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टाइफाइड और पीलिया के इलाज के बाद 2024 में बाल झड़ने पर क्या करें?
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Skin & Hair Concerns
Question #30638
73 days ago
228

टाइफाइड और पीलिया के इलाज के बाद 2024 में बाल झड़ने पर क्या करें?

Client_2deff7

मेरे टाइफाइड और पीलिया के बाद से मुझे बहुत ज्यादा बाल झड़ने की समस्या हो रही है, जो 2024 में हुआ था। मैं 1.7 साल से मिनोक्सिडिल 5 का इस्तेमाल कर रहा हूँ, लेकिन कोई नतीजा नहीं मिला। मैं 3 साल से पूरी तरह से घर के अंदर ही हूँ। मेरा विटामिन डी लेवल क्या हो सकता है, और कृपया मेरे बालों का इलाज करें।

How long have you been experiencing hair fall?:

- More than 6 months

How would you describe the severity of your hair fall?:

- Severe — large clumps falling out

Have you noticed any other symptoms related to your hair fall?:

- No other symptoms

What is your current diet like?:

- Not sure

Have you had any blood tests recently, especially for vitamin D levels?:

- Not sure

How often do you go outside for sunlight exposure?:

- Never

What treatments have you tried other than minoxidil?:

- None, just minoxidil
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Doctors' responses

Hello. Hair fall occurring after illnesses like typhoid and jaundice is very commonly due to telogen effluvium, a condition where a significant physical stress causes a large number of hair follicles to enter the shedding phase. However, since your hair fall has persisted for more than 6 months and you have already used 5% minoxidil for 1.7 years without noticeable improvement, you need a more detailed evaluation rather than simply continuing the same treatment.

Possible contributing factors in your case include:

Post-infectious telogen effluvium following typhoid/jaundice

Vitamin D deficiency (especially since you have been indoors for 3 years with minimal sunlight exposure)

Iron deficiency (low ferritin)

Vitamin B12 deficiency

Thyroid disorders

Underlying androgenetic alopecia (pattern hair loss), which may coexist with telogen effluvium

Poor dietary intake of protein and micronutrients

Regarding Vitamin D, it is not possible to predict your exact level based on symptoms or sunlight exposure alone. However, being indoors for years does increase the likelihood of deficiency. A blood test (25-hydroxy Vitamin D level) is needed before deciding on appropriate supplementation.

You should ideally get the following investigations:

CBC Serum ferritin and iron profile Vitamin D (25-OH Vitamin D) Vitamin B12 Thyroid profile Liver function tests if not done recently Dermatology consultation for scalp examination

A dermatologist can also assess whether your hair loss pattern suggests:

Telogen effluvium Female/male pattern hair loss Diffuse alopecia Other scalp disorders

Final Prescription / Advice:

1. Continue Minoxidil 5% only if it was prescribed by a doctor; do not stop abruptly without medical advice.

2. Dermatology consultation for scalp assessment and treatment optimization.

3. Blood tests: CBC, Ferritin, Vitamin D, Vitamin B12, and TSH.

4. Increase dietary protein intake (eggs, dairy, legumes, fish, lean meat, soy products as appropriate).

5. Aim for some safe sunlight exposure if feasible.

6. Start vitamin supplementation only after confirming deficiencies, as treatment doses vary depending on the severity of deficiency.

If you notice patchy bald spots, scalp redness/scaling, rapid progression of hair loss, or associated weight changes, please seek dermatological evaluation promptly, as these may indicate causes other than telogen effluvium.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Hello

Severe hair fall after illnesses such as typhoid and jaundice is often due to telogen effluvium, a condition in which a large number of hairs enter the shedding phase after physical stress. However, since your hair loss has persisted for more than 6 months despite using 5% minoxidil for 1.7 years, you should be evaluated for other contributing factors.

Because you have been indoors for about 3 years with essentially no sunlight exposure, vitamin D deficiency is certainly possible, but the actual level cannot be predicted without a blood test. Other common causes of persistent hair loss include iron deficiency, low ferritin, vitamin B12 deficiency, thyroid disorders, zinc deficiency, inadequate protein intake, and androgenetic hair loss.

I would recommend blood tests including CBC, ferritin, iron profile, vitamin D, vitamin B12, TSH, and possibly zinc levels. Ensure adequate dietary protein intake and continue minoxidil unless advised otherwise by your dermatologist. Once the test results are available, any deficiencies can be corrected appropriately.

Since the hair loss is severe and longstanding, a consultation with a dermatologist is important to determine whether this is ongoing telogen effluvium, pattern hair loss, or another scalp condition requiring specific treatment.

Take care Feel free to talk

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Hello I’m sorry to hear about your hair fall issues, especially after dealing with typhoid and jaundice. Let’s break this down:

### Possible Causes of Hair Fall

1. Post-Illness Hair Loss:
- After illnesses like typhoid and jaundice, it’s common to experience hair fall due to stress on the body and nutritional deficiencies.

2. Vitamin D Deficiency:
- Being indoors for an extended period can lead to low vitamin D levels, which is essential for hair health. Low vitamin D can contribute to hair thinning and loss.

3. Minoxidil Use:
- While minoxidil can be effective for some, it doesn’t work for everyone. If you’ve been using it for 1.7 years without results, it might be time to explore other options.

### Recommendations for Hair Treatment

1. Consult a Dermatologist:
- A dermatologist can assess your hair loss and recommend appropriate treatments. They may suggest blood tests to check your vitamin D levels and other nutrients.

2. Vitamin D Supplementation:
- If your vitamin D levels are low, your doctor may recommend supplements. Aim for safe sun exposure when possible, as sunlight helps your body produce vitamin D.

3. Nutritional Support:
- Ensure you’re eating a balanced diet rich in vitamins and minerals. Foods high in iron, zinc, and biotin can support hair health. Consider including: - Leafy greens, nuts, seeds, eggs, and fish.

4. Alternative Hair Treatments:
- Explore other topical treatments or therapies, such as: - Platelet-Rich Plasma (PRP) Therapy: This involves injecting your own platelets into the scalp to promote hair growth. - Low-Level Laser Therapy (LLLT): This non-invasive treatment can stimulate hair follicles.

5. Stress Management:
- Since stress can exacerbate hair loss, consider relaxation techniques like yoga, meditation, or gentle exercise.

### Summary Hair fall after typhoid and jaundice can be due to various factors, including potential vitamin D deficiency. Consulting a dermatologist for a tailored treatment plan is the best course of action. They can guide you on supplements, dietary changes, and alternative therapies.

Thank you

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Hello dear Please be aware See following medications can bring large amount of involution in your clinical symptoms

Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically

Finasteride on recommendation only by dermatologist only in person Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use)

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel Use bhringraj or onion oil gently twice a day for both massage and nourishment In case of no improvement in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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Hair loss that started after jaundice and typhoid and has continued for 2 years with thinning all over the scalp is unlikely to be explained only by the infection itself at this point. Severe illness can trigger telogen effluvium (stress-related shedding), but ongoing worsening despite 1.7 years of minoxidil suggests there may be another contributing factor such as low iron stores (ferritin), vitamin D deficiency, low protein intake, thyroid imbalance, vitamin B12 deficiency, zinc deficiency, or androgen-related hair loss. Since you mention staying indoors for about 3 years and having a nutrient-poor diet, vitamin D deficiency is possible, but it is not possible to estimate your vitamin D level from symptoms alone—some people with very low levels have no symptoms, and others with normal levels feel unwell. Rather than starting treatment blindly, it would be reasonable to see a doctor and ask for blood tests such as CBC, ferritin/iron studies, vitamin D (25-OH), TSH (thyroid), B12, and possibly zinc and protein levels, along with a scalp examination.Continue minoxidil only if it was prescribed or helping, but if there has truly been no benefit after this long, your treatment plan may need reassessment. Improving nutrition (adequate protein, fruits, vegetables) and gradually returning to safe daylight exposure may also support overall health while the cause is investigated.

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Following typhoid and jaundice, it’s not uncommon to experience hair fall due to the body’s stress from illness and possible nutrient depletion. Given your extensive time indoors, vitamin D deficiency might be contributing to your hair loss, as limited sun exposure can lead to low vitamin D levels, which play a role in hair growth. You should consider getting a blood test to determine your current vitamin D status. While minoxidil is a common treatment for hair loss, not seeing improvement after long-term use suggests it may not be effective for your specific situation. It might be worthwhile to evaluate other factors such as your diet, overall nutrient intake, and thyroid function, as deficiencies in iron, zinc, and other essential nutrients can also impact hair health. Consulting a healthcare provider or a dermatologist could provide more insight into your scalp health and any underlying issues. They may recommend specific blood tests to check for these deficiencies. In terms of treatment, if your blood tests confirm a deficiency, your provider might consider prescribing a vitamin D supplement. Gradual, careful re-introduction to sunlight, dietary modifications, or other hair loss treatments could be helpful as well. Keep in mind that treating hair fall takes time, and persistent issues should be monitored by a healthcare professional to ensure no other health issues are contributing to this condition.

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