Hair fall and others general problem - #26565

Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab.Bhringraj 2-0-2 Tab.Amalaki 2-0-2 Tab.Saptamrut lauh 2-0-2 Massage with Mahabhringraj oil on scalp twice a week.

Let’s breakdown your condition, Your B12 and Vitamin D levels are below normal. These are crucial for hair follicle health and general immune balance.

Androgenic alopecia is genetic condition and typically starts in early 20’s. It will accelerate due to nutritional deficiency condition.

Mouth ulcers are also linked to nutritional deficiency.

1. Took vitamin supplements. 2. Mandoora vatakam 1 at lunch with buttermilk. 3. Krimighna vati 1-1-1 after food (for 1 month). 4. Pamantaka tailam for external application as hair oil. Massage over the scalp for at least 5 minutes. 5. Triphala choornam as hair wash water weekly thrice.

- Drink enough water. - Include iron rich foods like spinach, dates and red meat in your diet. - Include fish, walnuts, flax seed and more proteins.

Along with these medications include Meditation, pranayam, yoga in your daily routine… SHIRODHARA ×15days…

Follow up after 1 month. TAKE CARE 😊

hello manu,

Thank you for sharing everything so clearly. From what you’ve described gradual hair thinning, visible male pattern baldness post-dengue, frequent mouth ulcers, and low B12 and Vitamin D—the picture points toward Pitta aggravation along with dhatu kshaya (tissue depletion) and Rasa-Rakta-Pitta imbalance in Ayurveda.

Hair thinning in your case is happening due to two core reasons:

Nutritional depletion (due to post-viral effect + low B12/D):

Dengue would have pushed your system into an inflammatory state and depleted rasa dhatu (plasma and base nutrients) and rakta dhatu (blood), which weakens hair follicles and slows regeneration. Pitta-vata imbalance: Pitta governs metabolism, and when aggravated, especially in pitta-predominant males, it overheats the scalp, leading to follicle destruction. Vata dries the roots, adding to thinning and hair fall.

Mouth ulcers show rasa-rakta-pitta dusti (imbalance in early tissues due to heat, acidity, and deficiency).

Let’s correct this step by step from within.

1. Ama Pachana & Agni Balancing (First 5 Days)

Avipattikara Churna – 1 tsp at bedtime with lukewarm water (helps acidity, mouth ulcers, detox Pitta) Jeerakadyarishta – 15 ml with equal water twice daily after food

2. Internal Medicines (Start from Day 6) Narasimha Rasayanam – 1 tsp with warm milk in the morning (excellent for hair roots, nourishment, and recovery post-illness) Bhringarajasava – 15 ml with equal water after meals (for liver, blood purification, and hair regrowth) Sutshekhar Ras (Plain) – 1 tablet twice daily after food with warm water (reduces ulcers, acidity, and pitta overload)

3. External Application for Scalp (Do for 3 months) Neelibhringadi Tailam – Apply warm oil at night on alternate days and do mild scalp massage (improves blood flow and slows miniaturization) Wash with Ayurvedic hair wash like Shikakai or a mild herbal shampoo (not daily—2–3 times/week)

4. Supportive Care and Advice Soak 5 black raisins + 5 almonds overnight, eat next morning (blood strengthening) Avoid hot, spicy, fermented food that aggravates Pitta Avoid frequent head baths with hot water Take sunlight for 15 min daily to improve Vitamin D naturally Start Vitamin B12 methylcobalamin 1500 mcg and Vitamin D3 (60,000 IU weekly) essential for hair and mouth ulcer recovery

Investigations (if not done recently) Serum Ferritin and Iron levels CBC Thyroid profile Zinc and Folate levels

Your condition is very much reversible with the right internal reset and nourishment. The key is consistency and care your body has already gone through an inflammatory storm (post-dengue), so now it needs time and repair. With balanced diet, the above regimen, and calm routine, hair regrowth and overall balance will gradually return.

