Hair falls out easily when pulled
Nov 18, 2022
Source: Cainiu Health
Dr. Liu Wan
Introduction
Hair falling out easily when pulled may be caused by seborrheic dermatitis, scalp fungal infection, lifestyle factors, or other reasons. It is recommended that patients seek timely medical evaluation and complete necessary examinations if hair shedding occurs frequently and symptoms repeatedly worsen, so as to identify the underlying cause and receive targeted treatment under a doctor's guidance as early as possible. In daily life, one should pay more attention to preventive measures to effectively avoid the development of related conditions.
Hair falling out easily when pulled may be caused by seborrheic dermatitis, tinea capitis, lifestyle factors, or other reasons. It is recommended that patients seek timely medical evaluation and necessary examinations when experiencing persistent or worsening hair loss, to identify the underlying cause and receive targeted treatment under a doctor's guidance as early as possible. Daily attention and preventive measures are important to effectively reduce the risk of related conditions.
1. Seborrheic Dermatitis
When hair loss occurs alongside visibly excessive oily secretion on the scalp, often accompanied by greasy dandruff, seborrheic dermatitis may be the cause. This condition weakens hair follicles, leading to hair shedding. Management begins with maintaining regular作息 (lifestyle), reducing intake of fried, spicy, and irritating foods, and supplementing with oral vitamin B. For severe itching, antihistamines may be used. In cases of significant rashes, low-dose systemic corticosteroids may be prescribed. Local treatments focus on anti-inflammatory, antipruritic, keratolytic, lipid-reducing effects, using ingredients such as urea and salicylic acid. Topical selenium sulfide is commonly used. The first-line topical therapy for seborrheic dermatitis includes combined use of antifungal agents and corticosteroids.
2. Tinea Capitis (Scalp Fungal Infection)
Easy hair loss upon pulling may also result from tinea capitis. Besides hair loss, tinea capitis typically presents with obvious disturbances in hair growth. Comprehensive treatment combining oral and topical medications is recommended. Regular hair trimming, thorough cleaning, and disinfection are essential. The scalp can be washed with ketoconazole shampoo, followed by topical application of sulfur ointment to relieve symptoms. Appropriate oral antifungal drugs should also be taken. Patients should avoid spicy and greasy foods during treatment.
3. Lifestyle Factors
Stress, mental tension, and poor sleep can weaken hair roots and lead to hair loss. Patients should maintain healthy lifestyle habits, stay in good spirits, exercise appropriately, ensure balanced nutrition, and promptly replenish essential trace elements.
