Noticing more strands on your pillow, in the shower drain, or tangled in your brush can feel alarming. But this is the surprise: not all shed hairs are a sign of lasting damage. Occasionally it's just temporary shedding, sometimes it's real hair loss that requires intervention. Knowing and understanding the difference will save you from unnecessary panic and prevent you from acting too late.

Hair loss tends to creep up gradually, leaving individuals confused about what's actually going on. Losing a strand or two is normal in the natural cycle, but when clumps show up in your brush or your scalp begins showing through, it's tempting to freak out. Knowing the distinction between normal shedding and ongoing loss is the starting point for safeguarding your hair health. That's where professional advice can come into play. Dr. Deepak Choudhary, Senior Master Surgeon and Trainer of DHI International, states that the difference is based on both the pattern and the permanence.

"We shed 50 to 100 hairs a day, which is a natural hair cycle. But if you begin to notice clumps of hair falling out, heavy shedding, or unusual thinning, it is referred to as hair loss. Hair loss tends to be patchy with apparent thinning, but hair fall tends to be even all over the scalp," says Dr. Choudhary.

Understanding the difference is important, not only for peace of mind, but also to decide when to consult a professional.

What Is Hair Fall?

Hair will go through three natural cycles, which are anagen (growth), catagen (transitional stage), and telogen (resting stage). The hair falls out at the end of the telogen phase to give way to new growth. This telogen effluvium is what dermatologists refer to as a condition that causes excessive shedding because of a break in this cycle. Physical or emotional stressors usually cause excessive shedding. Some of the stressors include:

• Sudden loss of 20 pounds or more
• Childbirth
• Excessive stress, e.g., illness in the family, divorce, or loss of a job
• Severe fever or serious illness
• Surgery
• Stopping birth control pills

Usually, this shedding happens several months following the precipitating incident. For instance, new moms tend to notice extreme shedding two months after giving birth, and then it tends to peak at four months before tapering off. In the majority of instances, regular fullness resumes between six and nine months as the body gets back into balance.

Yet, if stressors are prolonged, shedding will last longer.

What Is Hair Loss?

Losing hair differs from shedding. Medically referred to as anagen effluvium, it is when something prevents hair from growing in the first place. In contrast to telogen effluvium, where hair will grow back, losing hair tends to need attention. The usual causes of hair loss are:

Genetic hair loss: The most common form, commonly referred to as male or female pattern baldness.

Immune system disorder: Disorders such as alopecia areata, wherein the body mistakenly attacks its own follicles.

Medications and treatments: Chemotherapy and radiation are traditional culprits.

Hairstyles and products: Severe braiding, ponytails, and harsh chemicals can harm follicles.

Trichotillomania: An urge to pull out one's own hair.

In most instances, hair grows back only once the underlying cause has been treated. Some forms of inherited hair loss, for instance, persist untreated and might need long-term measures.

Hair Fall vs Hair Loss: Spotting the Warning Signs Early

A majority of individuals overlook initial signs of abnormal hair loss until the issue becomes evident. However, minor changes can act as red flags:

• Clumps of hair seen upon brushing or showering
• Thinning which is apparent, e.g., reducing ponytail size
• Balding at the crown or receding hairline (particularly in men)
• Patchy bald patches on the head or body
• Textural changes, with brittle or easily breakable hair
• Identifying these changes in time can be a huge improvement in treatment success.

Dr Deepak continues to say that whereas basic hair fall is easily controlled with topical medications, drugs, and proper hair care, genuine hair loss usually calls for more sophisticated interventions.

Why Are Hair Transplants on The Rise?

For chronic or progressive hair loss, minimally invasive transplant procedures are bringing new hope. One such treatment is Direct Hair Implantation (DHI), which takes individual follicles from the safest donor site—the back of the scalp—and plants them on spots where hair has thinned or is bald.

Unlike classical transplant techniques, DHI does not leave scars and offers direct control of angle, depth, and density. This provides natural-looking results that integrate well with the existing hair. Healing is quicker, too, and there's very little discomfort involved.

"Temporary measures can improve the strength of existing hair and reduce shedding, but they won't halt progressive hair loss," explains Dr. Choudhary. "Transplantation, particularly advanced techniques like DHI, delivers a permanent, proven solution for extensive cases.

