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Hair Fall Causes: Why Hair Falls Out and What Helps

Everyone sheds hair every day. Hair fall becomes a concern when shedding is heavier than usual or hair starts to look thinner. Knowing the cause is the first step, because what helps depends on why it is happening.

Normal shedding vs hair fall

Losing about 50 to 100 hairs a day is normal, and those hairs are usually replaced. Signs that something more is going on include clumps of hair in the shower or on your brush, a widening part, a receding hairline, thinning at the crown, or round bald patches.

Common hair fall causes

  • Hereditary hair loss. Male and female pattern hair loss is the most common cause. It runs in families and develops gradually: a receding hairline or thinning crown in men, and overall thinning or a widening part in women.
  • Stress, illness and big body changes (telogen effluvium). A high fever, surgery, a stressful event, childbirth or sudden weight loss can cause heavy shedding a few months later. It usually settles once the trigger has passed.
  • Low iron and other nutrition gaps. Iron deficiency and very restrictive diets are linked with hair fall.
  • Thyroid and other medical conditions, including alopecia areata, which causes patchy hair loss.
  • Medicines and treatments, such as some blood pressure and arthritis drugs, and cancer treatment.
  • Hairstyles and hair care. Tight braids, ponytails and extensions can cause traction alopecia. Harsh chemical treatments and heat can break hair.
  • Scalp conditions. An inflamed, flaky scalp and constant scratching can damage hair. See our dandruff guide.

What helps

  • Find the cause first. Shedding from stress or illness often improves on its own, while hereditary hair loss is ongoing.
  • Be gentle with your hair: loosen tight styles, limit heat and harsh chemical treatments, and avoid rough brushing of wet hair.
  • Eat a balanced diet. A doctor can check for iron or thyroid problems with a blood test.
  • Keep the scalp clean and comfortable, and treat dandruff or irritation.
  • For hereditary hair loss, a dermatologist can explain medical options. Starting early tends to give better results.

Professional hair and scalp care

Many people also choose professional hair and scalp treatment for hair loss and hair fall alongside medical advice. A consultation at Maestro starts with a look at your scalp and hair and a talk about your concerns.

See a dermatologist if your hair falls out suddenly or in clumps, you have round bald patches, your scalp is itchy, burning, painful or scaly, you have other symptoms such as tiredness or weight changes, or hair fall started after a new medicine.

Related: Dandruff: Causes, Treatment & How to Get Rid of It · Seborrheic Dermatitis vs Dandruff

Frequently asked questions

How much hair fall is normal?
Losing about 50 to 100 hairs a day is normal. Hair fall becomes a concern when you notice much more shedding than usual, thinning, a widening part or bald patches.
What are the most common causes of hair fall?
Common causes include hereditary hair loss (male or female pattern hair loss), stress, illness or high fever, childbirth, sudden weight loss, low iron, thyroid problems, some medicines and tight hairstyles.
Does stress cause hair fall?
Yes. A stressful event, illness or major body change can push many hairs into the shedding phase at once. This shedding, called telogen effluvium, often shows up a few months later and usually settles once the trigger passes.
Can hair fall be reversed?
It depends on the cause. Shedding from stress or illness often settles on its own, while hereditary hair loss is ongoing and treatment aims to slow it. A dermatologist can tell you which type you have.
When should I see a doctor about hair fall?
See a doctor or dermatologist if hair falls out suddenly, comes out in patches or clumps, your scalp itches, burns or is painful, or you are worried about how much hair you are losing.

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