Supplementary inquiry regarding gastrointestinal and weight issues?
Hello doctor, I previously asked some related questions, but I forgot to ask a few more.
Please help me with the following:
Last night around midnight, while lying in bed, I felt a sudden emptiness and hunger pain in the area under my left rib, which is about where the stomach is located.
I also felt some discomfort on both sides of my lower abdomen.
1.
What could this issue be?
2.
I have noticed a weight loss: on June 12, I weighed 62.7 kg; on June 13, 62 kg; and on June 14, 61.7 kg.
Could this weight loss potentially indicate cancer?
3.
I read online that weight loss can be a sign of cancer.
What degree of weight loss should raise suspicion for cancer?
4.
How long should I monitor my weight?
5.
If I am taking stomach medication, how much yogurt can I consume in a day? Is two cups a day acceptable?
Thank you, doctor.
Xunwenren, 20~29 year old female. Ask Date: 2022/06/14
Dr. Chen Shidian reply Gastroenterology and Hepatology
It is likely a gastrointestinal discomfort, not cancer.
A moderate diet is recommended; if symptoms persist, please seek outpatient medical care.
Reply Date: 2022/06/14
More Info
It sounds like you are experiencing a range of gastrointestinal issues alongside noticeable weight loss, which can understandably be concerning. Let’s break down your questions and provide some insights based on medical knowledge.
1. Understanding Your Symptoms: The discomfort you feel in your left upper abdomen, near the stomach, could be related to several factors. It may be due to gastric distress, which can manifest as hunger pangs or discomfort. This could be exacerbated by dietary changes, stress, or even underlying gastrointestinal conditions. If you are experiencing discomfort in the lower abdomen as well, it could indicate issues with digestion or bowel function. Given your recent weight loss and gastrointestinal symptoms, it is essential to monitor these closely.
2. Weight Loss Concerns: A weight loss of approximately 1.7 kg (or about 3.7 lbs) over a few days can be alarming, especially if it is unintentional. While weight loss can be a symptom of various conditions, including cancer, it is crucial to consider the context. Weight loss becomes concerning when it exceeds 5% of your body weight over six months without a clear reason, or if it is accompanied by other alarming symptoms such as persistent pain, changes in appetite, or gastrointestinal bleeding.
3. Cancer and Weight Loss: The notion that weight loss could indicate cancer is valid, but it is important to contextualize this. Not all weight loss is indicative of cancer. Typically, significant weight loss associated with cancer is often accompanied by other symptoms such as fatigue, pain, changes in bowel habits, or unexplained fevers. If you are losing weight without trying and have other concerning symptoms, it would be prudent to consult a healthcare provider for a thorough evaluation.
4. Monitoring Weight Loss: If you are concerned about your weight loss, it is advisable to monitor your weight regularly over the next few weeks. Documenting any additional symptoms, changes in appetite, or bowel habits can provide valuable information for your healthcare provider. If you continue to lose weight or develop new symptoms, seek medical attention promptly.
5. Dietary Considerations: Regarding your question about yogurt consumption while on gastric medication, yogurt can be beneficial due to its probiotic content, which may aid digestion. Generally, consuming one to two cups of yogurt per day is considered safe for most individuals. However, if you experience any discomfort after consuming yogurt, it may be wise to adjust your intake or consult with a healthcare professional.
In summary, while your symptoms and weight loss are concerning, they can arise from various causes, not solely cancer. It is essential to consult with a healthcare provider who can perform a comprehensive evaluation, including a physical examination and possibly imaging or laboratory tests, to determine the underlying cause of your symptoms. Early intervention can be crucial in addressing any potential health issues effectively.
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