Hi XXXXXXX

Welcome and thanks for posting your query to XXXXXXX

Myself Dr S K Kanodia and will try to provide you the best of information regarding your query.

As per your query you have hair fall problem which according to you are falling very fast. Along with this, there is systemic complaint of tiredness and weakness.

Before I proceed further I would like to guide you that our hair normally fall every day. The number of normal hair falling varies from few hair to up to 50-100 per day. Now if your hair falling more than 100s per day then it is definitely a problem. If it is not then you have to understand hair fall as normal process of day to day life.

We have almost 1 lac hair on our scalp and amongst them around 5% of hair are in falling phase and then another 0.1% (around 100) of hair can fall everyday. In males this is super-added with hormonal influence of testosterone hormone ( the male hormone) which we call as "male pattern baldness". This also depends upon genetics- meaning type and pattern of hair your family pattern (from your father and mother's side).

Other than normal process, it can be due to nutritional, due to some illness such as fever or related disease and last but not the least stress of any kind.

Now from your problem one important thing I can make out is regarding correlation of your nutritional status with hair fall as you feel weakness and tiredness. We need to check it out that whether you have hormonal and other influences or factors also involved with this.

So, I need to know:
1. How many of hair are falling per day and from how long.
2. Are the hair falling diffusely form all over the scalp or from front and sides only
3. Your family pattern of hair- meaning what is the status of hair in other family members (from your mother's side also).
4. Your occupation, working hours, kind of daily schedule, sleep pattern.
5. Any substance abuse (alcohol or smoking).
6. Are you vegetarian or non vegetarian.
7. Any work outs or yoga in daily routine.
8. Any stress from long term or any disease in last 1 year or anything else which you feel is important to tell me related to these things.

Now at this juncture I would like to guide you best regarding diet. You should know that our hair are basically made up of proteins and supported by certain simple biochemical known as minerals and vitamins. So every of the food item which contains good amount of proteins with vitamins and minerals are best for maintenance and growth of good hair.

So you can follow the kind of dietary plan below:
1. Eat at least 3-4 fruits per day. Every fruit is good but you can make a combination of sour with sweet fruits such as oranges, papaya and other of seasonal fruits.
2. Pulses are good source of proteins. So everyday have a bowel full of mixed pulses. Add green leafy vegetables additionally in the pulses which contains lot of iron and vitamins in it.
3. Sprouts are the best source of fibers, minerals vitamins and proteins too. so add it at-least alternate day if you can not make in everyday's part of meal.
4. Over night soaked and peeled almonds will give you good vitamin E which is good for the hair growth.
5. Milk and milk products should be included in everyday's schedule.
6. If you drink tea or coffee then replace it either with herbal tea or green tea.

Follow the above plan for atleat 3 months minimally if you don't have much of hair fall. If you have more than 100 hair falling everyday then it would be better to consult a dermatologist who can check for the best possible related cause of your hair fall.

Hope this information helps you. If you have any further queries I will be happy to help.

Waiting for your reply so that I can guide you further.
"Wish you good health"

Dr Sanjay Kumar Kanodia
MD (Dermatology)

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