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Restricted facial hair growth - 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 : 2008
Answered : 3583 Questions

Doctor :   Hi
Doctor :  
How can i help you?
User :   Hello doctor.
User :   I am an Indian.
Doctor :  
OK
User :   I have two questions.
Doctor :  
Please proceed with the query?
User :   First is regarding restrictive beard and moustache growth.
User :   My age is 28, M
Doctor :  
OK
User :   and still the beard growth is sparse and in particular areas under my chin.
User :   Moustache is like Chinese beard and not visible at all.
User :   My fatcher had no such symtoms at my age.
User :   I have well formed pubic hair but sparse chest hair.
User :   father*
Doctor :  
May i know if you have any medical problems/alelergies
User :   It is more of a psycology that is affecting me.
User :   I have allergies to some foods
Doctor :  
I will help you in this issue.
User :   like prawns, pineapple, etc.
Doctor :   Ok
Doctor :  
May I know few details on your sexual history?

User :   hello doctor?
User :   you there?
Doctor :   Hi..
User :   So what exactly you want to know? I am a Male.
Doctor :  
Ok
Doctor :  
are you sexually active.
User :   yes.
Doctor :  
ok
User :   I have no sexual problems so far, it has been normal and I am married.
Doctor :  
How about the hair growth over the arm pit?
User :   not too dense, not too sparse, its medium.
Doctor :   ok
Doctor :  
have you ever consulted a doctor for this problem?
User :   no I never consulted any endocrinologist thus far.
Doctor :  
I will explain the problem to you.
Doctor :  
sparse facial hair occurs due to 2 main reasons.
Doctor :  
1. is hormonal.
Doctor :  
Your history is not suggestive of a hormonal problem
Doctor :  
2. is the local skin problem.
Doctor :  
I will explain you this.
User :   Well I first thought it to be a shortage of [DCH]
Doctor :   DCH?
User :   Dihydrotestosterone
Doctor :   Its a hormone.
Doctor :  
It may be one of the cause,
Doctor :  
but since all the hair growth in the pubic and arm pits are normal
Doctor :  
this may not be the problem in your case.
Doctor :  
Do you follow.
User :   yes
Doctor :  
Ok.
Doctor :  
Then the probable cause is
Doctor :  
The skin cause.
Doctor :  
U may have some kind of local skin problem over the facial region where there are restricted hair growth.
User :   Yes, I forgot to tell you that my legs have well formed skin hair growth, but my hands are not.
User :   Its a mixed bag.
User :   Also I had an accident under my chin at a small age but do you think that will have an effect on the moustache area?
Doctor :  
Yes, that is what i meant that it may not be because of low hormones.
User :   so how do we go about it?
Doctor :   It depends on the type of injury you have sustained.
User :   Is a well formed moustache and beard still a reality?
User :   It was just a shallow cut where the skin had been damaged.
Doctor :  
U need a biopsy of your skin where there are restricted hair growth to
Doctor :  
assess what the exact cause or if there will be any hair growth.
User :   So do I need to consult a dermatologist?
Doctor :  
yes
Doctor :  
A dermatologist is a better choice than a endocrinologist
User :   ok so you are saying the chances are 50-50% ?
Doctor :  
You may still have the chances of hair growth isf there are sufficient hair follicles which is seen on biopsy.
User :   what will be the positive signs after the report of the skin test comes normal?
User :   so will it be a test of just my facial skin?
Doctor :  
There are certain treatment available to stimulate the growth of hair follicles if we can know the cause.
Doctor :  
Yes the test will be restricted to only the affected skin.
User :   ok
Doctor :   You can visit a dermatologist. If you need we shall help in fixing an appointment with one of them in your area.
User :   I am located in Bangalore and the only hospital I visit very often is the Manipal Hospital.
Doctor :   ok
User :   I have a patient history there so I do not look elsewhere.
Doctor :  
Ok
Doctor :  
Thats good
User :   But if there is a specialist who you think can help me in this topic, it would be nice.
Doctor :  
mainpal is a good hospital.
User :   I know many endocrinologist will laugh at me if I take my problem to them. Generally I believe a low hormonal case is of no greater importance.
Doctor :  
You can consult one of the dermatologist and can also follow up with us later once the biopsy is done.
User :   So you suggest that I bring over the reports at your disposal and you will have a look at them?
Doctor :  
Yes
Doctor :  
once the consultation is done you can chat with us for further treatment options.
