I am 32 years old & had my 3rd child 1 year ago, in August. Approximately 4 years ago I was treated for multiple symptoms of malnutrition from losing too much weight too fast. Ridges in my fingernails, major hairloss, hardened areas under the skin on my face & finally an MRI was ordered for an orange sized induration on my hip- it was negative. I got the issue under control & resolved all of these problems. I gained nearly 100lbs with my last child & now a year later my hair has begun to fall out at an alarming rate. I am not dieting & have slowly lost some weight from the pregnancy but in a healthy way. I take no hormones or birth control & I am not on any other meds. I am also in nursing school clinicals which I started 5 days after the baby came. Would I be more likely to suffer hair loss, having a history of it, than I would normally be, related to stress or diet? With it being a little over a year since the birth, I didn’t attribute it to post-baby hairloss, could it be? Thanks for any advice you may have.
You have many variables here which are hard to put together. You clearly recognize that hair loss can occur with pregnancy along with malnutrition. You also recognize that pregnancy hair loss often reverses after a year or sometimes two. I would ask for many tests to rule in or out a series of medical conditions such as thyroid disease, which does start post-pregnancy in some women. The relationship with these hormonal diseases can also cause hair loss, particularly when combined with the genetic predisposition for female genetic hair loss.
Be sure that you are evaluated by a good generalist doctor first, then get your hair graded for miniaturization and patterned hair loss. These may fit together to point or narrow down the possible diagnosis. Start with a good, well-trusted doctor who cares about your overall well being.