Hair Shedding / Hair Loss of hair grown back post chemo

FormerMember
FormerMember
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Hi, I'm reposting this from Ask an Expert as it was inconclusive and I'm hoping someone here has suffered similarly.

I was diagnosed with Follicular Non Hodgkin Lymphoma in July 2017. I was stage 3A with no symptoms or lumps, just a 17cm bulky mass in my abdomen beginning to compromise organs. I had 6 rounds of RCHOP, then 15 x Radiotherapy sessions and am currently 3/4 of the way through 2 years of Rituximab Immunotherapy which commenced May 2018.  I am in complete remission.  I am 57 post menopausal.

At least a year before diagnosis, I suffered excess hair shedding, every time I has a shower, more than normal would come out when I combed it afterwards and I ended up with a very fine hair although you could not see my scalp. I now attribute this to the cancer.

I lost my hair completely with chemo.  When it grew back during 2018, it was very thick.  I started on Alendronic Acid to increase bone density in the Spring of 2019.  Around the same time I started to experience the hair shedding again to the point where it is extremely thin again.

I have been to see my GP and he has given me a holding diagnosis of Androgenetic Alopecia which is essentially female hair loss resulting in the closing up of the hair follicles and is part of ageing.  I'm not convinced of this because if my hair follicles had closed up, my post chemo hair wouldn't have grown back so stongly.

My GP has ceased Alendronic Acid to rule that out as a cause, but it has made no difference.

I have been tested for Thyroid, Zinc, Magnesium and Iron which are all normal.

I'm therefore convinced that as the current hair shedding mirrors that of pre-diagnosis that my cancer is growing again internally.  I have been thoroughly examined by my Haematologist and he can't find any masses yet or enlarged Lymph Nodes and my routine pre treatment bloods are normal.

Could it be the Rituximab or something else?

I am becoming very anxious that at this rate I will be bald again.

Any advice would be appreciated.

Thanks

Tina

  • Tina, I had DLBC stage 4E in 2015, had RCHOP and lost my very thick hair, it grew back but thinner. I was 68 at the time. I started on Alendronic Acid and Accrete due to osteoporosis in 2018 and I shed hair, my husband has been on both meds for osteoporosis since 2014 and has hair loss too. From reading it seems that this is a side effect of these meds. We have also noticed our hair seems oilier and can stain the pillow. We both have had bone fractures mine during and post cancer so are continuing with the meds. 

    Also I’ve been told the chemotherapy can take a number of years to leave the body and I know I’ve had some major health impacts from this.

    I don’t know if this helps you at all. I hope your problems are resolved soon. 

    Hilary

  • FormerMember
    FormerMember in reply to Damsons47

    Hi Hillary,

    Gosh very similar experience including the broken bones.

    I've only stopped Alendronic Acid for 6 weeks, so maybe I'm being impatient to see it ruled out.

    Is your hair continuing to shed, or has it stopped?

    Tina

  • Hi Tina, our hair is still shedding. Not as much but it’s noticeably thinner. Alendronic Acid also impacts on any dental work you may need done and dentists refer patients to hospital for any procedure. 

    Hilary

  • FormerMember
    FormerMember in reply to Damsons47

    Thanks Hilary.

    The jury is still out on whether it is the Alendronic Acid, I think I need to give it another month to be sure.

    Best Wishes

    Tina