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What is the cause and treatment for hair fall?

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Answered by

Dermatologist
Practicing since : 2005
Answered : 1919 Questions
Question
Hi Sir,

In continuation with my queries writing one more query sir
Condition is getting worst day by day sir even i am not thinking about it and taking stress at all.
As you know i am using Hair 4 u 10% since 6 months and there was not problem at all in XXXXXXX will there be anything related to weather that i should not use Hair 4 u 10% here in this conditions?
Please let me know that i can take any other step sir because i can see the hair is going back in front sides for sure sir.
As i have observed hair loss in the first week only i was trimming it from that point sir.
50-100 hairs is common sir i know but i can see the gaps getting increased day by day becoming plain.
Posted Thu, 28 Aug 2014 in Skin Hair and Nails
 
 
Answered by Dr. Johny Chacko 15 hours later
Brief Answer:
Hair loss treatment

Detailed Answer:
Hello XXXXXXX

Welcome back.

I understand that your hairline has been receding despite using minoxidil.

I do not think there is any contraindication to use hair -4-u lotion under different weather conditions

The other option for you is to start on oral finasteride tablets. This is given at a dosage of 1 mg and is safe and well tolerated. This will arrest the hair fall and help newer hair growth. We usually reserve this for cases who do not respond to minoxidil. But you have to get this prescribed by a doctor as this is not an over the counter medicine. I feel once you come back to XXXXXXX you can get it. Otherwise , you may have to ask a GP there to prescribe it.

Do continue with the medicines till you come back to XXXXXXX

Hope this helps you.

Take care.

Regards,
Dr. Johny Chacko

Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 3 hours later
Hi Sir,

Thanks for your reply.
Here the doctors are not much helpful they not even know what is minoxdil and they wont help me to get finasteride
I just wanted to tell you the total history of mine i was facing lot of hair loss some years ego this is related to genetic disorder.
I went to a Dermatologist and it was well controlled and my hair was good and i am using medicines since 2 years.
While i was coming to Denmark i asked my Dermatologist to give medicines for this period and he advised me to continue hair 4 u 10% and Alpecin Shampoo with finpecia tablets.
I came here on April-8th and started facing the hair loss from 1st week itself when i asked my dermatologist he asked me to take Radience-H and luckily one of my colleague was coming to Denmark at that time and helped me to get Radiance H capsules.
The suppliments i am using
(Morning-Vitamin-D, Vitamin-B12 Afternoon-Radience-H Night-Hair 4 u 10%
,Vitamin-B12 and Nizoral Shampoo)
I will get Bitoin tomorrow as i have ordered it should i take 1 per day?
I have trimmed my hair 3-4 times in this 5 months should i go for it once again for the remaining 40 days will this help something?
I have attached 3 pics sir taken in this 4 months i have named with dates.
Will my hair get back as it in the first pic once i am back to India?
 
 
Answered by Dr. Johny Chacko 5 hours later
Brief Answer:
Hair loss treatment

Detailed Answer:
Hello XXXXXXX

I have gone through your complete history and seen your picture in the chronological order.

I also understand your frustration as it is difficult to get these medicines there.

I feel that there has been a mild recession in your hairline in the front and sides.

Have you stopped Finpacea tablets after going to Denmark? That could be the cause for the progress of hair fall. In that case, once your restart the tablet after coming back to XXXXXXX hair fall will improve.

To answer your queries, you can start biotin tablets at the dosage of 1 tablet per day.

Trimming will not help you in any way. In fact, if you grow it, you will be able to cover the front and sides so that the receding hair line will not be obvious. So I would suggest you to grow your hair.

The cause for this, as you have already written is genetic. It is a hereditary type of hair loss mediated by hormones. It is already embedded in your genes. Treatment can only preserve the existing hairs and slowly help new hair growth. But once you stop it, your genes will again come into action to start the hair recession.

It is difficult to predict how each person's hair behaves. In general, with treatment, most of them have good hair re-growth. If you are very much concerned about the frontal hair line, you could consult a plastic surgeon about hair transplantation.
You could get a plastic surgeon in healthcare magic forum itself to answer your queries. Attach the same photographs for his assessment.

Hope this helps you.

Take care.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 1 hour later
Hi Sir,

The mild recession of hairline in the front and sides is a permanent loss or can i get back after going back to INDIA?

How to get past this 40 days sir i am bit worried becoz in this 40 days what will happen.

I think there is no need to go for plastic surgeon as you said if the hair grows i can cover it.In Addition to above is finpecia that much power ful??
If i take that will the hair which i lost in front line will come back and how many days it takes to start acting sir?

I will try for it with the doctor here is 1mg per day is enough as the hair fall is bit high??

I am using finpecia sir but not on daily basis can i take more dosage if i found it
 
 
Answered by Dr. Johny Chacko 13 hours later
Brief Answer:
Hair fall treatment

Detailed Answer:
Hello XXXXXXX

Finpacea is the best drug to treat male pattern hair fall. Do take it regularly.

Do not take excessive dosage. The recommended dosage is 1 mg and you should stick to it.

It will take about 4 weeks for the action to start.

