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What is the cause and treatment for excessive hair fall?

Answered by
Dr. Kakkar S.


Practicing since :2002

Answered : 8102 Questions

Posted on Tue, 5 Aug 2014 in Skin Hair and Nails
Question: Hi, My sister has had problem of extensive hair fall for the past 5-6 years now. She is 21 years old. Her hairs have become thin.
Answered by Dr. Kakkar S. 42 minutes later
Brief Answer:
Treatment for Hair Fall

Detailed Answer:
Hello and welcome to Healthcaremagic

I am Dr. Kakkar. I have gone through your query.

I would keep a possibility of either Telogen Effluvium or Androgenetic Alopecia.

I would like to gather more information from you.
1) Approximately how many hair strands does she loses per day?-less/more than 100
2) Is she suffering from dandruff?
3) I would also like to know that has she ever been tested for thyroid status?
4) Has she ever tried for any medication for hair fall?


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Kakkar S. 3 hours later
Number of hairs lost is less than 100 sir. Never had any dandruff problem and no thyroid test either.

She has taken several medicines over time from ayurvedic to alloepathic but nothing worked.
Answered by Dr. Kakkar S. 2 hours later
Brief Answer:
Hair loss treatment

Detailed Answer:

I would keep a possibility of either Chronic Telogen effluvium OR Female Pattern Androgenetic Alopecia(FAGA), as the cause of hair fall and decreased hair density/thinning.

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.

There are certain well known causes of Chronic 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

A few of them can be ruled out by lab tests like Thyroid testing and Serum ferritin levels

However, Female Pattern Androgenetic Alopecia, can be difficult to distinguish from Chronic Telogen Effluvium early in the course. Later on, Androgenetic alopecia presents as increased part-width and decreased hair density from the vertex and crown of the scalp. The hair loss is gradual over the years and although the scalp remains covered, the hair volume is reduced.

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. This you have been already taking.

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.

Androgenetic alopecia in females is commonly managed with 2% minoxidil solution is a non-specific hair growth promoter can be applied at the scalp skin in this type of hair loss, twice daily with a dropper (1ml twice daily). Minoxidil is a hair growth promoter and helps in rapid transition of hair follicle from resting phase to growth phase (Anagen).

Hair fall is slow to respond and treatment may have to be continued for months to see noticeable improvements, say 4-6 months.

Apart from this oral antiandrogens like spironolactone, finasteride also can be prescribed in case of Androgenetic Alopecia, but with a warning: PREGNANCY TO BE AVOIDED WHILE YOU ARE ON FINASTERIDE OR SPIRONOLACTONE, because they can cause feminization of a male fetus.

Hope this information helps
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Kakkar S. 31 minutes later
What specific diet should she keep?
Answered by Dr. Kakkar S. 9 minutes later
Brief Answer:
Hair fall treatment

Detailed Answer:

Although there is no specific diet for hair loss, however, green leafy vegetables and non-veg food are good sources of dietary iron, therefore they should be taken in adequate quantity.

As hair is all protein/keratin, therefore her diet should also contain a good amount of dietary proteins e.g legumes/pulses, paneer, eggs, non-veg food etc.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Kakkar S. 17 minutes later
She use KZ lotion shampoo. Should she continue with it or continue using it? Can you suggest any shampoo and conditioner sir?
Answered by Dr. Kakkar S. 4 minutes later
Brief Answer:
Hair fall treatment

Detailed Answer:

KZ is an anti- dandruff shampoo. She can use it if she has dandruff (however you denied earlier when I asked about dandruff).

If dandruff is not a concern then she can use a gentle cleansing shampoo every alternate day e.g Triclenz shampoo (marketed by curatio pharmaceuticals) along with a good conditioner e.g Triflow conditioner (marketed by curatio pharmaceuticals).

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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