Warm regards, Dr. Karthika

Thank you for explaining your condition in detail.

Your gradual hair thinning since 2020, worsened after dengue in 2022, along with visible male pattern balding, current alopecia, and frequent mouth ulcers, appears to be linked to nutritional deficiencies (Vitamin B12 – 104 pg/mL, Vitamin D – 12.8 ng/mL), possible vata–pitta imbalance, and post-viral hair weakening. Your BMI of 27.3 and adherence to a circadian diet (no food after sunset) are noted. The aim is to correct deficiencies, improve digestion and nutrient absorption, support hair follicles, and prevent ulcer recurrence.

Recommended Investigations

1. CBC 2. Serum Vitamin B12 3. Serum Vitamin D3 4. Thyroid Profile (TSH, T3, T4) 5. Serum Ferritin 6. Lipid Profile

Internal Medicine:

Āmapācana (Digestive toxin clearance – 5 days)

1. Trikatu churna – ¼ tsp with warm water twice daily before meals. 2. Light, warm diet (khichdi, moong dal, cooked vegetables).

After 5 days start these medicines Brimhana & Rasāyana (Nourishment & rejuvenation) 3. Bhringraj churna – 1 tsp with warm water or honey twice daily. 4. Amalaki rasayana – 1 tsp in the morning on an empty stomach. 5. Kamadudha rasa 1-0-1 before food 6. Shatavari churna – 1 tsp with warm milk at bedtime.

External Applications

Bhringraj taila or Neelibhringadi taila – gentle scalp massage twice/week, leave overnight.

Wash with mild herbal shampoo twice/week.

Diet & Lifestyle Tips:

Avoid

Junk, fried, packaged foods

Excess spicy, sour, or salty foods

Cold drinks, ice creams

Late-night meals

Include

Protein-rich foods (eggs, paneer, dal, lean meats, legumes)

Nuts & seeds (almond, walnut, pumpkin, flax)

Leafy greens, beetroot, carrots

Buttermilk or curd (daytime only)

20–30 mins morning sunlight exposure 4 times a week

Lifestyle:

Sleep 10 PM–6 AM

30 min daily activity (walking + light strength training)

Manage stress with yoga & pranayama

Avoid chemical hair treatments & harsh heat styling Follow up after 30 days Please don’t hesitate to reach out for follow up or further guidance

With kind regards, Dr. Sumi.

Thank you for providing this detailed information. It’s a great start to understanding your health concerns from both a conventional and an Ayurvedic perspective. Here’s a breakdown of your situation and some potential paths forward, integrating your blood work results, BMI, and lifestyle habits.

Analysis of Your Health Data

Vitamin Deficiencies: Your blood report indicates very low levels of both Vitamin B12 and Vitamin D.

Vitamin B12 (104 pg/mL): This is considered a significant deficiency. The normal range is typically above 200 pg/mL, and values below 160 pg/mL are often considered deficient. B12 is crucial for nerve function, red blood cell production, and DNA synthesis.

Vitamin D (12.8 ng/mL): This is also a considerable deficiency. Levels below 20 ng/mL are often classified as insufficient or deficient. Vitamin D is essential for bone health, immune function, and hair follicle health.

BMI (27.3): A BMI of 27.3 falls into the overweight category (25 to 29.9) for most adults. Excess weight can contribute to various health issues, including inflammation and potential hormonal imbalances.

Lifestyle: Your practice of following a circadian rhythm by not eating after sunset is excellent for digestion and overall health.

Addressing Your Specific Concerns Based on this information, it’s highly likely that your hair problems and recurrent mouth ulcers are directly linked to your vitamin deficiencies.

Hair Problems Ayurveda links hair health to the Asthi Dhatu (bone tissue) and the balance of your doshas, particularly Pitta. Your blood report offers a more direct, scientific explanation:

Vitamin D: Research shows a strong link between low vitamin D and hair problems, as this vitamin is essential for the function of keratinocyte cells that form the hair shaft. A deficiency can slow down new hair growth and lead to thinning.

