My hair has been falling out for effectively over a yr, regardless that I’ve spoken to a trichologist.
Two years in the past I grew to become constipated and, after making an attempt numerous drugs, my marketing consultant says there’s nothing extra he can do. Is my hair loss attributable to my poor bowel well being?
Pauline Tuckley, through e-mail.
The 2 circumstances you describe — widespread hair loss and persistent constipation — are understandably tough to stay with and, as you counsel, definitely could also be linked.
I believe that hyperlink is a thyroid-related downside.
Hair loss is a typical symptom that may have many causes, all of which might must be thought of earlier than reaching a analysis.
These embody medical therapies comparable to chemo-therapy; poor weight loss plan; psychological stress; childbirth; and persistent iron deficiency.
As I perceive it, not one of the above applies in your case, therefore why I flip to thyroid circumstances, that are a significant explanation for hair loss.
Hair loss is a typical symptom that may have many causes, all of which might must be thought of earlier than reaching a analysis
The constipation — which you say has been investigated with a colonoscopy, and nothing suspicious was discovered — suggests you might have an underactive thyroid.
This may tie collectively the 2 signs in an in any other case wholesome particular person.
The thyroid is a butterfly-shaped gland within the entrance of your neck that produces hormones together with thyroxine.
This controls quite a lot of features all through the physique, together with metabolism, hair development and digestion.
Low ranges of the hormone can decelerate the intestines, which may trigger constipation.
An underactive thyroid is mostly on account of an autoimmune illness, the place the immune system mistakenly assaults the physique.
When you’ve talked about constipation and hair loss, usually an underactive thyroid also can trigger fatigue, chilly intolerance and weight acquire (and also you do point out commencing a weight loss plan previous to the onset of the constipation).
I counsel that you simply ask your GP to order a blood take a look at to examine your thyroid operate.
Should you do have an underactive thyroid, your GP will prescribe a every day substitute dose of thyroxine, which you’ll take for the remainder of your life. It ought to resolve your issues over a interval of some months.
For the previous couple of years after I wake through the night time, I’ve a burning, tingling sensation in each my decrease legs. It’s disagreeable and annoying. Is there something I can do? I’m 70.
David Carver, Bridlington, E Yorks.
I wonder if your sleep place lies on the root of the difficulty. Actually the tingling sensations — that are presumably relieved through the daytime — appear to point nerve root irritation within the decrease backbone, which may be triggered by this.
As we age, the spinal wire (which is protected by the bony cage of the backbone) can develop into compressed.
It’s because, over time, the vertebrae naturally develop into worn from use — what we name osteoarthritic degeneration — inflicting ache and irritation.
As a part of the therapeutic response, the physique produces new spurs of bone, or osteophytes. These spurs slender the hole within the spinal canal that carries the spinal wire (often called spinal stenosis).
Actually the tingling sensations — that are presumably relieved through the daytime — appear to point nerve root irritation within the decrease backbone, which may be triggered by this
Your backbone and trunk muscle tissue can even be weaker on account of pure degeneration with age, and muscle power is significant to assist the backbone.
The cumulative impact of this might imply that there’s stress on nerve roots, and the result’s the tingling sensation you expertise in your legs.
This stress may be triggered by sure actions — probably, in your case, if you find yourself mendacity down, with the muscle tissue of your again stress-free.
All of that is solely educated guesswork, and to substantiate this you have to to see your GP.
They could resolve to refer you to have the nerve operate in your legs checked by a nerve conduction examine, carried out by a technician or a neurophysiologist in hospital.
This usually entails administering small, totally painless electrical shocks at one finish of the leg, whereas recording the impulse on the different finish utilizing an electrode. This conveys the recorded knowledge to an digital ‘black field’.
We use this take a look at to be able to examine for peripheral neuropathy (nerve harm).
I’d additionally counsel a referral for a scan of your decrease again, to assist determine if the ache is because of nerve stress from spinal illness comparable to osteoarthritis.
If a specialist confirms that your downside is the results of spinal stenosis, it is best to see a rehabilitation physiotherapist.
They’ll provide recommendation and a daily coaching programme to enhance muscle tone, and thereby enhance the backbone’s assist system.