Brief Answer:
Hair fall treatment.
Detailed Answer:
Hello and Welcome to healthcaremagic.
I am Dr. Kakkar. I have understood your concern
You have 2 main concerns: Hair fall and Hair density.
Bore/Hard water is typically defined as water that has a high mineral content. Though hard water can often lead to hair loss, it doesn't necessarily have to.
I would like to know whether you have dandruff/ seborrheic dermatitis? If YES, I would advice that you should use a
ketoconazole based antidandruff shampoo, thrice weekly for 2-4 weeks and followed by once or twice weekly. If NOT, you can use any of the daily use OTC shampoos like Dove, sunsilk, pantene etc along with a good conditioner after shampoo.
Otherwise, I would keep a possibility of either Telogen effluvium OR Androgenetic Alopecia, as the cause of your hair fall and decreased hair density.
Scalp hair grows for 2-3 years (Anagen phase) after which it enter the catagen phase (transition phase) which is followed by resting phase (Telogen phase).
Hair can prematurely enter from growth phase(Anagen) to resting phase(telogen) therefore resulting in shorter length and increased shedding. After a major stressing event like medical/surgical illness OR post-partum OR
weight loss (in your case), scalp hair is prematurely pushed into resting phase (Telogen) from the growth phase (Anaphase). This phase usually starts in the third or fourth month after a major stressor and ends by six months if the stressor is removed.
There are certain well known causes of Telogen effluvium:
--Deficient Iron Stores
--
Hypothyroidism or hyperthyroidism
--Post partum(after delivery)
--Post Surgical or following a Medical illness (typhoid, malaria, dengue etc)
--Weight loss/ Dieting etc
Androgenetic alopecia can be difficult to distinguish from Telogen Effluvium in females, specially early in the course. Later on, Androgenetic alopecia presents as widened part-width and decreased hair density from the vertex and crown of the scalp.
I would advice that you get a few lab test done e.g Complete Hemogram, Serum Ferritin levels,
Thyroid function tests.
In my practice I usually ask my patients of
Chronic Telogen Effluvium to take an oral Iron Supplement along with a Biotin supplement for 4-6 months together.
Follihair tablets are basically hair supplements and contain multiple ingredients like Biotin, Iron,
Calcium pantothenate etc. They are helpful in controlling hair fall and help to restore good hair health.
However they need to be taken for at least 4-6 months at a stretch. The action is slow, therefore don't expect immediate results. It is advisable to take them for a good 1-2 months to judge whether they are going to be effective Or not.
A good healthy diet, a gentle cleansing shampoo and a good conditioner can be used for dry frizzy hair.
Hair oils which are traditionally applied by Indians actually has no role in controlling hair fall. It can actually worsen dandruff, in those who already have it and can also lead to scalp
folliculitis. So, I advice my patients of Seborrheic dermatitis to avoid all oily, greasy products and hair oil on scalp. The goal is to keep the scalp as clean as possible. You can use a good conditioner instead of using a hair oil.
Hope this answers your query.
regards