The area which is completely bald will not regrow the hair. That is the reason I advised you to consult a plastic surgeon for hair transplantation.
However, you can grow your hair and cover the front part. In some people, along with the hairline receding, hair will not even grow to a good length. You are lucky that hair length is growing very well. So use it to cover the front.

Hope this clears your doubts.

Take care.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 25 minutes later
Hi Sir,

Thakns for your reply.

Should i continue with nizoral shampoo or alpecin.
I am thinking wash hair on weekly basis sir is that OK.
Are the white flakes which I showed in pic is dandruff or it has occurred due to hair 4 u 10% sir?

Regards,
XXXX
 
 
Answered by Dr. Johny Chacko 11 minutes later
Brief Answer:
Hair fall treatment

Detailed Answer:
Hello,

You can use Alpecin to was your hair.

Wash on alternate days. The dandruff could be due to 10% hair -4-U as it has an alcoholic base. I have mentioned it in my earlier answer.

Take care.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 13 minutes later
Hi Sir

Can you please give me any diet instructions as it is difficult to get the things like in our native place

Sorry to trouble you again

Regards,
XXXX
 
 
Answered by Dr. Johny Chacko 23 minutes later
Brief Answer:
Diet and hair loss

Detailed Answer:
Hello,

There is no special diet or any dietary restriction for your type of hair loss which is hereditary.

In general, you can have a balanced and nutritious diet rich in protein like eggs.
Have lots of fresh fruits and vegetables as these are rich in anti- oxidants.

Hope this helps you.

Regards
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 21 hours later
Hi Sir

Switching shampoo will not cause any problem?

Nizrol to alpecin

Regards
XXXX
 
 
Answered by Dr. Johny Chacko 2 hours later
Brief Answer:
No problem

Detailed Answer:
Hello,

No, there is no problem switching shampoos.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 8 minutes later
Hi Sir,

Thanks for your reply.

I just want to have 2 more questions lastly.

1. As you said In general, with treatment, most of them have good hair re-growth i totally agree with this sir as i am also one of them and don't know why the same medicines are not working here.
2. As i said before that i have trimmed my hair 3-4 times and the last trim i have made is on 3-JUL-14 and in 1 month the hair is regrown a bit as you can see the latest pic of mine i want to grow hair but not here in Denmark Sir If i trim the hair again will the hair which is grown in a month last time will the same happen again so that once i go back can do something in XXXXXXX as we have options there?
Is that a good decision?
 
 
Answered by Dr. Johny Chacko 20 hours later
Brief Answer:
Hair fall treatment

Detailed Answer:
Hello XXXXXXX

1. There is no specific reason which I could give as to why hair fall has increased in Denmark. But probably not taking Finpacea could be a cause.

2. Trimming your hair does not directly affect your hair fall. So you could do what you have described above.

Do not worry. It will normalise once you restart Finpacea regularly.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 3 hours later
Hi Sir,

Thanks for your reply.

After trimming also should I do hair wash alternate days?
The amount of hair which I have now will regrow na sir :(
I have taken finpecia regularly when I came here but there was no change at that time so I have stopped it.

Regards,
XXXX
 
 
Answered by Dr. Johny Chacko 23 hours later
Brief Answer:
Hair loss treatment

Detailed Answer:
Hello XXXXXXX

Yes. You can wash your hair the same way as I have mentioned previously even after trimming.

Do not worry. It will come back.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 3 hours later
Hi Sir,

I just want to tell you one more thing i feel very cool here and my scalp feels that there is ice on it that much cool no sweat at all feel very different from XXXXXXX will that also affect i mean weather also affects the hair fall.

As i said i faced hair fall right from the first week i came here even though i was using medicines and i didn't stop finpecia at that time i have continued it but still it was the same will that work now?

I found some of them in my bag and started taking it already.In addition to the above.
I have made zero trimming today and as you know the hair will be very very small after that even those hair's will also fall 50-100 daily is that also common ?
Please let me know my queries when you are free Sir.
 
 
Answered by Dr. Johny Chacko 20 hours later
Brief Answer:
Hair fall treatment

Detailed Answer:
Hello XXXXXXX

Weather does not have any direct effect on hair and hair fall. So do not worry about the cold weather. Enjoy it while you are there.

Even with short and trimmed hairs, the normal hair fall count per day is 50-100. It does nor depend on the hair length. Hair will be going through a dynamic cycle with resting and growing phases. The resting hairs which fall normally is 50-100 irrespective of hair length.

Hope this answers your queries.

Have a nice day.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
Follow-up: What is the cause and treatment for hair fall? 1 hour later
Hi Sir,

Thanks for the information sir.
Things iam going to do now
Vitamin b12 vitamin d in d morning and biotin in the afternoon and hair 4 u 10% and finpecia daily night.
Alternate days hair wash with alpecin.
Sorry to ask you sir did I do any mistake by zero trimming I am a bit afraid now :(
This one month nothing disastrous should happen :(
Regards,
XXXX
 
 
Answered by Dr. Johny Chacko 46 minutes later
Brief Answer:
Nothing to worry

Detailed Answer:
Hello XXXXXXX

As mentioned in my previous replies, Zero trimming does not affect the hair fall. So there is nothing to worry and please continue the medications as described above.

Hope this answers your query. Please close and rate this conversation.

Regards,
Dr. Johny Chacko
Above answer was peer-reviewed by
 
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