User :   ok. I think I have some serious skin trouble as rashes come out while I am in the sun but it completely vanishes when I wake up in the morning and when the skin is fresh.
User :   Also, I have dust allergy too.
Doctor :  
ok
Doctor :  
This probably is the cause.
User :   hmm..
User :   May I know your name doctor?
Doctor :  
Dr XXXXXXXX
User :   are you located in India?
Doctor :   Yes
User :   ok can you help me with some another problem that is causing me concern?
Doctor :   Please proceed?
User :   I have small lumps on several places on my hands and I observed a few lumps at the back just above my hip. They tend to be soft and I can feel them.
Doctor :  
Since when have you noticed those lumps?
User :   I attended to Dr. XXXXXXXX Mukherjee(Surgeon, Kolkata)
Doctor :  
ok
User :   It had been for over some 1 and a half years now.
User :   but I took doctor's help when it started multyplying all over my body.
Doctor :  
Are those lumps growing in size?
User :   no
User :   they are the same as before sometimes they are visible sometimes they are not.
Doctor :   Have the doctor diagnosed what those were?
User :   it just protrudes out of the skin as a general lump as I can obeserve
User :   Doctor has asked me to get it operated in a local nursing home or from a clinic and then give it for biopsy.
User :   He has given me 3 months to attend to it and then come with the reports.
User :   Actually I am not getting time to get it operated as I am very bsuy with my profession, will delaying affect the condition?
Doctor :   The commonest cause for multiple lumps are
Doctor :  
1.lipoma
Doctor :  
2.neurofibromatosis
Doctor :  
Both are benign lesions
Doctor :  
which are not of concern
User :   Yeah that what he told me too.
User :   I do take a lot of proteins, is that harmful?
User :   and is that affecting me? why suddenly I had so many lesions?
Doctor :  
Not if you have any other medical problems like
Doctor :  
a liver disease or a kidney diseaese
User :   I never went for a liver or kidney diagnosis, but is high protein intake affecting my liver?
Doctor :   It doesn"t harm as such
User :   By the way, I had high Uric Acid which was last diagnosed and reported in Manipal Hospital.
Doctor :  
But proteins have to be restricted in the diet if there is any renal disease.
User :   So is this a need of the hour that I get my liver and kidney checked up too?
User :   Doctor only suggest me if it is a must to do those checkups as I have lesions.
Doctor :  
You can probably get those test done as a health check up plan.
Doctor :  
Yes he is right
User :   yes you are right that is economical for me as well.
Doctor :  
You need those test fron surgical point of view.
User :   Can you tell me why multiple lesions grow exactly?
Doctor :  
The cause are related to genetic mutations.
User :   Is that anything to do with my nerves as I get very less sleep.
User :   My hands also shake rapidly and my legs shiver too without any cause, my lids starts to blink too!
Doctor :   did you check this with the doctor in manipal
User :   I was just a fittest sportsperson in my college days, but my profession has brought me so many diseases.
User :   no
Doctor :  
ok
Doctor :   are you on any medications presently

User :   not really but I just take a pill to control the uric acid. I am forgetting the name. sorry.
Doctor :  
ok
User :   So whom do I consult for nerve problems?
Doctor :  
neurologist
User :   ok.
User :   I think that's it, until I come back with the reports.
User :   So does a package combine all these tests?
Doctor :   for time being you can consume tab eldervit one tablet in the night

User :   leaving apart the operation for the lesions.
User :   tab eldervit ?
Doctor :  
this will help you till you consult neurologist
Doctor :   yes tab eldervit
User :   what does it do and does it have any side effects?
Doctor :  
it will rejuvenate the nerve and it as no side effect
User :   great!
User :   You have been a really good guide.
User :   thank you!
Doctor :   thanks for consulting healthcare magic
User :   It helps a lot when you have some questions pondering in your mind though you have consulted the best doctors.
User :   So when can I consult you next?
Doctor :  
as soon as you get your reports you can consult me
User :   there are other elders in my family for whom I have lots of other questions, which I will do over the week. So will you be available 24x7 or some other doctor?
Doctor :   i will be available in this hour
User :   ok bye and thank you once again.
Doctor :   Bye for now. Please refer your friends to ur service.
User :   sure
Doctor :   bye
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