Vitamin B12: A severe B12 deficiency can also be a cause of hair thinning and loss. It’s a key nutrient for cell division and growth, both of which are critical for healthy hair follicles.

Ayurvedic Perspective on Hair: An Ayurvedic practitioner might diagnose your hair problems as a Pitta or Vata imbalance.

Pitta-aggravated hair loss: This often presents as thinning, premature graying, and scalp inflammation. Given your warm eyes and headache, this is a strong possibility.

Vata-aggravated hair problems: This can cause dry, brittle hair, and split ends.

Recommendations:

Address the Deficiencies: This is the most crucial step. You must consult a doctor to get a personalized treatment plan for your B12 and D deficiencies. This may involve high-dose supplements or injections, especially for B12.

Pitta-Pacifying Diet: To support hair health from an Ayurvedic perspective, continue to focus on a Pitta-pacifying diet. Incorporate cooling foods like leafy greens, cucumbers, coconut, and amla (Indian gooseberry). Amla is particularly revered in Ayurveda for its hair benefits.

Herbal Hair Care: Use hair oils like Bhringraj or Amla oil for regular scalp massages. These herbs are known to strengthen hair roots and improve circulation.

Stress Management: Stress can aggravate both Vata and Pitta, contributing to hair loss. Continue to prioritize good sleep and consider adding meditation or Pranayama (breathing exercises) to your routine.

Mouth Ulcers Your recurrent mouth ulcers are a classic symptom of Vitamin B12 deficiency. The lack of B12 affects cell regeneration, making the delicate tissues of the mouth more susceptible to damage and slower to heal.

Ayurvedic Perspective on Mouth Ulcers: Ayurveda classifies mouth ulcers as a manifestation of an aggravated Pitta dosha. Factors like stress, spicy or acidic foods, and poor digestion can lead to excess heat and inflammation in the oral cavity. Your warm eyes symptom also points towards a Pitta imbalance.

Recommendations:

Supplementation: Again, addressing the B12 deficiency is paramount. Following your doctor’s advice on supplementation is the primary solution.

Pitta-Pacifying Diet: Avoid spicy, oily, and acidic foods that can further aggravate Pitta. Instead, opt for cooling and soothing foods.

Ayurvedic Remedies:

Coconut Oil Pulling: This practice can help reduce inflammation and soothe the mouth.

Gargles: Gargling with a mixture of lukewarm water and a pinch of salt or alum powder can help with healing.

Local Application: Applying a small amount of pure ghee or honey to the ulcer can provide a protective and soothing layer.

Herbal Help: Herbs like Yashtimadhu (licorice) and Triphala are often used in Ayurveda to pacify Pitta and promote healing. You can use a tea made from these herbs as a mouthwash, but it’s best to consult an Ayurvedic practitioner for the right formulations.

Summary and Next Steps Your symptoms are strongly connected to the significant vitamin deficiencies identified in your blood report. While an Ayurvedic approach can provide excellent complementary care for managing the underlying dosha imbalances, the immediate and most impactful action is to address the B12 and D deficiencies.

Integrate Ayurvedic Practices: While on your medical treatment, continue to support your body with a Pitta-pacifying diet and lifestyle. Focus on cooling foods, stress reduction, and incorporating the specific Ayurvedic remedies mentioned for hair and mouth ulcers.

Focus on Gut Health: Your gut’s ability to absorb nutrients is key. Since you have deficiencies, it’s possible your absorption is not optimal. Eating a balanced diet and following a regular eating schedule (which you are already doing) can help. An Ayurvedic practitioner can further guide you on improving your digestive fire (Agni).

For hair loss 1) Bhringamalakadi Taila - extly apply and massage for 10 min.

