Scalp is not itchy but hair is falling out

Jan 29, 2024 Source: Cainiu Health
Dr. Wang Xiaoyan
Introduction
In general, hair loss without scalp itching may be caused by long-term sleep deprivation, stress and anxiety, malnutrition, androgenetic alopecia, or endocrine disorders, and targeted treatments are required. It is recommended to seek medical advice as soon as possible. Prolonged lack of sleep can disrupt the body's circadian rhythm, affecting hormone secretion and normal physiological cycles.

In general, hair loss without scalp itching may be caused by factors such as chronic sleep deprivation, stress and anxiety, malnutrition, androgenetic alopecia, or endocrine disorders, and targeted interventions are needed. It is recommended to seek medical evaluation and treatment promptly. Specific analyses are as follows:

1. Chronic Sleep Deprivation

Long-term lack of sleep can disrupt the body's circadian rhythm, affecting hormone secretion and normal physiological cycles. This may interfere with the hair follicle growth cycle, leading to hair shedding. Maintaining a regular sleep schedule and avoiding late nights can reduce physical strain.

2. Stress and Anxiety

Prolonged stress and anxiety can affect hormonal balance and the immune system, thereby disrupting the hair growth cycle, potentially causing gradual thinning of hair without scalp itching. It is recommended to relieve stress through methods such as listening to soft music or practicing yoga.

3. Malnutrition

Deficiency in key nutrients such as iron, zinc, vitamin D, and protein can impair hair growth and health, possibly resulting in thinning, yellowing, breakage, and shedding of hair. Consuming more fresh vegetables and fruits can help replenish essential nutrients for the body.

4. Androgenetic Alopecia

Androgenetic alopecia is caused by genetic factors and the effects of androgens. It may present as gradually thinning and sparse hair, eventually leading to typical pattern baldness or a receding hairline. This condition usually does not involve scalp itching, but similar patterns may be observed among family members. Treatment under medical guidance may include medications such as finasteride tablets, minoxidil gel, or spironolactone tablets.

5. Endocrine Disorders

Endocrine imbalances may arise from various causes, including menstrual cycle irregularities, menopause, or thyroid dysfunction. These conditions can alter hormone levels and subsequently affect the hair growth cycle, resulting in hair loss. Individuals with endocrine disorders may also experience irregular menstruation, mood swings, weight changes, and poor sleep quality. Treatment options based on medical advice may include herbal formulations such as Jia Wei Xiao Yao Wan, Qi Zhi Xiang Fu Wan, or Wu Ji Bai Feng Wan.

It is recommended to maintain a light diet, drink plenty of water, and engage in moderate exercise, which can help regulate overall bodily health.

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