Hair loss and scalp symptoms

Overview

Hair loss can be gradual, patchy or noticed as increased shedding. Family patterns, recent illness, stress and other health issues may be relevant. The pattern and timeline help guide assessment, but they do not establish the cause without considering the wider history.

Flaking or itching of the scalp may be dandruff or another skin problem. Scalp inflammation, broken hairs and changes elsewhere on the skin provide different clues. Hair concerns can affect confidence and wellbeing, and that impact is a valid part of the consultation.

By telephone

A telephone discussion can organise the history before an examination. Describe whether the change is shedding, thinning, distinct patches or discomfort of the scalp. Explain what happened before it began, including illness, changes in nutrition, medicines or particularly stressful circumstances, without assuming one factor is definitely responsible.

If you have already tried products or attended a commercial hair service, describe what was recommended and the response. A conversation can help identify questions about the diagnosis and the need for further checks before committing to additional treatment or expenditure.

What cannot be done remotely

The clinician cannot inspect the scalp, assess hair breakage or examine areas of loss by telephone. An in-person assessment may distinguish between causes that need different approaches. Blood tests may sometimes be appropriate, depending on the symptoms and medical history.

Not every hair change requires a broad set of tests, and a product marketed for hair growth may not address the cause. Persistent scalp redness, swelling or severe itching should be checked rather than repeatedly treated as ordinary dandruff. Avoid assuming that flaking reflects poor hygiene.

What to prepare

• Describe the pattern, onset and progression of the change.
• Mention scalp pain, itching, redness or scaling elsewhere.
• List recent illnesses, medicines and products used on the hair.
• Have previous assessments or test results available.
• Explain the effect on confidence and your main concern.

Sources

• NHS: hair loss
• NHS: dandruff