Gastric Contusions: Weight Loss and Recovery Tips - Gastroenterology and Hepatology

Gastric contusion with significant weight loss?

Hello, doctor! In June of this year, my father had to make an emergency landing while flying a light aircraft in mainland China, and he sustained abdominal bruising upon landing.
He mentioned that his stomach was also injured, referring to it as a stomach contusion, but I'm not sure if that term is correct.
Since then, his stomach has not been feeling well, and he has seen a doctor who said there is nothing serious.
However, he has lost a significant amount of weight—20 kilograms (from 180 cm tall and now weighing only 55 kg)—without intentionally dieting.
I'm at a loss about what to do.
Could you please provide some advice?

Elaine, 10~19 year old female. Ask Date: 2016/08/25

Dr. Lin Minghui reply Gastroenterology and Hepatology

1) Abdominal contusions generally raise concerns about intra-abdominal bleeding and splenic injury, but symptoms typically include abdominal pain.
2) A weight loss of 20 kg warrants an outpatient evaluation to check for endocrine disorders, gastrointestinal diseases, or pancreatic conditions.

Reply Date: 2016/08/25

More Info

Gastric contusions, or injuries to the stomach, can occur as a result of trauma, such as in your father's case during a forced landing of a light aircraft. While the term "gastric contusion" is not commonly used in medical literature, it generally refers to bruising or injury to the stomach wall, which can lead to various gastrointestinal symptoms. Given your father's significant weight loss of 20 kilograms, it is essential to address both the potential underlying causes of his symptoms and the weight loss itself.

Firstly, after a traumatic event, the body can react in several ways. Stress and trauma can lead to changes in appetite and digestion. Your father's ongoing gastrointestinal discomfort may be a result of the trauma, which could manifest as nausea, abdominal pain, or changes in bowel habits. These symptoms can lead to a reduced appetite, which in turn can cause weight loss. It is crucial to monitor these symptoms closely and ensure that he is receiving appropriate medical care.

In terms of managing his weight loss and improving his overall health, here are several recommendations:
1. Nutritional Assessment: It is vital to evaluate your father's nutritional intake. A registered dietitian can help create a meal plan that ensures he receives adequate calories and nutrients. Given his height and current weight, he is likely underweight, and a tailored plan can help him regain weight safely.

2. Small, Frequent Meals: Encourage him to eat smaller, more frequent meals throughout the day rather than three large meals. This approach can help improve appetite and make it easier for him to consume enough calories without feeling overwhelmed.

3. High-Calorie Nutrient-Dense Foods: Focus on incorporating high-calorie, nutrient-dense foods into his diet. Foods such as avocados, nuts, seeds, full-fat dairy products, and healthy oils can provide additional calories without requiring large volumes of food.

4. Hydration: Ensure he stays well-hydrated, but avoid excessive fluid intake during meals, as this can lead to a feeling of fullness and reduce food intake. Instead, encourage him to drink fluids between meals.

5. Monitor Symptoms: Keep a close eye on any gastrointestinal symptoms he may experience. If he continues to have discomfort, it may be necessary to consult a gastroenterologist for further evaluation, including imaging studies or endoscopy, to rule out any complications from the injury.

6. Psychological Support: Trauma can have psychological effects, including anxiety and depression, which can further impact appetite and weight. Consider seeking support from a mental health professional if you notice signs of emotional distress.

7. Follow-Up Care: Regular follow-up with his healthcare provider is essential to monitor his recovery and address any ongoing issues. If his weight loss continues or if he develops new symptoms, further investigation may be warranted.

In summary, while gastric contusions can lead to significant gastrointestinal issues, a comprehensive approach that includes nutritional support, symptom management, and psychological care can help your father recover and regain his weight. It is essential to work closely with healthcare professionals to ensure he receives the best possible care during this challenging time.

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