2) Jeev amrita Leha or Chyavanaprasha Leha-1 tsf- after food with milk 2 times

3) Shuddha Shilajatu-250mg + Saptamrita Loha - 500mg + bhringaraja Churna -3 gm- after food with honey and ghee 2 times a day

Hi manu this is Dr Vinayak as considering your problem…no need worry just follow these Along with proper nutrition diet

Rx- jeevamruta leha 1tsp with milk before food

Dandrux hair oil apply 3days all over scalp Scurfol shampoo wash after applying hair oil T.Arogyavardini 1-0-1 after food

Start with Amalaki rasayan 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with water Saptamritlauh 1-0-1 after food with Apply honey inside your mouth 3-4 times daily Mouth wash with triphala kwath. Light massage on scalp with Amla Brahmi oil keep overnight and wash in the morning with mild herbal shampoo.Do this twice weekly. After 1 month you see results continue.

Becoz you have male pattern baldness so I can’t assure you about hair regrowth I can assure you about to maintain your hair

Rx

Tapyadi lauh 1-0-1 Aamlki Rasayana 1/2 tsf with leukworm water Praval pishti 1-0-1 Apply paste of amla powder+methi dana+bhringraj powder+mulethi powder Apply bhringraj amla oil on scalp

Avoid spicy and oily food Avoid overeating

HELLO MANU,

Thankyou for providing detailed information. Your case- a 25 year old male with gradual hair thinning , worsened after dengue in 2022, accompanied by low vitamin b12 (104 pg/mL) and vitamin D (12.8 ng/mL), BMI of 27.3, frequently mouth ulcers, and a relatively healthy lifestyle- points to a combination of nutritional deficiencies, pitta imbalance, and possibly genetic male pattern baldness (Androgenic Alopecia)

-PRIMARY DOSHA INVOLVED= Pitta (increased due to stress, heat, infections, deficiencies, possibly genetics) -SECONDARY INVOLVEMENT= vata due to hair dryness/thinning and Rasa dhatu kshaya(nutritional depletion) -ASSOCIATED SYMPTOMS= mouth ulcers (classic pitta), hairfall (pita+vata), and low B12/vit D (rasa+majja dhatu involvement)

INTERNALLY START WITH

1. NARASIMHA RASAYANA- 1 tsp with milk, morning empty stomach= 90 days =asthi-majja rasayana, hair growth (ref- bhaishajya ratnavali)

2. BHRINGRAJ CHURNA- 5gm + ghee at bedtime for 2-3 months =hair growth, scalp nourishment(ref- Nighantu Ratnakar)

3. CHYAWANPRASHA AVALEHA- 1 tsp twice daily with warm milk for long term 3-6 months =rasa-rakta dhatu and immunity(ref- charak Samhita)

4. BRAHMI VATI= 1-2 tabs at night =mental calmness, reduces stress- triggered Hairfall

5. YASHTIMADHU= powder with honey for ulcers (can apply locally and can take internally (1/2 tspwithhoney) =soothing to ulcers and gut

6. TRIPHALA CHURNA= 1 tsp at night with warm water =mild detox, balances all threes doshas

FOR DEFICIENCIES B12 DEFICIENCY= correct digestion and take ASHWAGANDHA 1 TSP + SHATAVARI 1 TSP = with warm milk at night

FOR VITAMIN D= expose body to early morning sunlight (20min/day), use sesame oil for body massage

EXTERNAL APPLICATIONS

1. NEELIBHRINGADI TAILA- massage warm oil 30 mins before bath for 4 times/week(ref- sahasra yoga)

2. DHURDHURAPATRADI TAILA- for scalp dryness and dandruff = twice/week(ref- bhaisajya ratnavali)

3. BRAHMI-AMLA OIL- infuse oil with fresh amla and brahmi leaves regularly use

FOR FRIZZ- use coconut or sesame base for INFLAMATION- use amla infused cooling oils

