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Hair fall on scalp, hair straightening, excessive chemicals. Treatment?

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Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
Hi, I am XXXXXXX and I have had several (6 to be precise) hair straightening treatments that use excessive chemicals and to make matters worse I did not take any spa. Now, after two years of proper oiling and regular shaving I have good hair on my scalp except on top. At the top I still have thin and weak hair. I have looked over internet and found that even though there are number of treatments for hair loss but choosing the right treatment depends on the cause of hair loss. Could you please suggest me what kind of treating should I undergo? Thanks!
Posted Sat, 28 Apr 2012 in Hair Loss
Answered by Dr. Jasvinder Singh 6 hours later

Thanks for posting your query.

Although there are many causes on hair fall like stress, fungal infections, alopecia aereata, hormonal imbalance (overproduction of dihydrotestosterone and thyroid hormones irregularities), malnutrition, telogen effluvium and sebum plugs on skin but since you have hair loss on top of head and you are a male, so androgenic alopecia or male pattern baldness is an important cause to be ruled out in your case. It is mainly genetic but sometimes hormonal imbalance like overproduction of dihydrotestosterone and thyroid hormones irregularities also play an important role.

Regarding the investigations which can be done to confirm the cause of hair loss, some of the important ones to be done are:

1)     Iron studies and thyroid function tests
2)     Testosterone and dihydrotestosterone levels
3)     Trichoscopy (in this hair and scalp structures may be visualized at many-fold magnification)
4)     Scalp biopsy.

I suggest you to consult a trichologist and get these investigations done.
There are many medications to improve hair loss like finasteride, dutasteride and topically applied minoxidil but these are available only under prescription and after ruling out the other causes of hair loss.

Give your diet an overhaul if you're lacking vital nutrients for growth and switch to foods for healthy hair like food XXXXXXX in protein, vitamins(mainly vit A and vit C) and other micronutrient like zinc, iron and copper.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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