[50F] Experiencing hair loss, dry skin, and bruising post-ileostomy
Patient Description
A 50-year-old female reports significant hair loss on the scalp, particularly in the middle, with painful scabs but no itching or burning sensations. This began approximately six months ago following an ileostomy surgery. The patient is using minoxidil and Nioxin without improvement. Additionally, she experiences dry skin on the face and back, and unexplained bruising on the forearms. Menstrual periods have ceased since the surgery, but there are no hot flashes or night sweats. The patient feels tired in the mornings but has not experienced weight changes or fatigue otherwise. Medical history includes asthma diagnosed in the 1990s and valley fever diagnosed during a hospital stay. Current medications include ProAir as needed, Trelegy once daily, Voriconazole twice daily, and various vitamins and supplements such as vitamin C, magnesium, collagen, vitamin K, vitamin B12, iron, and prenatal vitamins. The patient has not experienced gastrointestinal symptoms post-surgery and has had a CBC test, though results are not specified. No known drug allergies.
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Arora's Assessment
What might be happening
It seems like your symptoms could be related to several factors:
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Hair Loss and Scalp Issues:
- Telogen Effluvium: This is a common type of hair loss that can occur after surgery, due to stress or changes in your body. It usually resolves on its own over time.
- Scalp Conditions: The scabs and pain might suggest a scalp condition like dermatitis or an infection.
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Bruising on Forearms:
- Nutritional Deficiencies: Bruising can be linked to deficiencies in vitamins like Vitamin C or K, which are important for skin and blood vessel health.
- Medication Side Effects: Some medications can increase bruising risk.
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Dry Skin:
- Dehydration or Nutritional Deficiencies: These can contribute to dry skin, especially after surgery.
What you can do
Hair Loss and Scalp Issues:
- Continue using minoxidil as directed, but consult a dermatologist if there's no improvement.
- Avoid harsh hair treatments and use gentle, moisturizing shampoos.
- Keep your scalp clean and avoid picking at scabs.
Bruising on Forearms:
- Ensure you're getting enough Vitamin C and K through diet or supplements.
- Protect your arms from minor injuries by wearing long sleeves.
Dry Skin:
- Use a gentle, fragrance-free moisturizer regularly.
- Stay hydrated and consider using a humidifier at home.
General Health:
- Follow up with your healthcare provider to review your blood test results and discuss any nutritional deficiencies.
- Keep track of your symptoms using MDandMe to share with your provider.
What you should look out for
- If you notice any new or worsening symptoms, such as increased bruising, significant hair loss, or changes in your skin, seek medical advice.
- Watch for signs of infection on your scalp, such as increased redness, swelling, or pus.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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5 mo ago