MOUTH ULCER-SPECIFIC REMEDIES -YASHTIMADHU + HONEY PASTE= apply to ulcers

-TRIPHALA DECOCTION GARGLE

-Avoid spicy, salty, sour foods during active ulcers

-maintain hygiene

-apply ghee on lips and inside mouth at bedtime

POTENT HERBAL PACKS FOR SCALP

1)CLASSIC HAIR PACK -bhringaraj churna- 1 tsp -amla powder- 1 tsp -hibiscus powder- 1 tsp -aloe vera pulp- 2tbsp Apply 1 hour before bath; rinse with herbal decoction

2)RAKTA- SODHANA SCALP LEPA -Manjistha+lodhra+triphala+sandalwood+rose water =apply during pitta-aggravated stages, especially with itching or scalp redness

ESSENTIAL FOODS -cow milk+ghee= builds Ojas, nourishes dhatu -black sesame seeds= asthi dhatu enhancer -soaked almonds(5-6)= omega 3+ protein -fresh amla(or juice)= rasayana, anti-pitta -moong dal khichdi= easily digestible -curry leaves(raw/chutney)= rich in iron and vitamin c -dates, figs, raisins= rasa dhatu replenishment

AVOID -spicy, fermented, fried , junk food -late night meals -overconsumption of tea, coffe, carbonated drinks -alcohol, smoking

LIFESTYLE + DAILY ROUTINES

MORNING ROUTINE -Wake before 6 AM= aligns with brahma muhurtha if possible

-GANDUSHA(oil pulling) with sesame oil= removes ama from head and neck

-NASYA= instill 2 drops of ANU TAILA in each nostril every morning- clears srotas, enhances hair nourishment

-SHIROABHYANGA(Hair oiling)- calms vata, strengthens follicles

-LIGHT YOGA- enhances circulation to scalp

HAIR WASH -use herbal decoctions- shikakai, Geetha, amla, powder boiled and filtered -avoid chemical shampoo, hot water -wash 2-3 times/week max

YOGA ASANA -Adho much svanasana(downward dog)= increases scalp blood flow -Sarvangasana= stimulates thyroid, nourishes head region -Shirshasana= direct blood flow to scalp -Ustrasana, Matsyasana= opens up chest and throat, affects hormonal balance

PRANAYAM -Bhramari= calms mind, improves oxygen to hair roots -Anulom vilom= balances vata- pitta -Sheetali/sheetkari= pitta shamak

MEDITATION -daily 15 mins of Trataka(candle gazing)+ Dhyana can help hormonal and mental factors

SPECIAL HIAR DECOCTION BOIL- 1 tsp bhringaraj, 1 tsp brahmi, 1/2 tsp yashtimadhu, 3 cups water-> reduce to 1 cup->drink daily AM or PM

-Hair regrowth is gradual but certain with Rasaya+ Shamana+ stress correction -Allow 2-3 months minimum for visible results -Follow Ritucharya- bata-pacifying in winter, pitta-calming in summer -treat the mind and lifestyle as deeply as the body

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

A few factors are likely contributing to your hair issues and mouth ulcers. With your B12 and Vitamin D levels quite low, this deficiency can impact hair health and, yes, also contribute to mouth ulcers. Let’s dig into the roots of these issues and consider some ayurvedic insights to guide you.

Firstly, when looking at hair thinning and alopecia, it’s essential to consider dosha imbalances. Kapha, when mixed with aggravated Pitta, can lead to issues with the scalp and hair. The stress from dengue can exacerbate this. Increase your intake of foods rich in Vitamin B12 and D; think about fortified cereals, dairy products, or fish. You might want to consult with a healthcare provider for supplements as your levels are noticeably low.

For your BMI of 27.3, try maintaining weight, as being overweight can spur hormonal imbalances, affecting hair health. Following the circadian rhythm as you’ve been doing is excellent. Try having your largest meal at noon when your digestive fire is strong. Include digestive-friendly spices like cumin and fennel, which will support your Agni and help avoid Ama (toxins).

