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Baldness or hair loss is usually something only adults need to worry about. But in a few cases, teens lose their hair, too — and it may be a sign that something's going on.

Hair loss during adolescence can mean a person may be sick or just not eating right. Some medications or medical treatments, like chemotherapy treatment for cancer, also cause hair loss. People can even lose their hair if they wear a hairstyle that pulls on the hair for a long time, such as braids.

Losing hair can be stressful during a time when you're already concerned about appearance. Most of the time, hair loss during the teen years is temporary. With temporary hair loss, the hair usually grows back after the problem that causes it is corrected.

Hair Basics

Our hair is made of a type of protein called keratin. A single hair consists of a hair shaft (the part that shows), a root below the skin, and a follicle, from which the hair root grows. At the lower end of the follicle is the hair bulb, where the hair's color pigment, or melanin, is produced.

Most people lose about 50 to 100 head hairs a day. These hairs are replaced — they grow back in the same follicle on your head. This amount of hair loss is totally normal and no cause for worry. If you're losing more than that, though, something might be wrong.

If you have hair loss and don't know what's causing it, talk to your doctor. A doctor can determine why the hair is falling out and suggest a treatment that will correct the underlying problem, if necessary.

What Causes Hair Loss?

Here are some of the things that can cause hair loss in teens:

• Illnesses or medical conditions. Endocrine (hormonal) conditions, such as uncontrolled diabetes or thyroid disease, can interfere with hair production and cause hair loss. People with lupus can also lose hair. The hormone imbalance that occurs in polycystic ovary syndrome can cause hair loss in teen girls as well as adult women.
• Medications. Some medications that have hair loss as a side effect may be prescribed for teens. These include acne medicines like isotretinoin, and lithium, which is used to treat bipolar disorder. Diet pills that contain amphetamines also can cause hair loss. Chemotherapy drugs for cancer are probably the most well-known medications that cause hair loss
• Alopecia areata. This skin disease causes hair loss on the scalp and sometimes elsewhere on the body. It affects 1.7% of the population, including more than 5 million people in the United States. Alopecia areata (pronounced: al-uh-pee-shuh air-ee-ah-tuh) is thought to be an autoimmune disease, in which the hair follicles are damaged by a person's own immune system. (In autoimmune diseases, the immune system mistakenly attacks healthy cells, tissues, and organs in a person's body.) Alopecia areata usually starts as one or more small, round bald patches on the scalp. These can get bigger, and in a small number of cases, can progress to total hair loss. Both guys and girls can get it, and it often begins in childhood. The hair usually grows back within a year, but not always. Sometimes people with alopecia areata lose their hair again.
• Trichotillomania (pronounced: trik-o-til-uh-may-nee-uh). Trichotillomania is a psychological disorder in which people repeatedly pull their hair out, often leaving bald patches. It results in areas of baldness and damaged hairs of different lengths. People with trichotillomania usually need professional help from a therapist or other mental health professional before they are able to stop pulling their hair out.
• Hair treatments and styling. Having your hair chemically treated, such as getting your hair colored, bleached, straightened, or permed, can cause damage that may make the hair break off or fall out temporarily. Another type of baldness that results from hair styling actually can be permanent: Wearing hair pulled so tightly that it places tension on the scalp can result in a condition called traction alopecia. Traction alopecia can be permanent if the style is worn for a long enough time that it damages the hair follicles.
• Poor nutrition. Poor eating can contribute to hair loss. This is why some people with eating disorders like anorexia and bulimia lose their hair: The body isn't getting enough protein, vitamins, and minerals to sustain hair growth. Some teens who are vegetarians also lose their hair if they don't get enough protein from non-meat sources. And some athletes are at higher risk for hair loss because they may be more likely to develop iron-deficiency anemia.
• Disruption of the hair growth cycle. Some major events can alter the hair's growth cycle temporarily. For example, delivering a baby, having surgery, or going through a traumatic event can temporarily cause shedding of large amounts of hair. Because the hair we see on our heads has actually taken months to grow, a person might not notice any disruption of the hair growth cycle until months after the event that caused it. This type of hair loss corrects itself.
• Androgenetic alopecia. Among adults, the most common cause of hair loss is androgenetic (pronounced: an-druh-juh-neh-tik) alopecia, sometimes called male-pattern baldness. This condition is caused by a combination of factors, including hormones called androgens and genetics. Sometimes, the hair loss can start as early as the mid-teen years. It also can occur in people who take steroids like testosterone to build their bodies.

What Can Doctors Do?

If you see a doctor about hair loss, he or she will ask questions about your health and family health (called a medical history) and check your scalp. In some cases, the doctor might take hair samples and test for certain medical conditions that can cause hair loss.

