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Hair loss, high sebum production in scalp and face, white waxy balls on scalp. Permanent solution ?

Dear Dr, My name is AAAAAA, 24 years old male from India. I have my sad story to tell about hair fall. I have been losing hair since I was 16 years. I have tried several treatments to control it. But nothing could cure it. In my family no one has such type of hair loss . I have high sebum production in my scalp and face. I have no pimples in my face. But in my scalp, I get slight yellowish/ whitish waxy balls and maybe it would be attached to the roots of each fallen hairs. It’s all over in my scalp. New born hairs also fall out like this. I am losing 150 hairs in a single day. What do I do? Will new hairs come back in the place of fallen hairs which had been lost because of excess sebum? Please explain dear doctor. I am so worried about that. Thanks
Asked On : Tue, 18 Sep 2012
Answers:  1 Views:  721
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General & Family Physician 's  Response
Jun 2015
Hello dear,

Excess sebum production occurs due to over activity of the sebaceous glands, which act under the control of androgens.
Treatment modalities to reduce sebum production includes Retinoids, etc.

Causes of hair loss are:
1. Environmental factors
2. Stress
3. Deficiency of certain minerals, vitamins & amino acids in diet. e.g. Iron, zinc, Vit B complex, lysine.
4. Hormonal factors. e.g. Thyroxine, Testosterone
5. Any incidence of surgery, shock, etc.

Management includes:
1. Treating the underlying cause
2. Avoidance of stress
3. Dietary modifications
4. Minoxidil solution to be applied locally to stimulate the hair follicles
5. Multivitamin & multi mineral supplementation

But these medications have to be used regularly under the guidance of a Dermatologist, as hair loss tends to return on stoppage of these medications.

And before initiation of these medications, the problem of excess sebum production in scalp should be addressed.

So, it will be better to consult a Dermatologist to find out the underlying cause & start treatment accordingly.
Those cases which do not respond to medical therapy, are managed by hair transplantation.

There is no need to worry.
Your hairs will grow back again.

Wishing you a Good Health.
Thanks & take care.
Answered: Wed, 19 Jun 2013
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