Weight Loss and Throat Issues from GERD: A Medical Insight

Gastroesophageal reflux disease (GERD)/laryngitis and weight loss?

Hello, doctor.
In the past few months, I have been experiencing frequent gastroesophageal reflux, which has also affected my throat, causing a sensation of something being stuck.
This was the diagnosis and treatment direction provided by my traditional Chinese medicine doctor.
As a result, for the past two months, I have stopped the habit of eating snacks before bed (such as 25-30 NT dollar bags of potato chips or Doritos), and I have also avoided bubble milk tea, candies, chocolates, and overly sweet fruits (like citrus and bananas).
Although my gastroesophageal reflux and the sensation in my throat have significantly improved, I am concerned about my weight loss of about 3-4 kg.
Is there a possibility of gastrointestinal abnormalities, or could this weight loss be due to the elimination of these processed foods leading to reduced body fat absorption? My appetite is normal, and I am aware not to overeat during meals due to my gastroesophageal reflux, so I stop eating when I feel satisfied.

Regarding bowel movements, the consistency of my stools has varied over the past few months, but in recent days, they have been well-formed and thick (at least the size of a 5-10 NT dollar coin).
I go to the bathroom about 1-2 times a day, but there was a period when I seemed to hold it in longer, which resulted in harder stools and possibly caused a tear in my internal hemorrhoids (which were noted during a health check three years ago), leading to fresh blood.

Can you provide any insights into my weight loss, the presence of blood, and my stool condition? I have heard that a sudden weight loss of 4 kg is considered abnormal, and I still have lingering doubts since I visited the emergency room on November 15 of last year due to stomach pain and chills.
(At that time, blood tests and urinalysis were normal, and I did not undergo a gastrointestinal endoscopy afterward.) Thank you.

w, 30~39 year old female. Ask Date: 2021/02/08

Dr. Chen Shidian reply Gastroenterology and Hepatology

If initial treatment and adjustments are still ineffective, it is recommended to perform an upper gastrointestinal endoscopy and a fecal occult blood test to rule out malignant diseases (it is unlikely, but it is necessary to exclude possibilities).

Reply Date: 2021/02/08

More Info

Understanding the relationship between weight loss, gastroesophageal reflux disease (GERD), and throat issues is crucial for maintaining overall health. GERD is a chronic condition where stomach acid flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and discomfort in the throat. This backflow can irritate the lining of the throat, causing a sensation of tightness or a "lump" feeling, which you have described as a "卡卡的感覺" (a feeling of something stuck).

Your recent dietary changes, including eliminating snacks before bed and avoiding certain foods like chips, sugary drinks, and sweet fruits, are commendable. These adjustments can significantly reduce GERD symptoms, as certain foods can exacerbate acid reflux. For instance, high-fat foods, chocolate, caffeine, and acidic foods can trigger reflux episodes. By avoiding these, you may have experienced an improvement in your throat discomfort, which is a positive sign.

Regarding your weight loss of 3-4 kg over the past two months, it is essential to consider the context. Weight loss can occur for various reasons, including dietary changes, increased physical activity, or underlying health issues. In your case, the reduction in calorie intake due to the elimination of certain foods likely contributed to this weight loss. It is not uncommon for individuals with GERD to lose weight unintentionally, especially if they are avoiding foods that trigger their symptoms.

However, it is crucial to monitor weight loss, especially if it is sudden or significant. A weight loss of 4 kg (approximately 8.8 lbs) in a short period can be concerning, particularly if it is accompanied by other symptoms. You mentioned experiencing changes in bowel habits, with occasional hard stools and the presence of blood, which could indicate a few potential issues. The blood in your stool, especially if it is bright red, could suggest hemorrhoids or anal fissures, particularly if you have a history of internal hemorrhoids. However, it is essential to rule out other gastrointestinal issues, such as diverticulosis or more serious conditions.

The fact that you have experienced changes in your bowel movements, including hard stools and occasional blood, warrants further investigation. While it is possible that your dietary changes and the resulting weight loss are contributing factors, it is essential to consult a healthcare professional for a thorough evaluation. A gastroenterologist may recommend tests such as a colonoscopy to assess your gastrointestinal health and rule out any significant concerns.

In summary, your dietary modifications have likely improved your GERD symptoms and contributed to weight loss. However, the presence of blood in your stool and changes in bowel habits should not be overlooked. It is advisable to seek medical attention to ensure that there are no underlying gastrointestinal issues that need to be addressed. Maintaining a balanced diet, staying hydrated, and managing stress can also support your digestive health. If you continue to experience symptoms or have concerns about your weight loss, please consult a healthcare professional for personalized advice and treatment options.

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