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Suggest Treatment For Severe Hair Loss

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Posted on Wed, 3 Sep 2014
Question: Hi Doctor,

My name is XXXX

This is with regard to Hair loss. There has been a drastic loss of hair from past 5-6 years.

I am on the verge of getting Bald.

Could you advise me what action should i take next/what steps that i need to follow in order to prevent from getting bald.

Regards,

XXXX


doctor
Answered by Dr. Sanjay Kumar Kanodia (1 hour later)
Brief Answer:
Kindly send details of the query & pictures.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the hairfall and related baldness after that.

The part of the query provided by you is bit short and there fore I request you to kindly provide me the details of your problem in terms of following :

- Since how long you have this hairfall.

- How man hairs fall off per day. Do you see these hair on your bed, pillows, bathroom and during combing too.

- Elaborate the areas of baldness- is it diffuse all over scalp or more in the front and sides.

- Any history of illness in last 1 year.

- Your occupation, daily routine with specific reference to your diet.

It would be best if you can upload few good resolution pictures of the scalp area from front and sides.
For the same you have a feature on the right side of the page.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (1 hour later)
-I am having hair fall since 2010
-I see the hair fall approx 10-15/day on bed,bathroom, and even while combing.
-Baldness is more on the front.
-I do not have any illness as such. However get frequent headache and nose block as i mentioned earlier.
-I work for a MNC Company(Day Shift)
Daily Routine is Going for exercise may be 1-2 times a week. Playing football during weekends. Working in office for 8-9 hours.
With reference to my diet i eat dosa, idli in the morning and drink tea.
Have Boiled rice with curry in the afternoon and have Rice in the night.
doctor
Answered by Dr. Sanjay Kumar Kanodia (4 hours later)
Brief Answer:
Male pattern baldness or "Androgenic alopecia".

Detailed Answer:
Hi,

Welcome again and thanks for posting your details.

I can understand your concern for the problems related to hair. As a young man you are quite worried about all the things related to your scalp.

After analyzing your query I can make out that you have the condition known as male pattern baldness or medically known as "Androgenic Alopecia".
It is quite common to find air fall in men which is known as "male pattern baldness" is most common cause of hair fall in young men like you.

This process of falling starts by 18-20 years and is highest in between the age of 20 to 30 years. I can see you are a young man of 32 years. So it is quite obvious that you can have the starting of this problem of hair fall just because of hormonal influence.

Other than male pattern baldness there can be falling of hair all over the scalp can occur after simple stress too !!!.

Nevertheless in hair fall poor diet and stress contribute to increase the hair fall

For the betterment of diet kindly follow the suggestions below:

1. Eat at least 3-4 different fruits saplings per day. Every fruit is good but you can make a combination of sour with sweet fruits such as oranges, papaya and other of seasonal fruits.

2. Pulses are good source of proteins. So everyday have a small bowel full of mixed pulses. Add green leafy vegetables additionally in the pulses which contains lot of iron and vitamins in it.

3. Sprouts are the best source of fibers, minerals especially iron, vitamins and proteins too. so add it at-least alternate day if you can not make in every-day's part of meal.

4. Over night soaked and peeled almonds will give you good vitamin E which is good for the hair growth.

5. Milk and milk products should be included in every-day's schedule.

6.Do light exercises, reduce your work stress as all these have bit impact on skin so also on scalp skin.

Let me see your pictures tomorrow and suggest you further course of management in the same.
I hope these informations will help you. If you have further queries I will be glad to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (18 hours later)
Hi Doctor,

Please find attached snapshot of my scalp.

Regards,

XXXX
doctor
Answered by Dr. Sanjay Kumar Kanodia (4 hours later)
Brief Answer:
"Androgenic Alopecia"- Diet with medications

Detailed Answer:
Hi,

Welcome again and thanks for posting your picture.

After analyzing your picture I confirm that you have the condition known as male pattern baldness or medically known as "Androgenic Alopecia". You can see typically the crown area of scalp has diffuse hair loss.

To add furhter to the guiding points: We have almost 1 lac hair on our scalp and amongst them around 5% of hair are in falling phase and then another 0.1% (around 100) of hair can fall everyday. In males this is super-added with hormonal influence of testosterone hormone ( the male hormone) which we call as "male pattern baldness". This also depends upon genetics- meaning type and pattern of hair your family pattern (from your father and mother's side).

This process of falling starts by 20 years and is highest in between the age of 20 to 30 years. I can see you are a young man of 32 years. So it is quite obvious that you can have this problem of hair fall just because of hormonal influence.

So, as I said earlier your problem is basically Androgenic alopecia or simply saying male pattern baldness. It affects mainly frontal and parietal region of the scalp as in your case too. The temporal and region is rarely affected and occipital region is never affected in this condition. So the most important thing is not to be worried about this normal physiological age related men's problem.

Now regarding the part of treatment:

There are innumerable products in the market claiming to be useful for hair growth. We dermatologists believes in application of Minoxidil lotion. It is one product which is unanimously used by all dermatologists. It is to be started with 2% lotion applied over the scalp once or twice in day.

It is to be applied when the scalp is dry. Only 1 ml is sufficient to be applied at the root of hair in frontal region. If for one month there is no burning and irritation then we increase the percentage to 5 % to 10% gradually. The same we do to taper off the medicine. That means we do not stop the medicine at once and gradually taper it off to 5% and then 2% and then alternate day or off and application of lotion before stopping it completely.

I prefer to give a tablet containing biotin and other essential nutrients along with minoxidil.

I would like to again suggest you to have a good nourishing diet along with all the medicines because that is quite very helpful in retaining the hair and maintaining it better.

Hope these informations will help you. If you have further queries I will be happy to help or if not then can close the query and rate the answer.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Suggest Treatment For Severe Hair Loss

Brief Answer: Kindly send details of the query & pictures. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for the hairfall and related baldness after that. The part of the query provided by you is bit short and there fore I request you to kindly provide me the details of your problem in terms of following : - Since how long you have this hairfall. - How man hairs fall off per day. Do you see these hair on your bed, pillows, bathroom and during combing too. - Elaborate the areas of baldness- is it diffuse all over scalp or more in the front and sides. - Any history of illness in last 1 year. - Your occupation, daily routine with specific reference to your diet. It would be best if you can upload few good resolution pictures of the scalp area from front and sides. For the same you have a feature on the right side of the page. Hope to hear soon from your side. With regards, Dr Sanjay Kanodia MD-DERMATOLOGY