctor:May I know your age?
User:I am 31 years old
Doctor:May I know approximately how many strands of hair do you lose in a day?
User:morethan 100
User:when i put oil it may increase than that
User:for this problem i my self dont prefer to go to parlours for treatments
Doctor:Do you suffer from diabetes, thyroid problem, menstrual irregularities?
Doctor:Any recent illness/hospitalization?
Doctor:Do you have dandruff problem?
User:noooo....atually one incident i can tell XXXXXXX my period date got skipped 7 days and came
User:thats all
User:dandruff is there since long time
User:though this much hair fall never faced
User:last year also the same month it after 2 months again hair regrown as usual
User:but this time it still falling like hell
Doctor:Presuming your answers to my other questions are "NO", let me tell you that hair fall problems are associated with multiple conditions.
User:pl suggest me a way out of this problem
Doctor:1. Telogen effluvum which is abnormal variation in the normal hair cycle physiology. Here numerous hair fall off at a particular period triggered by stress (physical/mental), infection and other recent triggers.
Doctor:They resolve when the triggers are removed and hair starts to grow again in the next 3-6 months.
Doctor:2 Hair fall is also associated with dandruff. Since you been suffering with it, may be that could be worsening hair loss.
User:how to stop then
Doctor:3. Nutritional deficiency - a diet especially lacking with vitamins and minerals can cause hair fall.
Doctor:4. Hormonal and genetic factors.
Doctor:These are the common causes of hair fall.
Doctor:The steps to treat it are as follows:
Doctor:1. It is important that you located your triggers and rectify it.
Doctor:As stressors are a common causes, I suggest you to follow a good sleep, regular meals, physical exercise and a healthy life style.
Doctor:They will stop telogen effluvum and stimulate new hair growth.
Doctor:2. Use good antidandruff shampoo to treat dandruff.
Doctor:Nizoral or 8x shampoo - I recommend.
Doctor:Use this shampoo thrice a week for 3-4months regularly.
Doctor:Use this shampoo on the scalp and not Hair. Rub and massage the scalp and wash hair after 3 minutes.
Doctor:3. Consume a diet XXXXXXX in fruits and vegetables.
User:can i use conditioner after shampoo?
Doctor:You need to take plenty of root vegetables - radish, beetroot, ginger, carrot and others are a must.
Doctor:4. You can use a good conditioner after shampooing.
Doctor:Do not comb when the hair is wet.
Doctor:5. Oiling the hair is recommended. You can use simple coconut oil for the same.
User:pl suggest conditioner also
Doctor:6. Take biotin tablets once a day for 2-3 months.
Doctor:Any conditioner which you been using every day can do.
Doctor:I expect you to see good results with these measures (if you follow them religiously) in 3-4 months.
Doctor:If they persist, then I recommend you to visit a dermatologist.
Doctor:He/she can then prescribe you minoxidil containing solution for local application.
Doctor:Have you followed?
User:waht is this minoxidit, hw it wil resolve
Doctor:It is a medicated solution which has to be used only under medical supervision.
Doctor:It acts locally and increase blood supply to the scalp triggering hair growth.
Doctor:As there have been some side effects reported, this would be your last resort.
Doctor:Have you followed?
User:ohh..with doctors' advice only we hve to use it right?
Doctor:Yes. The solution needs to be taken only under medical supervision.
Doctor:A dermatologist will know about this solution and can rightly advice you the percentage you may need and how to use it, etc.
Doctor:So do consider visiting a dermatologist, if hair fall issue is persistent despite the other measures.
User:ohh k presently as you said the tips i wil follow
Doctor:you can consider visiting dermatologist if symptoms persist.
User:after hw many month i hve to see the result
User:like 2 months or 3 months/.
User:if same continues after 2,3 months then i wil visit to doctor
Doctor:I would like you to try the same for atleast 3 months.
Doctor:It may take upto 3-4 months for you to see significant improvement in dandruff.
Doctor:only after the dandruff issue is solved will you be able to see good results with hair.
Doctor:So be patient and follow the measures suggested to you religiously.
Doctor:Have you followed?
Doctor:Do you have any doubts?
Doctor:Are you there?
User:yes yes.
Doctor:Do you have any other query?
User:thanks for your valuable suggestions..will start today itself
Doctor:You are welcome.
User:hair growth also will stop
User:after certain length
Doctor:Thanks for consulting me.
User:for everyone it will not grow >
Doctor:The length of hair one has is determined by genetic factors.
User:and i forgot to tell u one thing..dandruff for me like a small kind of white color boll in the hair root
User:we can name it as dandruff only or something else
Doctor:One could have long hair initially, however the various factors which I mentioned earlier can influence the genetic factor which in turn will decide the length of hair.
Doctor:This may or may not be corrected.
Doctor:Dandruff usually presents of excessive hair flaking.
User:if hair falls then we can even see that at the root of each hair
User:but i dnt hvve in the form of flakes
Doctor:These flakes can be of various size and colour.
Doctor:It usually appears whitish pale in colour.
Doctor:If you are not sure what you have, then it would be good idea to visit a doctor and have it checked.
Doctor:A doctor after physical examination can be able to diagnose the condition.
Doctor:Have you followed?
User:flakes are not there i am its kind of small bolls as i explained u above
Doctor:I understand your complaints.
Doctor:However without a clinical examination, it would be difficult for me to diagnose the condition.
Doctor:If it isn
Doctor:*it could be a form of infection - related to follicules or a fungal infection.
Doctor:Do you have any other query?
User:anyway i can follow ur steps na without consulting a doctor?
User:if yes i will follow for the said period
User:thanks Dr.
User:no more queries
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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