Weight Loss Concerns: Symptoms and When to Seek Help - Family Medicine

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Weight loss


Hello doctor, I have lost five kilograms in the past month due to gastrointestinal issues.
Recently, I visited an ENT clinic, and during an endoscopy, they found a bleeding mass.
The clinic mentioned it could possibly be nasopharyngeal cancer.
However, a biopsy at a larger hospital showed lymphoid hyperplasia.
That statement from the clinic has made it difficult for me to eat and sleep.
I have also been experiencing severe frequent urination, and I am unsure if this is due to autonomic nervous system dysregulation.
Is this weight loss normal? Should I see a doctor?

Eric Yang, 20~29 year old female. Ask Date: 2022/08/20

Dr. Ye Qianyu reply Family Medicine


Hello! If the biopsy of your nasopharyngeal issue shows no cancer, it is recommended that you have regular follow-up appointments to reduce your anxiety.
However, if you experience a decreased appetite, insomnia, frequent urination, or other autonomic nervous system symptoms that worsen or persist for more than two weeks and affect your daily life, it is advisable to seek treatment from a psychosomatic medicine specialist.

Reply Date: 2022/08/20

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the emotional and physical toll that these experiences can have on your well-being. Losing five kilograms in a month can be concerning, especially when it is associated with gastrointestinal issues and the stress of potential health concerns like the one you mentioned regarding your throat.
Firstly, weight loss can occur for various reasons, and while some may be benign, others can indicate underlying health issues. In your case, the combination of gastrointestinal distress, anxiety about your health, and frequent urination could suggest that your body is responding to stress, possibly leading to a decrease in appetite and subsequent weight loss. Stress and anxiety can significantly impact your eating habits and digestion, leading to symptoms like nausea or loss of appetite, which can further contribute to weight loss.

The fact that you have experienced a significant change in weight, especially in such a short period, warrants attention. It is essential to consider the following points:
1. Medical Evaluation: Given your recent diagnosis and the potential implications of the findings from your ENT visit, it is crucial to follow up with a healthcare provider. A thorough evaluation by a specialist, such as an oncologist or a gastroenterologist, may be necessary to rule out any serious conditions and to address your gastrointestinal symptoms.
2. Mental Health: The emotional impact of worrying about your health can lead to anxiety and depression, which can further exacerbate physical symptoms. It might be beneficial to speak with a mental health professional who can help you navigate these feelings and provide coping strategies.
3. Nutritional Support: If you are struggling to eat due to anxiety or gastrointestinal discomfort, consider consulting with a registered dietitian. They can help you develop a nutrition plan that accommodates your current symptoms while ensuring you receive adequate nutrients to support your health.

4. Hydration and Rest: Frequent urination can be a sign of dehydration, especially if you are not eating well. Make sure to stay hydrated, and if you notice any changes in your urination patterns or if it becomes painful, seek medical advice promptly.

5. Self-Care: Engage in self-care practices that promote relaxation and stress relief. This could include mindfulness, gentle exercise (as tolerated), or activities that you enjoy. Taking care of your mental health is just as important as addressing physical symptoms.

In summary, while some weight loss can be attributed to stress and gastrointestinal issues, the rapid nature of your weight loss, combined with your health concerns, suggests that it is essential to seek medical advice. A healthcare professional can provide a comprehensive assessment and guide you on the appropriate next steps. Remember, you are not alone in this, and there are resources available to help you through this difficult time.

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