Struggling to Gain Weight at 17: Could It Be a Worm Infection? - Nutrition

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I'm too thin!!!!!


I am 17 years old, 173 cm tall, and weigh 53 kg.
I eat a lot for three meals but still can't gain weight.
Could it be that I have roundworms in my stomach?

Xiao Q, 10~19 year old female. Ask Date: 2003/07/23

Dr. Shi Guimei reply Nutrition


Hello: If you suspect you have roundworms, it is advisable to consult a physician for diagnosis and treatment.
Based on your height and weight, it appears that you are indeed underweight.
Eating a lot but not gaining weight may be due to excessive stress, irregular lifestyle, or underlying health issues.
The simplest approach is to establish a regular routine and engage in moderate exercise daily to relieve stress.
Additionally, please provide a record of your daily dietary intake (for 3 to 7 days) so that we can assess whether your eating habits are appropriate.
Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2003/07/23

More Info


Gaining weight can be a challenge for many individuals, especially during the teenage years when growth and development are at their peak. At 17 years old, weighing 53 kg (approximately 117 lbs) at a height of 173 cm (about 5 feet 8 inches) does place you on the lower end of the healthy weight spectrum according to Body Mass Index (BMI) calculations. However, it is essential to explore various factors that could contribute to your difficulty in gaining weight, including dietary habits, metabolism, physical activity levels, and potential health issues such as parasitic infections.

While you mentioned the possibility of a worm infection, such as a roundworm (ascariasis), it is important to note that not all individuals who struggle to gain weight have a parasitic infection. Worm infections can lead to weight loss or difficulty gaining weight, but they are typically accompanied by other symptoms. Common signs of a worm infection may include abdominal pain, diarrhea, fatigue, and changes in appetite. If you are not experiencing these symptoms, it may be less likely that a worm infection is the cause of your weight concerns.

Dietary habits play a crucial role in weight management. Even if you feel you are eating a lot, it is essential to consider the quality and caloric density of the foods you consume. Foods that are high in calories and nutrients, such as nuts, avocados, whole grains, and lean proteins, can help you gain weight more effectively than low-calorie foods. Additionally, incorporating more frequent meals and snacks throughout the day can increase your overall caloric intake.

Metabolism is another factor that can influence weight gain. Some individuals naturally have a faster metabolism, which means they burn calories more quickly than others. This can make it more challenging to gain weight, even with a higher caloric intake. If you are physically active, this can further contribute to a higher metabolic rate.

Physical activity is essential for overall health, but excessive exercise without adequate caloric intake can hinder weight gain. If you are involved in sports or other physical activities, it may be beneficial to adjust your diet to ensure you are consuming enough calories to support your energy expenditure.

If you are concerned about the possibility of a worm infection or any other underlying health issues, it is advisable to consult with a healthcare professional. They can perform appropriate tests to rule out infections or other medical conditions that may be affecting your weight. Additionally, they can provide personalized dietary recommendations and guidance tailored to your specific needs.

In summary, while a worm infection could potentially contribute to difficulty in gaining weight, it is essential to consider a range of factors, including diet, metabolism, and physical activity. If you have concerns about your weight or health, seeking advice from a healthcare provider is the best course of action. They can help you identify any underlying issues and develop a plan to achieve your weight gain goals in a healthy and sustainable manner.

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