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Understanding Alopecia Areata

Round, smooth bald patches that appear suddenly — what alopecia areata is and how to look after yourself through it.

Written by Dr. Randeep Singh Shah, Consultant Homoeopathic Physician · Updated October 2026 · 4 min read
Alopecia Areata

Key points

  • Sudden round bald patches
  • Immune system affects hair roots
  • Not contagious
  • Track changes with monthly photos

What it is

Alopecia areata is a condition in which the body's immune system affects the hair roots, causing hair to fall out in round or oval patches. The hair roots themselves are usually not destroyed.

It can affect the scalp, beard, eyebrows or other body hair, and can begin at any age, including childhood.

Common signs

  • One or more smooth, round bald patches
  • Short broken hairs at the edge of a patch
  • Patches on the beard, eyebrows or eyelashes
  • Small dents or pits in the nails in some people

Things that may be linked

  • Family history of alopecia areata or other autoimmune conditions
  • Thyroid disease, allergy or asthma in some people
  • Emotional stress or a major life event
  • A recent illness

Everyday care that helps

  • Be gentle with your hair — avoid harsh chemicals and tight hairstyles
  • Protect bare patches from strong sun
  • Eat balanced meals; ask your doctor about checking iron, vitamin D and thyroid
  • Look after sleep and stress
  • Wigs, caps or scarves can help you feel comfortable if you wish

When to see a doctor promptly

Please get medical help soon if:
  • Patches are spreading quickly or joining together
  • Eyebrows, eyelashes or all body hair are falling
  • A child is affected
  • It is causing distress or affecting daily life
“Sudden patchy hair loss is frightening. Calm, careful assessment is the first step.”— Dr. Randeep Singh Shah

How we approach it at Gursagar

We take a full history — when the patches started, any stress or illness before them, family history and other health conditions — and examine the scalp, nails and other areas.

Dr. Shah prescribes classical homoeopathic medicine chosen for you individually, and progress is photographed and reviewed at follow-ups.

Common questions

Is it contagious?

No, it cannot spread to other people.

Will the hair grow back?

Many people see regrowth, but the course is unpredictable and differs from person to person.

Can I consult online?

Yes. Monthly photos of each patch in good light help track changes.

Dr. Randeep Singh Shah
Dr. Randeep Singh ShahConsultant Homoeopathic Physician · PG Hom (London) — Gold Medalist · Postgraduate, IACH Greece · D.H.M.S. (India) · AFHom (UK)
Practising classical homoeopathy since 1999 · Gursagar Homoeopathic Hospital, Rajpura & Chandigarh · Full profile →

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This article is for general health education and is not a substitute for a medical consultation. Every person is assessed individually, and results differ from person to person. Please do not stop or change any medicine prescribed to you without speaking to your doctor. Dr. Randeep Singh Shah, D.H.M.S., AFHom (UK) · Reg. No. 2423-A.

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