For mouth ulcers, reduce spicy, hot, pungent foods that can imbalance Pitta. Also, consuming aloe vera juice in small amounts can be soothing. This can help calm any internal burning sensation causing those ulcers. Triphala powder, taken regularly, can gently cleanse the system and support gut health, reducing issues with ulcers.

In terms of lifestyle, reduce stress through regular meditation or yoga practices, as stress can catalyze hair loss. Ensuring you get adequate rest is, of course, vital.

For topical care, massage the scalp with warm oils like bhringraj or amla oil two to three times a week. This enhances blood circulation and promotes hair health. But also consider consulting a healthcare professional, as timely intervention could be beneficial.

For hair thinning and male pattern baldness, the first step is understanding your dosha and identifying imbalances. In your case, Vata enhancement seems prominent, particularly after an illness like dengue that could have escalated the condition. A few practical steps from Siddha-Ayurvedic tradition can help support and nourish your body and hair.

Consider massaging your scalp with warm bhringraj oil or a mix of coconut and amla oil 2-3 times a week. This helps stimulate blood circulation, which can promote hair growth, and brings balance to Vata dosha. Leave the oil on your scalp overnight, if possible, and wash it off the following morning with a mild herbal shampoo.

To address potential nutritional deficiencies, a diet rich in whole grains, legumes, nuts, seeds, and green leafy vegetables can support overall vitality and help mitigate hair loss. Your reports show a deficiency in vital nutrients like Vitamin D and B12. Including foods rich in these vitamins, like fortified cereals, dairy products, and exposure to sunlight (early morning being ideal for Vitamin D) could benefit you significantly. Ask your healthcare provider about the need for B12 and Vitamin D supplements too.

For mouth ulcers, consider Yashtimadhu (licorice root) and honey paste applied over the ulcers. It helps in quicker healing through its anti-inflammatory properties. Ensure you’re staying hydrated and including cooling foods like cucumber in your diet to balance Pitta, often linked with such ulcers.

On lifestyle changes, maintaining your circadian rhythm is excellent. Additionally, practicing stress-relieving techniques like yoga or pranayama can aid harmonizing your body systems. Being mindful about stress is essential—unmanaged stress can worsen hair loss.

Lastly, monitor if these adjustments are not alleviating your concerns. Persistent symptoms like these, especially after a major illness, should be evaluated more completely by healthcare professionals to rule out other underlying factors.

HELLO MANU,

1) DOSHA BALANCE -likely vata and pitta imbalance causing hair fall and ulcers. Focus on calming both

2) INTERNAL MEDICATIONS

- KESH KING CAPSULES= 2 cap twice daily with warm water after meals =support hair growth , reduces hair thinning, nourishes hair follicles, improves immunity

- HIMALAYA HAIR VITALIZER= syrup 2 tsp twice daily after meals =support hair health

-BAIDYANATH KESHDANT VATIKA- 1 cap twice daily =hair strengthening and thinnig

-AMLA JUICE= 20 ml daily in morning =vitamin c, antioxidants and immunity

-HIMALAYA SEPTILIN TABLETS= 1 tab thrice daily for mouth ulcers =immune booster and anti inflammatory

3) EXTERNAL CARE

-TRICHUP HAIR OIL =daily massage or 3-4 times / week =potent for hair fall, strengthening roots, and scalp nourishment

FOR MOUTH ULCERS =licorice powder mixed with honey apply internally

FOR VITAMIN D AND B12 -icorporate fortified foods and mild sun exposure, guduchi helps immunity but consider medical supplementation for b12

4) DIET AND LIFESTYLE -include foods rich in B12 and vitamin D (dairy, eggs, fortified cereals, sunlight exposure) -Avoid spicy, acidic, and processed foods to reduce ulcers -maintain regular sleep and avoid stress

5) DETOXIFICATION -Mild panchakarma therapies like Nasya, and shirodhara can help balance doshas and improve scalp health.

THANK YOU

DR. HEMANSHU MEHTA