If medication is causing hair loss, ask the doctor if you can take a different drug. If your hair loss is due to an endocrine condition, like diabetes or thyroid disease, proper treatment and control of the underlying disorder is important to reduce or prevent hair loss.

If your doctor recommends it, a product like minoxidil that can speed up hair growth also might be helpful. Alopecia areata can be helped by treatment with corticosteroids. If nutritional deficiencies are found to be causing your hair loss, the doctor might refer you to a dietitian or other nutrition expert.

Catastrophic Hair Loss

Hair loss can be the first outward sign that a person is sick, so it may feel scary. Teens who have cancer and lose their hair because of chemotherapy treatments (especially girls) might go through a difficult time.

It can help to feel like you have some control over your appearance when you're losing your hair. When getting chemotherapy, some people like to cut their hair or shave their heads before the hair falls out. Some even take the hair they cut off and have it made into a wig. Many options can help disguise hair loss — such as wearing wigs, hair wraps, hats, and baseball caps. For most teens who lose their hair, the hair does return — including after chemotherapy.

Taking Care of Your Hair

Eating a balanced, healthy diet is important for a lot of reasons, and it really benefits your hair.

If you're losing hair, some doctors recommend using baby shampoo, shampooing no more than once a day, and lathering gently. Don't rub your hair too vigorously with a towel, either. Many hair experts suggest you consider putting away the blow dryer and air drying your hair instead. If you can't live without your blow dryer, try using it on a low heat setting.

Style your hair when it's dry or damp. Styling your hair while it's wet can cause it to stretch and break. And try to avoid teasing your hair, which can cause damage. Finally, be careful when using chemicals — such as straighteners or color — on your hair, and avoid frequent use of chemical treatments.

Reviewed by: Larissa Hirsch, MD
Date reviewed: January 2008
Originally reviewed by: Eliot N. Mostow, MD, MPH

source taken from: http://kidshealth.org/

We have about 100,000 hairs on our heads. Each hair shaft has three layers, with the cuticle, or outside layer, protecting the two inner layers.

Shiny hair is a sign of health because the layers of the cuticle lie flat and reflect light. When the scales of the cuticle lie flat they overlap tightly, so the inner layers are well protected from heat, sun, chlorine, and all the other hazards that can come from living in our environment. When hair is damaged, though, the scales may separate and hair can become dry. Because the scales on dry hair don't protect the inner two layers as well, hair can break and look dull

The type of hair a person has — whether it's straight or curly — can also affect how shiny it is. Sebum, which is the natural oil on the hair, covers straight hair better than curly hair, which is why straight hair can appear shinier.

Depending how long a person's hair is or how fast it grows, the end of each hair shaft can be a couple of years old. So the hair at the end of the shaft could have survived a few summers of scorching sun and saltwater and winters of cold, dry air. How well you care for your hair from the time it emerges from the root plays a role in how healthy it looks.

Caring for Hair

How you take care of your hair depends on the type of hair you have, your lifestyle, and how you style your hair.

Your hair type. People with dry, curly hair have different hair care needs than people with straight, fine hair. But all hair needs to be treated gently, especially when it's wet. Wet hair can stretch, making it more vulnerable to breakage or cuticle damage. That's why using a hot blow-dryer (or other heat styling products) on very wet hair can damage it.

Some people find that their hair gets oily in their teen years. That's because the hair follicles contain sebaceous glands that make sebum, which moisturizes the hair and skin. During adolescence, the sebaceous glands may become overactive, producing more oil than needed. As with acne, oily hair is usually a temporary part of puberty.

Many teens care for oily hair by washing it once a day — or more if they're active. As long as you treat your hair gently when it's wet, frequent washing shouldn't harm it. If you have acne, it's a good idea to keep the hair around your face clean so hair oils don't clog your pores.

If you're washing your hair every day or more, it may be better to choose a mild shampoo instead of a shampoo designed for oily hair. For some people — especially people with fine, fragile, or combination hair (hair that's oily at the crown but dry on the ends) — shampoos for oily hair can be too harsh. If you have oily hair and want to use a conditioner, choose one that's made for oily hair.

If your hair is dry, it's a good idea to wash it less frequently. Some people only need to wash their hair once a week — and that's fine. Many people who have curly hair also have dry hair. Curly and dry hair types are usually more fragile than straight hair, so you'll need to be especially careful about using heat styling products. Shampoos made for dry hair and hair conditioners can help.

Your activity level and interests. Do you play sports or spend a lot of time at the beach? These kinds of things can affect your hair. For example, if you're an athlete with oily hair, you may want to wash your hair after working up a sweat during practice and games. But if you're a lifeguard or a swimmer, sun and saltwater (or the chlorine in pool water) can dry your hair out, no matter what your hair type. If you're exposed to sun, wind, or other elements, you may want to use a shampoo designed for dry hair or use a conditioner. It's also a good idea to wear a hat to protect your hair when you're outdoors.

