What are causes of severe hair fall like 100 strands daily? - Dr. Nischal K
Severe hair fall, about 100 or more, in anyone is a very alarming situation. It can happen during stress, post-surgery, acute illness, severe typhoid, severe viral infection can give rise to severe hair fall, or some treatments like chemotherapy in a patient who has malignancy or some form of cancer. So when it is happening at an alarming rate and very acutely it has to be investigated. We check in for nutritional deficiency, we do a counseling to find what stress factors could be precipitating. They do go through lot of counseling sessions, and we have to look at other medical histories. If at all a medication is the root cause, then we have to supplement it with a different one, or sometimes we gave to accept and go ahead because sometimes we have not other alternatives for that medicine like for cancer patient. But if it is because of stress or illness, the recovery is good. So if you lose 100 hairs, you will get 100 hairs. The problem is when people have little baldness tendencies. If so, whatever hair you lose, may not come back with the same number. So if you lose 100 strands, you may get back only 50 and that may be the starting point for baldness. Managing acute sever hair fall in case of nutritional deficiency, is by being on supplements. For example a severe anemia, which has occurred after a surgical procedure or an unknown procedure. So the matter and be investigated, then rectify. So in case of anemia, injections of iron tends to build up the hemoglobin very fast and the hairfall comes under control. Nutritional deficiencies, like protein deficiencies can cause severe hair fall, like people on crash diet like they have fruits one day, they have water one day, they lose out on lot of proteins in their diet and tend to lose a lot of hair and they need a protein supplementation. It is not only the antioxidants and vitamins, but also a wholesome diet rich with carbohydrate, proteins, essential fatty acids, amino acids and Vitamins as well, with lot of antioxidants. So when the supplementation is good, the hair fall recovery is better. In cases of chemotherapy, we have to continue, we have to put people on peptide which may to some extent reduce hair fall but not absolutely take it off.
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