Severe Hair Fall

Hair fall may be diffuse shedding, gradual pattern thinning, breakage, or smooth patches. Telogen effluvium can follow a physical or emotional strain, illness, major weight change, or another trigger. Alopecia areata often presents with distinct smooth patches. Male or female pattern hair loss tends to change density gradually in characteristic areas. Scalp ringworm can bring scale or broken hairs, while traction alopecia follows repeated pulling. These conditions require different approaches, so the pattern matters more than the amount noticed on one day.

Record when shedding began, whether it is diffuse or patchy, and any illness, delivery, dietary change, medicine, or styling change beforehand. Use gentle hair care and avoid tight styles while arranging an assessment. A clinician may examine the scalp and ask about health history; selected blood tests can be considered when the history suggests a nutritional, thyroid, hormonal, or inflammatory contributor. Treatment may involve addressing a trigger, treating scalp disease, or discussing options such as minoxidil or finasteride when appropriate to the person.

Seek prompt medical attention for sudden patchy loss, a painful or swollen scalp, pus, crusting, marked redness, or hair loss with feeling unwell. Arrange a dermatology review when shedding is persistent, density is visibly changing, or the scalp shows scale or itch. Bring photos taken over time and a complete medicine and supplement list.

What pattern of hair loss do you see? Could a recent illness, delivery, medicine, or diet be contributing? Do I need scalp testing or blood tests? Which treatments fit my health history? How will we judge whether the plan is working?