[58F] Experiencing hair loss, gastrointestinal issues, and night sweats

Patient Description

A 58-year-old female presents with a one-year history of diffuse hair loss, resulting in a 40% reduction in hair volume. The hair has become brittle and fine. She also reports watery diarrhea alternating with constipation daily for the past two years, and severe night sweats for a year, which drench her clothes. Additionally, she has experienced a weight loss of approximately 10 lbs over the past year and feels tired constantly. She has noticed blood when wiping after bowel movements. The patient has a long-standing history of anxiety and depression, for which she takes Zoloft (100 mg daily). She uses tobacco but has no known drug allergies, no family history of autoimmune diseases, and no other medications reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Hypothyroidism: This condition, where the thyroid gland doesn't produce enough thyroid hormone, can cause a range of symptoms including fatigue, constipation, and hair loss. It can also cause dry, brittle hair. Hypothyroidism is more common in women over the age of 60.

    • Diagnosis typically involves a blood test to measure levels of thyroid hormones. Treatment usually involves taking a daily hormone replacement tablet.
  • Iron Deficiency Anemia: This condition can cause fatigue and hair loss. It can also cause pale skin and shortness of breath.

    • Diagnosis typically involves a blood test to measure levels of iron and other blood cells. Treatment usually involves taking iron supplements and increasing intake of iron-rich foods.
  • Malabsorption syndromes, such as Celiac Disease or other forms of enteropathy: These conditions can cause diarrhea, weight loss, and fatigue. They can also cause nutrient deficiencies that lead to hair loss.

    • Diagnosis typically involves a combination of blood tests, stool tests, and possibly an endoscopy or colonoscopy. Treatment usually involves dietary changes and possibly medication.
  • Menopause: Hormonal changes during menopause can cause a range of symptoms, including night sweats and hair loss. However, this wouldn't explain your diarrhea.

    • Diagnosis typically involves a discussion of symptoms and possibly blood tests. Treatment can involve hormone replacement therapy, lifestyle changes, and other treatments to manage specific symptoms.

What you can do

Please consult a healthcare professional about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to manage your symptoms:

  1. Make sure you're eating a balanced diet rich in iron and other nutrients. This can help with hair health and energy levels.
  2. Try to maintain a regular sleep schedule. This can help with fatigue and may help with night sweats.
  3. Stay hydrated, especially if you're having diarrhea. This can help prevent dehydration.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool
  • Sudden or severe worsening of your symptoms

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of diffuse hair loss in women over 50?

Common causes of diffuse hair loss in women over 50 include hormonal changes such as menopause, thyroid disorders like hypothyroidism, nutritional deficiencies (e.g., iron or vitamin D deficiency), and stress. It's important to consult a healthcare provider for a proper diagnosis.


How can alternating diarrhea and constipation be related to underlying health conditions?

Alternating diarrhea and constipation can be indicative of irritable bowel syndrome (IBS), malabsorption syndromes like Celiac Disease, or other gastrointestinal disorders. These symptoms warrant further investigation by a healthcare professional to determine the underlying cause.


What might cause severe night sweats in women around menopause age?

Severe night sweats in women around menopause age can be caused by hormonal changes associated with menopause. Other potential causes include infections, certain medications, and conditions like hyperthyroidism. It's advisable to discuss these symptoms with a healthcare provider.


How does iron deficiency anemia affect the body and what are its symptoms?

Iron deficiency anemia affects the body by reducing the number of red blood cells, leading to symptoms such as fatigue, weakness, pale skin, shortness of breath, and hair loss. It is diagnosed through blood tests and treated with iron supplements and dietary changes.


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