When to See a Dermatologist?

All hair changes do not need to be treated medically, but if excessive shedding or patches of balding continue, a visit to a dermatologist is a must. Dermatologists are hair, skin, and nail experts and can:

• Diagnose whether the condition is shedding hair or hair loss
• Detect underlying causes, such as hormonal, autoimmune, or drug-related issues
• Prescribe drugs or treatments specific to the condition
• Prescribe or undergo procedures such as PRP (platelet-rich plasma) therapy or transplantation
• The earlier treatment begins, the better the chances of halting progression and restoring growth.

Managing Hair Health at Home

Even if you’re not facing advanced hair loss, healthy habits can support your hair’s natural cycle:

• Eat a balanced diet rich in protein, iron, and omega-3 fatty acids.
• Manage stress with mindfulness, exercise, or therapy.
• Avoid hairstyles that pull on the scalp.
• Use gentle shampoos and conditioners, steering clear of harsh chemicals.
• Shield hair from over-exposure to heat styling and UV rays.

Hair loss and hair shedding can appear on the surface to be similar, but they result from quite different biological mechanisms. Shedding is frequently temporary and self-resolving, whereas genuine hair loss could be due to medical or surgical intervention.

If you’re losing more hair than usual, or noticing thinning patches, don’t wait until it becomes overwhelming. A consultation with a dermatologist can provide clarity and open the door to effective treatments—ranging from medications to advanced transplants like DHI.

It is truly never too late to turn your life around and find a better version of yourself, and this neurologist is proof of that. Although you may have heard of many weight loss stories, where people overcame many difficulties and lost multiple kgs, it can be a much more difficult task to find that motivation yourself.

From 100 kgs to 70 kgs, Dr Sudhir Kumar shared his weight loss journey on social media platform X. He shared his experience and realistic tips that helped him lose the extra pounds and take a step towards a healthier future.

How Dr Sudhir Kumar Lost the Weight

Dr. Kumar's journey started in November 2020. At that time, he had some habits that weren't great for his health: he worked long hours (16-17 per day), got very little sleep (4-5 hours), and ate a lot of junk food and sweets. He weighed 100 kg and found it difficult to even walk 5 km.

To start his transformation, he focused on a simple exercise: running. But he didn't jump into it all at once. He began slowly by walking 5 km, and over the next few months, he gradually increased his distance to 10 km. After that, he started jogging and then running. His main goal was to focus on the time he spent being active, not how fast he was.

How Did Losing Weight Helped Dr Sudhir Kumar?

Later, in December 2022, he also added strength training at least three times a week to build muscle and burn more calories. These lifestyle changes led to some incredible results, both on the scale and in his overall health.

• He went from weighing 110 kg down to a healthy 70 kg.
• He felt more awake and focused at work and had more energy throughout the day.
• His resting heart rate dropped from 72 beats per minute to a much healthier 40-42 bpm, showing how much stronger his heart had become.
• His blood sugar, cholesterol, and blood pressure all got better, reducing his risk for many serious health problems.
• He also noticed a boost in his self-esteem and self-confidence.

What Are Dr Sudhir Kumar's Top Weight Loss Tips?

Dr. Kumar shared the most important lessons he learned, hoping they will inspire and guide others.

• The most important thing is to show up and be active every single day. Being consistent is more important than working out at a high intensity.
• Run at a pace that you enjoy, not one that competes with others. Your speed will naturally get better over time as you get fitter.
• Don't just stick to running. Adding other activities like strength training or cross-training will keep you from getting bored and help prevent injuries.
• Exercise works best when you also change what you eat. Focus on reducing your total calories and try eating within a specific time window each day.
• Getting 7-8 hours of sleep is non-negotiable. Good sleep helps your body recover, improves your mood, and gives you the energy you need for your workouts.
• Dr. Kumar reminds everyone that these are just helpful tips, not strict rules. He strongly advises talking to a doctor before making any big changes to your diet or exercise routine.

When was the last time you caught yourself hunched over your phone, neck bent at an unnatural angle? A few minutes scrolling might feel harmless, but for one 25-year-old gamer in Japan, years of that posture ended with a shocking diagnosis, “dropped head syndrome.” His story has left doctors urging young people worldwide to rethink how long they spend staring down at their screens.

