What's wrong with excessive sweating and hair loss on the top of the head?« Back to Questions List

Sweating in the heat is a normal phenomenon, but if you sweat a lot on your head and also lose hair, you should be aware that it may be related to seborrhoeic alopecia, phytodysfunction, hyperhidrosis, etc. You will need to see a doctor to find out the cause and then have targeted medical and surgical treatment.

Seborrhoic hair loss
It is usually due to genetics, long term irregular diet, late nights and mental stress resulting in high androgen secretion. Excessive androgen secretion can stimulate the sebaceous glands to over-secrete and block the hair follicles with symptoms of excessive sweating hair loss. Patients also often experience symptoms such as increased oil secretion from the scalp, greasy hair, dandruff and itchy scalp.
It is recommended to use minoxidil solution and ketoconazole shampoo as prescribed by the doctor, and to take oral finasteride tablets for men and spironolactone for women.

Patients with prolonged psychological stress, excessive emotional stress, anxiety or frequent late nights, irregular diet, etc., can cause phytodysfunction and endocrine disorders, resulting in excessive sweating on the head and hair loss.
It is advisable to take nerve-nourishing medication, such as glutathione tablets, under the guidance of a doctor, as well as psychological and emotional conditioning, trying to maintain an optimistic and happy mood, and appropriate exercise.

Hyperhidrosis can also occur if the sweat glands on the scalp are congenitally overactive, or if there are mental or neurological factors such as diabetes, hyperthyroidism or stress and anxiety. Prolonged sweating causes the body to lose large amounts of sodium, potassium and other nutrients, and inadequate replacement can lead to malnutrition-related hair loss.

After clarification, medication must be administered as prescribed by the doctor. Patients with mild cases can be treated with drugs such as 20%-25% aluminium chloride solution and 0.5% aluminium acetate solution; if the patient also has a primary disease, the primary disease can be treated first, depending on the actual situation. If the above modalities are not effective, sweat gland removal and sympathetic nerve block may be considered.

Of course, there are more than just a few causes of excessive sweating and hair loss, and it is recommended that patients who notice the problem seek medical attention and treatment after an accurate diagnosis has been made by a doctor.

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Asked on March 13, 2023 2:05 am