5 Reasons you are losing your hair

May 3, 2011 - 0:0

When losing hair becomes a problem Unexplained, excessive hair loss can be worrying and scary. The good news is, there's often a way to fix it.

Everyone loses hair. It happens during your morning shower, while you're blowing it dry, or when you give it a quick brush—and that's normal. ""On average, we lose fifty to a hundred hairs a day,"" says Francesca Fusco, MD, a New York City dermatologist who specializes in hair loss.
""That's just hair going through its cycles, and there will be a new one to replace it."" But hair loss may be a sign of a more serious medical condition that needs an evaluation by a dermatologist and possible treatment. Here are five causes of hair loss and how to deal with them.
1. Telogen effluvium
Telogen effluvium is a phenomenon that occurs after pregnancy, major surgery, drastic weight loss, or extreme stress, in which you shed large amounts of hair every day, usually when shampooing, styling, or brushing.
It can also be a side effect of certain medications, such as antidepressants, beta-blockers, and non steroidal anti-inflammatory drugs.
During telogen effluvium, hair shifts faster than normal from its growing phase into the ""resting"" phase before moving quickly into the shedding, or telogen, phase.
- What are the symptoms?
Women with telogen effluvium typically notice hair loss 6 weeks to 3 months after a stressful event. At its peak, you may lose handfuls of hair.
- The tests
There are no tests for telogen effluvium, but your doctor may ask you about recent life events and look for small ""club-shaped"" bulbs on the fallen hair's roots.
The bulbs mean the hair has gone through a complete cycle of growth, suggesting that the cycle may have sped up due to stress.
- What you can do:
In some cases, such as pregnancy or major surgery, you may have to bide your time until the hair loss slows. If medication is the culprit, talk to your doctor about lowering your dosage or switching drugs.
If it is stress-related, do your best to reduce anxiety.
2. Hypothyroidism
Millions of people, most of them women, suffer from thyroid diseases. When your body produces too little thyroid hormone, the hormone responsible for metabolism, heart rate, and mood, you are said to have hypothyroidism, or an underactive thyroid.
If your body makes too much of the hormone, you're said to have hyperthyroidism, or an overactive thyroid. Thyroid hormone is responsible for everything from your basal metabolic rate—the rate at which your body uses oxygen and energy to function—to the growth of your hair, skin, and nails.
But when you don't have the right amount, you may notice changes in bodily functions.
- The symptoms:
Hypothyroidism (too little hormone) may cause a host of symptoms, including unexplained weight gain, fatigue, constipation, depression, and difficult concentration.
Hair, nails, and skin may become more brittle and break more easily. It is more common in women, especially over the age of 50, says Theodore C. Friedman, MD, MPH, chief of the division of endocrinology, metabolism, and molecular medicine at Charles Drew University in Los Angeles and coauthor of The Everything Guide to Thyroid Disease (Adams Media, 2007).
It affects about 5 percent of the US population but is nearly 10 times more frequent in women. Hyperthyroidism (too much hormone) may cause unexplainable weight loss, heart palpitations, nervousness, irritability, diarrhea, moist skin, muscle weakness, and a startled appearance of the eyes.
You may also experience hair loss as metabolism speeds up. Hyperthyroidism is much less common than hypothyroidism and affects about 1 percent of the US population.
- The tests
A blood test measures thyroid-stimulating hormone, which is produced by the pituitary gland in an attempt to coax the thyroid to make thyroid hormone.
Excess TSH usually indicates hypothyroidism, while abnormally low levels suggest hyperthyroidism.
- What you can do
Your doctor may prescribe a thyroid hormone medication to restore levels to normal. Regular TSH tests might be done to ensure an adequate dosage.
3. Lupus
Lupus is a chronic autoimmune disease in which the body's own immune system attacks healthy tissues. The condition affects about 1.5 million people and tends to strike women during their childbearing years.
- The symptoms
Lupus often causes extreme fatigue, headaches, oral ulcers, and painful, swollen joints. Many people develop a butterfly-shaped rash across the bridge of the nose and become more sensitive to the sun.
Other symptoms include fever; swelling in the feet and hands and around the eyes; chest pain; and anemia.
Many people also experience hair loss, which may be mild and occur while shampooing or brushing your hair—or it may be more severe, coming out in patches and accompanied by a rash on the scalp, says Arthur Weinstein, MD, director of the division of rheumatology at the Washington Hospital Center.
Because these symptoms occur in many other conditions, lupus is often called the great imitator. - The tests
A rheumatologist will examine joints and other tissues for signs of inflammation, such as heat, pain, swelling, and redness. A blood test to measure levels of anti-nuclear antibodies (ANA) may also indicate lupus.
Rheumatologists will also determine if patients have four of 11 diagnostic criteria set by the American College of Rheumatology, though fewer criteria along with a skin biopsy may sometimes indicate lupus, Dr. Weinstein says.
- What you can do
See a rheumatologist if your hair loss is accompanied by joint pain, fatigue, and other symptoms of lupus, which is treated with oral medications such as prednisone.
If you also have a rash on the scalp, you need to see a dermatologist, who is likely to prescribe a topical cream.
4. Polycystic ovarian syndrome
As many as five million women in the United States suffer from polycystic ovarian syndrome. The condition, which can begin as early as age 11, is caused by a hormonal imbalance in which the ovaries produce too many male hormones. PCOS often causes infertility.
The symptoms: PCOS can cause facial hair growth, irregular periods, acne and cysts on the ovaries. And while you may experience hair loss on your scalp, you may notice more hair elsewhere on the body, Dr. Fusco says.
- The tests
Your doctor is likely to do a blood test to look for elevated levels of testosterone and DHEAS (dehydroepiandrosterone), a by-product of testosterone.
- What you can do
Most cases of PCOS are treated with birth control pills such as Yasmin, which contains a potent anti-androgen that blocks testosterone.
If you can't use birth control pills, your doctor may prescribe spironolactone (Aldactone), which also blocks male hormones. Losing weight can also help by decreasing the effect of the male hormones.
5. Skin conditions of the scalp
An unhealthy scalp can cause inflammation that makes it difficult for hair to grow. Skin conditions that lead to hair loss include seborrheic dermatitis (dandruff), psoriasis, and fungal infections such as ringworm.
- The symptoms
Seborrheic dermatitis causes the scalp to shed its skin, so you'll notice greasy, yellowish scales on your shoulders or in your hair. It may be the result of yeast called Malassezia, hormonal changes, or excess oil in the skin.
Psoriasis, an autoimmune condition that causes excessive skin cell turnover, produces a very thick white scale on the scalp that can bleed if pulled off.
With ringworm, a fungus you contract by touching an infected person or animal, you'll notice red patches on your scalp, which may be diffuse, Jakubowicz says.
- The tests
A physical exam of the scalp will help determine which condition you have. A fungal culture and possibly a biopsy of the scalp may pinpoint ringworm.
- What you can do
Each condition usually requires a prescription: a medicated shampoo for seborrheic dermatitis, medications or light therapy for psoriasis, and oral antifungals for ringworm.
Experts say several complementary alternative medicines have been effective in treating or curing some of the above mentioned problems, like auto immune disorders. These diseases may be healed or treated by homeopathic remedies, as well. Please visit related sites e.g. hpathy.com.
(Source: health.yahoo.net and staff)