Your hairstyle. Heat styling products like curling and straightening irons can dry out even oily hair if they're used too much. Follow the instructions carefully, and don't use them on wet hair or high settings, and give your hair a vacation from styling once in a while. Ask your hair stylist or dermatologist for advice on using heat styling products.

Chemical treatments can also harm hair if they're not used properly. If you decide you want a chemical treatment to color, straighten, or curl your hair, it's best to trust the job to professionals. Stylists who are trained in applying chemicals to hair will be able to evaluate your hair type and decide which chemicals will work best for you.

Here are some things to be aware of when getting chemical treatments:

• Relaxers. Relaxers (straighteners) work by breaking chemical bonds in curly hair. Relaxers containing lye can cause skin irritation and hair breakage. Although "no lye" relaxers may cause less irritation, both types of relaxers can cause problems if they are used in the wrong way (for example, if they're mixed incorrectly or left on the hair for too long). Scratching, brushing, or combing your hair right before a chemical relaxing treatment can increase these risks. And don't use relaxers — or any hair treatment — if your scalp is irritated.
  
  If you decide to keep straightening your hair, you'll need to wait at least 6 weeks before your next treatment to protect your hair. Relaxers can cause hair breakage when used over a period of time, even when they're used properly. Using blow-dryers, curling or straightening irons, or color on chemically relaxed hair can also increase the risk of damage.
• Perms. Perms take straight hair and make it curly. The risks are similar to those associated with relaxers.
• Color. There are two types of color: permanent (which means the color stays in your hair until it grows out) and semi-permanent (the color washes out after a while). Some semi-permanent coloring treatments, like henna, are fairly safe and easy to use at home. Some people get a condition called contact dermatitis (an allergic reaction with a rash) from henna and other "natural" products, so be sure to test a small area first.

  Other color treatments — especially permanent treatments — can cause hair loss, burning, redness, and irritation. A few types of coloring treatments can cause allergic reactions in certain people, and in rare cases these can be very serious. So talk to your stylist if you are worried that you may be sensitive to the products. Also, talk to your stylist about doing a patch test before using a product. And never use hair dyes on your eyelashes or eyebrows.

Regular haircuts are one of the best ways to help keep hair healthy. Even if you have long hair or you're trying to grow your hair, a haircut can help protect the ends of your hair from splitting and damage. In fact, cutting may actually help your hair grow better because it's healthy and not breaking off.

Dealing With Hair Problems

Here are some common hair problems — and tips on how to deal with them.

Dandruff

Dandruff — or flakes of dead skin — can be noticeable in a person's hair and on clothing. No one really knows what causes dandruff, although recent studies seem to show that it may be caused by a type of fungus.

Dandruff isn't contagious or dangerous. Over-the-counter shampoos containing salicylic acid, zinc, tars, or selenium sulfide can reduce dandruff flakes. When shampooing, massage your scalp (but don't scratch) for at least 5 minutes, loosening the flakes with your fingers. Rinse your hair well after washing. If your dandruff doesn't improve, see your doctor. He or she may prescribe a prescription shampoo and possibly a lotion or liquid to rub into your scalp.

Hair Breakage

Hair can break when points in the hair thicken or weaken. Sometimes this happens near the scalp so a person's hair never grows very long. When hairs break at the ends, they're called "split ends," and the splits can travel up the hair shaft.

A major cause of hair breakage is improper use of chemical hair treatments, like the treatments described above. But brushing or combing hair too frequently or in the wrong way (such as using a fine-toothed comb on very thick, curly hair or teasing hair) can lead to breakage. Hair extensions and braids can also cause breakage. Leaving them in too long or pulling them out without professional help can cause hair and scalp damage or even hair loss.

Sometimes hair breakage and dry, brittle hair are signs of a medical problem, such as hypothyroidism or an eating disorder. If your hair is breaking even though you don't treat it with chemicals or other styling products, see a doctor.

Hair Loss (Alopecia)

It's normal for everyone to lose some hair. In fact, we lose about 100 hairs each day as old hairs fall out and are replaced with new ones. With hair loss, though, hair thins at a rate that can't be replaced. When hair falls out and isn't replaced by new hair, a person can become bald or have bald patches. Hair loss can be temporary or permanent, depending on the cause. If changing your hairstyle or other treatment doesn't help, see a doctor. He or she may prescribe a drug to slow or stop hair loss and to help hair grow.

As with the rest of our bodies, hair is healthiest when we eat right, exercise, and protect it from too much sun.

Reviewed by: Patrice Hyde, MD
Date reviewed: December 2008

source taken from: http://kidshealth.org/