What causes hair fall?
Patient: i Have hair fall problem...hi i am siva from France.. i am 25 yrs old. for the last one year i have hair fall problem. i lost my hair and i look like little old.. i dont know why it happens.. i consult the doctor. he prescribe à médical shampoo but it doesnt stop. can you give me some advice... Doctor: Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to stress.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda