[39F] With hair loss, acne, and other symptoms

Patient Description

Emily, a 39-year-old female, has been experiencing significant hair loss over the past three years, resulting in noticeably thinner hair, especially towards the front sides. Her remaining hair is extremely dry, frizzy, and brittle. She has a history of acne since her teenage years, which worsened significantly in her 30s, leading to cystic acne on her jawline, cheeks, shoulders, and back, causing scarring. Her back skin is very oily. Additionally, she reports weight gain, fatigue, anxiety, depression, and feeling too warm without sweating, despite having a normal body temperature. Emily has a medical history of ulcerative colitis, diagnosed in 2009, and is allergic to penicillin. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Hormonal Imbalance: Hormonal changes can cause a variety of symptoms including hair loss, acne, weight gain, and mood swings. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders could be contributing factors.

    • Treatment: Hormonal imbalances are often treated with medications or lifestyle changes. Blood tests can help diagnose these conditions.
  • Nutritional Deficiencies: Deficiencies in vitamins and minerals, such as iron, vitamin D, or biotin, can lead to hair loss, dry hair, and fatigue.

    • Treatment: A balanced diet rich in essential nutrients or supplements can help. Blood tests can identify specific deficiencies.
  • Stress and Mental Health: Anxiety and depression can exacerbate physical symptoms like hair loss, acne, and fatigue.

    • Treatment: Mental health support through therapy or medications can be beneficial. Stress management techniques such as mindfulness or exercise can also help.
  • Ulcerative Colitis: This condition can cause nutrient absorption issues, leading to symptoms like fatigue and hair loss.

    • Treatment: Managing ulcerative colitis with medications and dietary changes can help improve overall health and alleviate some symptoms.
  • Skin Conditions: Chronic acne and oily skin could be related to underlying skin conditions or hormonal imbalances.

    • Treatment: Dermatological treatments, including topical or oral medications, can help manage acne and oily skin.

What you can do

  1. Consult a Healthcare Provider: It's important to consult with a healthcare provider to get a formal diagnosis and appropriate treatment plan. They may recommend blood tests, hormonal evaluations, or other diagnostic tests.
  2. Maintain a Balanced Diet: Ensure you are getting a balanced diet rich in essential vitamins and minerals. Consider taking a multivitamin if recommended by your healthcare provider.
  3. Manage Stress: Practice stress management techniques such as mindfulness, exercise, or yoga to help alleviate anxiety and depression.
  4. Use Gentle Hair Care Products: Opt for gentle, sulfate-free shampoos and conditioners to help manage dry and brittle hair.
  5. Skincare Routine: Use non-comedogenic skincare products to help manage acne and oily skin. Consider consulting a dermatologist for specialized treatments.

What you should look out for

  • Worsening Symptoms: If you notice a significant worsening of your symptoms, such as increased hair loss, severe acne, or extreme fatigue, seek medical attention.
  • New Symptoms: Be aware of any new symptoms that may arise, such as changes in bowel habits, unexplained weight loss, or severe mood changes.
  • Mental Health: If you experience severe anxiety or depression, seek support from a mental health professional.

Remember, it's important to consult with a healthcare provider to get a formal diagnosis and appropriate treatment. This information is not a substitute for professional medical advice.

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7 mo ago

People Also Ask


What are the common symptoms of hormonal imbalance in women?

Common symptoms of hormonal imbalance in women include irregular periods, weight gain, acne, hair loss, mood swings, and fatigue. Conditions like PCOS or thyroid disorders are often associated with these symptoms.


How can nutritional deficiencies affect hair and skin health?

Nutritional deficiencies, such as a lack of iron, vitamin D, or biotin, can lead to hair loss, dry and brittle hair, and skin issues. Ensuring a balanced diet or taking supplements can help improve these conditions.


What are effective ways to manage stress-related symptoms like anxiety and depression?

Effective ways to manage stress-related symptoms include practicing mindfulness, engaging in regular physical exercise, seeking therapy, and possibly using medications as prescribed by a healthcare provider.


How does ulcerative colitis impact nutrient absorption and overall health?

Ulcerative colitis can lead to nutrient absorption issues due to inflammation in the colon, which may result in symptoms like fatigue and hair loss. Managing the condition with medications and dietary changes can help improve nutrient absorption and overall health.


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