In a striking case that has unsettled health experts, Japanese doctors documented how a 25-year-old man grew a serious case of "dropped head syndrome" after years of crouching over his smartphone playing video games. The debilitating but unusual condition left him unable to lift his head, properly swallow food, or sustain a healthy weight.

In the case report released in JOS Case Reports in 2023, the patient's battle started following years of isolation from society in his teenage years. Having endured constant bullying at school, he isolated himself in his bedroom and spent many hours glued to his phone playing games, with his head leaning forward at steep angles for hours on end.

How Smartphone Overuse Weakened His Neck?

The injury was chronic. For six months, the man suffered from excruciating neck pain before he lost all ability to lift his head. His vertebrae deformed and dislocated over time, scar tissue in his spine formed, and he had trouble swallowing, leading to spectacular weight loss.

Scans established that his cervical spine had been subjected to extreme stress through unnatural posture over many years. The muscles and ligaments that were meant to keep the head upright no longer worked, and his chin would sag onto his chest.

The doctors first tried to treat it conservatively using neck collars, but the patient complained of numbness and pain, compelling the team to embark on surgery.

How Did The Doctors Treat 'Dropped Head Syndrome'?

Surgeons carried out an intricate procedure that entailed removing bruised bits of vertebrae and scar tissue, followed by the implantation of metal rods and screws to stabilize and realign the spinal posture. Six months passed before the patient regained the ability to keep his head level.

At one-year follow-up, swallowing problems had cleared up, posture was stable, and quality of life had dramatically improved.

The group concluded that the condition was caused by an "underlying developmental disorder" but that the long-term consequences of prolonged smartphone use with this posture were the biggest contributor to his illness.

What Is Dropped Head Syndrome?

Dropped head syndrome (DHS), also referred to as "floppy head syndrome," is an uncommon disorder that involves, at times severe, weakness of the neck muscles, resulting in a "chin-on-chest" posture.

It is most commonly linked to neuromuscular disorders like amyotrophic lateral sclerosis (ALS), Parkinson's disease, or specific muscular dystrophies. The patients tend to use their hands to support their heads and can have difficulties with eating, talking, and walking.

In ALS, DHS happens in approximately 1–3% of the patients and is typically progressive with a grim prognosis. But as this Japanese case suggests, DHS may also arise due to non-neurological etiologies such as trauma, drug abuse, or—as in this instance—chronic mechanical stress of posture.

Can Screen Time Be Associated With Dangerous Conditions?

Although this instance is unusual, physicians caution it shows an expanding medical danger associated with mobile phone addiction. Over 6.8 billion individuals across the globe currently have access to smartphones, with four to seven hours of average screen time per day. Among game players and youth, use can be much higher.

Protracted downward neck posture—a sometimes termed "tech neck"—is already associated with headache, eye strain, and degeneration of the cervical spine. This is the extreme example of DHS and serves to illustrate how serious the effects can be when posture is neglected.

How Does Dropped Head Syndrome Affect Everyday Life?

DHS is more than just an inconvenient posture. The deformity affects simple functions such as swallowing, speaking, and breathing. It inhibits mobility, renders everyday activities challenging, and results in social withdrawal and isolation. In younger individuals, it even generates a chain of physical disability that multiplies mental health issues.

In this patient's life, bullying during childhood and later ostracism provided fertile ground for technological dependence. His case is particular about pointing to the juncture of mental well-being, online tendencies, and bodily well-being—a synergistic combination that is all the more pertinent in contemporary societies.

Organizations like the American Academy of Orthopaedic Surgeons have already warned of increasing incidence of posture-related spinal disorders in young people. The majority will never suffer from DHS, yet milder but chronic neck and back ailments are sweeping up teenagers and young adults.

Elizabeth Jarman from Médecins Sans Frontières, citing parallel access problems with diabetes care, emphasized that the first step to prevention is awareness. In the case of digital health, professionals are calling for schools, workplaces, and families to include posture education and frequent movement as part of daily practice.

Can Dropped Head Syndrome Be Prevented?

