Why Is My Hair Falling Out in Clumps?

Noticing clumps of hair in your brush, shower drain, or pillow can be worrying. While some hair shedding is normal—about 50 to 100 strands a day—losing hair in large amounts may point to an underlying cause. Understanding the possible reasons can help you take the right steps toward healthier hair and scalp.

Normal Hair Growth and Shedding

Hair grows in cycles: the growth phase (anagen), transition phase (catagen), and resting/shedding phase (telogen). At any given time, most of your hair is in the growth phase, while a small percentage naturally sheds. When this balance is disrupted, excessive clumping can occur.

Common Causes of Hair Loss in Clumps

1. Stress and Emotional Strain

High levels of physical or emotional stress can push more hairs into the shedding phase, leading to sudden clumps of hair loss. This condition is known as telogen effluvium and often occurs a few months after a stressful event.

2. Nutritional Deficiencies

Lack of essential nutrients like iron, vitamin D, protein, or zinc can weaken hair follicles. If your diet is unbalanced, your hair may thin and fall out in larger amounts than usual.

3. Hormonal Changes

Shifts in hormones—such as after pregnancy, during menopause, or with thyroid disorders—can trigger clumped hair loss. Conditions like polycystic ovary syndrome (PCOS) may also contribute.

4. Medical Conditions

Autoimmune disorders like alopecia areata, scalp infections such as ringworm, and chronic illnesses can all cause noticeable hair loss. In some cases, clumps fall out suddenly without warning.

5. Medications and Treatments

Certain drugs, including chemotherapy agents, blood thinners, antidepressants, and medications for high blood pressure, may list hair loss as a side effect.

6. Hair Care Practices

Overuse of heat styling tools, harsh chemicals, tight hairstyles (like braids or ponytails), and frequent coloring can damage hair shafts and follicles, making hair break and fall out more easily.

What You Can Do

Managing hair loss depends on identifying the cause. Some steps that may help include:

When to See a Doctor

If your hair is falling out in clumps suddenly, continues for weeks, or is accompanied by symptoms like scalp pain, itching, or redness, it's best to consult a dermatologist or healthcare provider. They may recommend blood tests, scalp examinations, or treatments tailored to your condition.

Final Thoughts

Losing hair in clumps can feel alarming, but it's often temporary and treatable. By addressing possible triggers—such as stress, nutrition, or health conditions—you can often improve hair growth and restore confidence. If the shedding persists, professional evaluation is the safest step forward.

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Written By

The Healtharticles Editorial Team

Medically Reviewed By

Ian Wanyoike, MD