Rapid Weight Gain: Is It Water Retention? - Traditional Chinese Medicine

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Edema


If I gained three kilograms in three days, can I conclude that I am experiencing edema? Additionally, this situation occurred after I stopped taking weight loss medication, which I know contained diuretics.
Could I be allergic to the diuretics? During my weight loss period, I did not experience significant urination like others do after taking the medication.
If it is edema, which specialty should I consult, or could acupuncture be used to reduce the swelling?

Li, 20~29 year old female. Ask Date: 2002/08/20

Dr. Chen Weili reply Traditional Chinese Medicine


Hello, Chilin: The basic method for checking edema is to press on the inner part of the tibia in the lower leg.
If you see a pit that does not return to normal, that indicates edema.
If the edema gradually subsides over time, it should not be a major concern.
Otherwise, it is advisable to consult a nephrologist for a thorough examination.
Weight loss medications should not be taken indiscriminately, as failing to lose weight and potentially harming the kidneys would be counterproductive.

Reply Date: 2002/08/20

More Info


Rapid weight gain, particularly a sudden increase of three kilograms within just three days, can indeed be indicative of water retention, commonly referred to as edema. However, it is essential to consider various factors that could contribute to this phenomenon, especially in the context of your recent cessation of weight loss medication, which may have included diuretics. Diuretics are substances that promote the excretion of water and salts from the body through urine, and stopping their use can lead to a rebound effect where the body retains more water than usual.

When evaluating whether your weight gain is due to water retention, consider the following:
1. Physical Symptoms: Water retention often presents with visible symptoms such as swelling in the extremities (hands, feet, ankles) or abdominal bloating. You can perform a simple test by pressing on the swollen area; if it leaves an indentation (known as "pitting edema"), it is likely due to fluid retention.

2. Dietary Factors: High sodium intake can lead to water retention, as salt causes the body to hold onto water. Review your recent dietary habits to see if there has been an increase in salt consumption.

3. Hormonal Changes: Hormonal fluctuations, particularly in women, can lead to temporary water retention. This is common during menstrual cycles or hormonal treatments.

4. Medical Conditions: Certain medical conditions, such as heart, kidney, or liver diseases, can also cause fluid retention. If you have any underlying health issues, it is essential to consider them.

5. Medication Effects: As you mentioned, the diuretics in your weight loss medication may have masked underlying fluid retention. Upon stopping the medication, your body may have adjusted by retaining more water.

Given your situation, it is advisable to consult a healthcare professional. You may want to start with a visit to a primary care physician or a specialist in internal medicine. They can conduct a thorough evaluation, including a physical examination and possibly blood tests or imaging studies, to determine the underlying cause of your rapid weight gain.

Acupuncture, while beneficial for various conditions, may not directly address the underlying causes of water retention. However, it can be used as a complementary therapy to help with overall wellness and balance in the body. If you are interested in this approach, it would be best to discuss it with your healthcare provider to ensure it aligns with your treatment plan.

In summary, while rapid weight gain can be attributed to water retention, it is crucial to investigate further to rule out any serious underlying health issues. Monitoring your diet, hydration levels, and any additional symptoms will also provide valuable information for your healthcare provider.

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