Prevention of dropped head syndrome due to posture is easy in principle:

• Avoid repetitive forward flexion of the neck.
• Take frequent breaks from screen time.
• Do neck-strengthening and posture-improving exercises.
• Employ ergonomically arranged seating and screen configurations.

But putting these measures into practice takes awareness and discipline—two qualities usually lacking in the fast-engagement era of mobile gaming and social media.

Is Surgery the Only Option for DHS Treatment?

For cases as bad as the Japanese gamer's, surgery is still the only real option. Surgical procedures are not without hazard, though, from infection to nerve damage. Even if successful, recovery is long and needs rigorous rehabilitation.

Due to the relative infrequency of DHS, there is no gold standard for surgical treatment. Each case has to be assessed on its merits, weighing risks against benefits.

This is an extreme case, but it is one that should serve as a warning to young people everywhere. The frequency of "tech neck" complaints in clinics, alongside rising screen time, indicates there could be more cases of spinal deformities emerging if awareness is not given high priority.

As the Japanese physicians who attended to the gamer stressed, the illness might have been precipitated by the integration of physical posture and pre-existing susceptibilities, but excessive use of smartphones in uncomfortable positions may produce unimaginably tragic results.

Our body is like a self-maintaining machine, it is equipped to help us heal ourselves, recharge after a long day’s work as well as having its own warning system to ensure places that need help come to notice, i.e., pain. However, did you know your brain could also actively be stopping you from developing mental health conditions? Yes, your brain and body are not as defenseless as you may think it to be, with the help of sleep, your brain is actively keeping you from developing certain issues.

The brain has a unique way of getting rid of waste, almost like a personal cleanup crew. This process, called the glymphatic system, is thought to work best while we're sleeping. But what happens if our sleep is disrupted?

Researchers believe that a lack of good sleep might stop this system from working correctly, leading to a build-up of waste or toxins in the brain. Some are suggesting this buildup could increase a person's risk of developing dementia.

How the Brain Clears Out Waste

Every cell in your body creates waste, and outside the brain, a system called the lymphatic system takes care of it. But the brain doesn't have these vessels, so how does it stay clean?

About 12 years ago, scientists discovered the glymphatic system. It uses a fluid that surrounds your brain and spinal cord, called cerebrospinal fluid, to "flush out" toxins. This fluid flows through the brain, collects waste, and then drains it away.

Waste products

According to the National Institute of Health one key waste product is a protein called amyloid beta (Aβ). When Aβ builds up, it can form plaques in the brain. These plaques, along with other protein tangles, are a clear sign of Alzheimer's disease, the most common type of dementia.

Sleep and waste

Studies in both humans and mice have shown that Aβ levels increase when you're awake and then drop quickly while you sleep, like the 2018 study published in the Annals of neurology.. This supports the idea that the brain is more actively "cleaning" during sleep.

How Is Sleep Connected To Dementia?

If sleep helps clear toxins, what does long-term disrupted sleep, like that from a sleep disorder, mean for your brain's health?

Sleep Apnea

This common condition causes a person's breathing to stop and start repeatedly during the night. This can lead to a long-term lack of sleep and reduced oxygen, both of which may cause toxins to build up in the brain. Studies have linked sleep apnea to a higher risk of dementia, and some research shows that treating sleep apnea helps clear more Aβ from the brain.

Insomnia

Having trouble falling or staying asleep over a long period has also been linked to an increased risk of dementia. While these links are promising, scientists are not yet sure if treating these sleep problems directly lowers the risk of dementia by removing toxins from the brain.

Does Sleep Aid Brain Health?

Another study, published in the Nature publication 2024, showed that neurons act like miniature pumps. During sleep, these neurons produce rhythmic bursts of electrical energy that create waves. These waves are not just a sign of a sleeping brain; they actually push fluid through brain tissue, effectively washing away waste.

This discovery helps explain why a good night's sleep is so important for brain health. As Dr. Jonathan Kipnis, the senior author, said, "We knew that sleep is a time when the brain initiates a cleaning process to flush out waste and toxins it accumulates during wakefulness. But we didn’t know how that happens."

The researchers believe the brain might adjust its cleaning method based on the type and amount of waste, similar to how we adjust our hand motions when washing dishes—using big, slow movements for large messes and faster, smaller ones for sticky spots.