Suggest treatment to reduce hair fall
Patient: My hair falls out all day long, every day. It does NOT fall out in patches or clumps.  It falls out sparingly but all day long.  I don't do pony-tails. I don't iron my hair.  I don't even blow dry my hair.  And it falls out even more if I brush it, comb it or wash it.  I wash it with an organic coconut shampoo and use the same type of conditioner.  I'm 44 years old and relatively healthy.  I also eat pretty healthy.  By the way, I use to have a great deal of thick, shiny, healthy hair.  I probably have less than a quarter of that now.  The only reason I think I haven't gone bald is because it does grow.... but obviously, not at the rate that it falls out.  It's as if the follicles won't hold on to the hairs strands.  Please let me know if there's anything that may be causing this and / or if there's anything I can do.  Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Given your history and medical details, I assume you are a 44 years old female experiencing this hair loss. How long ago did it start? Any probable causes you can think of prior to it starting? Maybe an illness, fever, typhoid, prolonged stress or trauma, change in location of residence or lifestyle, any new medications started, or use of any hair products or dyes previously? Is the skin of your scalp is normal? Have you checked any history of thyroid illness? Is there a family history? Female pattern baldness could be a reason, mainly genetic. Going by your age, hormonal changes close to menopause could also affect hair fall and growth cycle, slowing it down considerably. Is there hair loss elsewhere on the body? Narrowing down on a probable cause can help make changes.As for treatment, continue your healthy balanced diet with sufficient protein, and veggies for vitamins and minerals. Adequate water, rest. Avoid stress and pollution. Continue avoiding chemical hair products and styling. Use a hair growth shampoo and conditioner like hair4U or Renocia, Anaphase. Apply scalp massage oils like warm almond or coconut oil before a bath or overnight. Take a hair supplement capsule daily such as Keraglo-Eva.Keep in mind that the cause of your hair fall must be corrected and also will take 2 to 3 months to see the results. Visit your dermatologist to check your blood for hemoglobin, iron, thyroid levels and a general check of your health. They can also rule out other possible causes after an examination.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dinah Levillard