Unexplained Weight Loss: When to Seek Medical Attention for Your Health - Gastroenterology and Hepatology

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Weight loss


Hello, doctor.
I weighed myself yesterday and found that I am 70.2 kg, down from 72.2 kg four months ago.
I haven't been actively trying to lose weight, and I've actually been exercising less recently, yet my weight has decreased.
My appetite seems fine; I haven't experienced a lack of appetite.
Recently, I've been feeling a lot of eye strain, and I've been a bit dizzy and have a feeling of pressure in my head, but I think it might be due to my severe nasal allergies lately.
Do you think I need to go to the hospital for a check-up?

Mr. Chen, 20~29 year old female. Ask Date: 2018/03/20

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: A significant weight loss is defined as a decrease of 6% within one month.
There is no need to worry too much at this moment.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2018/03/20

More Info


Unexplained weight loss can be a concerning symptom, and it's important to understand when it is necessary to seek medical attention. In your case, a weight loss of 2 kg over four months without any intentional dieting or increased physical activity could be a sign that something is amiss. While a slight fluctuation in weight can be normal, especially if it is within a few pounds, a consistent and unexplained weight loss should not be ignored.

There are several potential causes for unexplained weight loss, including but not limited to:
1. Metabolic Disorders: Conditions such as hyperthyroidism can increase metabolism, leading to weight loss. Symptoms may include increased heart rate, anxiety, and changes in appetite.

2. Gastrointestinal Issues: Problems such as malabsorption syndromes, celiac disease, or chronic infections can prevent the body from absorbing nutrients properly, resulting in weight loss despite normal or increased food intake.

3. Chronic Illness: Conditions like diabetes, cancer, or chronic infections (like tuberculosis) can lead to weight loss. These conditions often come with other symptoms that may warrant further investigation.

4. Mental Health Issues: Stress, anxiety, and depression can affect appetite and lead to weight loss. If you are experiencing increased stress or anxiety, it could be impacting your eating habits and overall health.

5. Nutritional Deficiencies: If your diet lacks essential nutrients, it can lead to weight loss and other health issues.
Given your symptoms of dizziness, a feeling of pressure in your head, and eye strain, along with your recent weight loss, it is advisable to seek medical attention. These symptoms could be related to your allergies or could indicate a more serious underlying condition. A healthcare professional can perform a thorough evaluation, which may include blood tests, imaging studies, or referrals to specialists if necessary.

In addition, it’s important to consider the impact of allergies on your overall health. Severe allergies can lead to chronic inflammation, which may contribute to feelings of fatigue and malaise. Managing your allergies effectively could improve your overall well-being and potentially alleviate some of the symptoms you are experiencing.

In summary, while a small amount of weight loss can be normal, the combination of your unexplained weight loss, dizziness, and eye strain suggests that it would be prudent to consult a healthcare provider. They can help determine the underlying cause of your symptoms and recommend appropriate treatment or lifestyle changes. Remember, early intervention can often lead to better health outcomes, so don’t hesitate to seek help.

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