### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi,I have alopecia areata on my head. It first appeared as a small patch at backside of my head. I took minitop solution and follihair and the patch was filled with hair in 2 months. Then i left all the medicines. But now i have a bigger patch at the left side of my head and also the original patch . I am taking betnesol tablets 2 times saturday sunday and also applying minitop. But its been a month and i can see no improvement. I am scared of losing my hair. I am just 25yrs old female and have lost lots of hair due to shedding. Kindly suggest what i can do.

### output:

Hello and welcome to ChatDoctorHave you have been clinically diagnosed with alopecia errata? If so, do remember that the course of the disease cannot be predicted. In some cases it stops after a while completely, whereas in others, it can recur even after hair growth. It is autoimmune, i.e. your body itself fights the hair roots. Do check for family history of such condition or also if you have other related conditions like vitiligo(white patches), thyroid disorder, etc. Check for similar hair loss on face and body as well. It requires long term treatment so do be regular to doctor. You can find out about steroid injections in the patch(intraluminal) which have shown good and fast results. It can be combined with other treatment. Be sure to re check with a doctor regarding the improvement in few weeks, to advise regarding further treatment. You will need a multivitamin capsule like Collinear or Bootee daily. Eat a nutritious diet and get rest. Avoid stress. Any other illnesses, medication, low iron, thyroid disorders etc. can also cause hair fall so check if necessary. Depending on the progress you can go in for further treatments. But do keep in mind that treatment takes time, and the patches can recur elsewhere. Hope this helps you.