8 Things Your Hair Says About Your Health
When it comes to our hair, most of us worry most about what to do with it: how short to cut it, how to style it, whether to color it once it begins to go gray. But experts say that our hair says a lot more about us than how closely we follow the latest styles. In fact, the health of our hair and scalp can be a major tip-off to a wide variety of health conditions.
"We used to think hair was just dead protein, but now we understand that a whole host of internal conditions affect the health of our hair," says dermatologist Victoria Barbosa, MD, who runs Millennium Park Dermatology in Chicago. "Our hair responds to stress, both the physical stressors of disease and underlying health issues, and psychological stress." Here, eight red flags that tell you it's time to pay more attention to the health of your hair -- and to your overall health in general.
Red flag #1: Dry, limp, thin-feeling hair
What it means: Many factors can lead to over-dry hair, including hair dyes, hair blowers, and swimming in chlorinated water. But a significant change in texture that leaves hair feeling finer, with less body, can be an indicator of an underactive thyroid, known as hypothyroidism. Some people conclude that their hair is thinning because it feels as if there's less of it, but the thinning is due more to the texture of the hair itself becoming finer and weaker than to individual hairs falling out (though that happens too).
More clues: Other signs of hypothyroidism include fatigue, weight gain, slow heart rate, and feeling cold all the time, says Raphael Darvish, a dermatologist in Brentwood, California. In some cases, the eyebrows also thin and fall out. A telltale sign: when the outermost third of the eyebrow thins or disappears.
What to do: Report your concerns to your doctor and ask him or her to check your levels of thyroid hormone. The most common blood tests measure the levels of thyroid-stimulating hormone (TSH) and T4. It's also important to keep a list of your symptoms -- all of them.
"A doctor's visit is best to work up this problem; he or she may choose to do a thyroid ultrasound and a blood test in addition to an examination," says Darvish.
Red flag #2: Scaly or crusty patches on the scalp, often starting at the hairline
What it means: When a thick crust forms on the scalp, this usually indicates psoriasis, which can be distinguished from other dandruff-like skin conditions by the presence of a thickening, scab-like surface, says Lawrence Greene, MD, a spokesperson for the National Psoriasis Foundation. Psoriasis is the most common of all the autoimmune diseases and occurs when the skin goes into overdrive, sending out faulty signals that speed up the turnover and growth of skin cells.
More clues: Psoriasis, which affects nearly 7.5 million Americans, often occurs in concert with other autoimmune diseases such as Crohn's disease, lupus, and rheumatoid arthritis. If you have another autoimmune disorder, it's that much more likely you'll develop psoriasis. In turn, the discovery that you have psoriasis should put you on the alert for more serious conditions. Up to 30 percent of people with psoriasis develop a condition called psoriatic arthritis, which causes painful swelling of the joints.
What to do: There's a long list of ingredients that help relieve psoriasis, and treatment is often a process of trial and error. Topical treatments include shampoos containing coal tar or salicylic acid, and creams or ointments containing zinc and aloe vera. Hydrocortisone cream works to relieve inflammation. Prescription creams include vitamin D, vitamin A, and anthralin. Many patients also have great success treating the scalp with UV light therapy, and systemic medications such as cyclosporine work better for some people than topical medications.
It's a good idea to see a dermatologist for help sorting out the various treatments, rather than trying to do it on your own. One thing to keep in mind: Psoriasis puts you at increased risk of diabetes, heart disease, hypertension, certain types of cancer, metabolic syndrome, obesity, and depression. So if your psoriasis becomes severe, bring it to your doctor's attention as part of a discussion of your overall health.