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I have been experiencing around 500 hair while shampooing…

Customer Question
I have been experiencing...

I have been experiencing around 500 hair while shampooing from past 4 5 weeks and on normal days around 200 hair

Doctor's Assistant: Can you tell me about all the symptoms you've noticed (e.g. itching, rash, new birthmarks or moles)?

Itching in my scalp

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have never had this sitiation in life before

Submitted: 8 months ago.Category: Dermatology
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Answered in 5 minutes by:
9/9/2017
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Cosmetic surgeon
Category: Dermatology
Satisfied Customers: 38,098
Experience: MBBS MS
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Welcome to Just Answer.
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I will respond shortly with an answer, or further information request.

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Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

What is your age and gender?

Are you on any medications?

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Customer reply replied 8 months ago
33 i have been on supplements of vitamin d and iron
Customer reply replied 8 months ago
This shed i have never experiened in life
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

Are you a female or male?

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Customer reply replied 8 months ago
Have beeen very emotional and crying almost every day...what am i going through doctor can you suggest
Customer reply replied 8 months ago
The hair on top look very thin and feels like burn
Customer reply replied 8 months ago
R u there doctor
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

Are you a female or male?

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Customer reply replied 8 months ago
Female doctor 33 yrs old
Customer reply replied 8 months ago
Had been using minoxidil from 4 weeks but stopped yesterday as was very itchy after using that
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

In females the common causes of hair loss are following;

1) hormonal

2) aging

3) genetic

4) scalp problems like infections, allergies

5) vitamin deficiency

6) iron deficiency

7) hypothyroidism (low thyroid functions)

8) medications

9) telogen effluvium; recovery is spontaneous and typically occurs in 3-6 months

In your age group hormonal problems should be ruled out if the scalp local problems can be excluded by the physical examination, as the first step for the evaluation. Increase level of androgens can cause hair fall in females and the characteristic of this fall is generalized fall from whole of the scalp then the isolated area wise fall. You can ask your physician to get the hormonal estimation of thyroid and androgens. Continue with the vitamins and add iron supplements to it. Biotin (a vitamin) is available over the counter at health stores and you may start it, deficiency of which have been associated with baldness. Minoxidil, may help hair to grow, but since you have itching, you may stop it. A medication called as Spironolactone may help if hair loss is caused by too much male hormones (androgens).

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Customer reply replied 8 months ago
Hello doctor my throid is gud but not sure about androgens and my other tests came out gud as well..since i have been shedding that much amount of hair from 4 5 weeks what do u think my shed main cause is...and will i b able to recover from it quickly or get back my hair volume
Customer reply replied 8 months ago
500 hair is definately not normal for me
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

Yes, you would be able to recover them back.

The hair loss can be due to;

a) Presence of systemic disease like thyroid, iron deficiency, systemic lupus erythematosus, dermatomyositis.

b) Recent psychologic or physical stress

c) Medication or chemical exposure

So you doctor need to do the blood work for above systemic diseases and also do the following tests;

1) Hair Pluck -Trichogram

2) Hair growth window

3) Hair pull test

4) Hair shaft examination (Clip test)

Severe emotional and physical traumas have been documented to cause diffuse hair loss. Hair loss has been reported to occur 2 weeks after severe psychologic or physical trauma. Chronic telogen effluvium (CTE) refers to a diffuse hair loss all over the scalp and persists for more than 8 months. People present with hair loss with increased shedding and thinning of abrupt onset and fluctuating course. There is diffuse thinning all over the scalp, frequently accompanied by bitemporal (both the sides of scalp) recession. The causes can be;

1) Crash diet (inadequate proteins)

2) Drugs; coumadin propranolol, heparin, vitamin A

3) Hypothyroidism and hyperthyroidisms

4) Severe illness

5) Physical stress like surgery

6) Psychological stress.

It is privilege assisting you.

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Customer reply replied 8 months ago
do u think i have CTE, as i have noticed hair coming out from everywhere in the scalp
Customer reply replied 8 months ago
What medications are available for CTE and whne do u think the shedding may stop
Customer reply replied 8 months ago
I have not been that emotionally stressed and have no physical stresses as well...apart from everyday life stresses
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

For CTE, Minoxidil is used.

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Customer reply replied 8 months ago
U think i have CTE and should i continue using minoxidil and when will the shedding stop approx
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

CTE can be a possibility. And Minoxidil should be used.

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Customer reply replied 8 months ago
Ok doctor one last question
Customer reply replied 8 months ago
Minoxidil i have used from 4 weeks.. i have actually seen more shedding with it...my scalp actually feels itchy..how long it will take to settle
Customer reply replied 8 months ago
Will the shedding actuallt stop with it or not
Customer reply replied 8 months ago
My hair feel dry actually
Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

Yes shedding in all probability would stop.

Itching is likely to stop in a week or two.

Minoxidil may be required for 3 months to apply.

It is privilege assisting you.

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Dermatologist: Dr. Arun Phophalia, Cosmetic surgeon replied 8 months ago

Was this information helpful to you? I would be glad to answer any further questions.

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