Gastrointestinal Issues: When to Seek Specialist Help for Dad

Please help me ask my dad?

Your father is experiencing lower back pain, loss of appetite, and weight loss.
He has visited the clinic three times and received muscle relaxants, which have improved his appetite somewhat.
However, weekly visits to the clinic are not a sustainable solution.
These symptoms could be indicative of several underlying conditions, such as gastrointestinal issues, depression, or even more serious conditions like cancer or chronic infections.
Given that he has not been eating well for several days and is only taking a few bites, there is a concern about him fainting due to inadequate nutrition.
It would be advisable for him to see a specialist in internal medicine or a gastroenterologist to further evaluate his symptoms and determine the appropriate course of action.

Xiao Rou, 30~39 year old female. Ask Date: 2022/10/16

Dr. Hu Guozheng reply Gastroenterology and Hepatology

Hello, Xiao Rou.
Your father's condition does sound concerning, but there could be many reasons for weight loss.
Based on the information you've provided, it's difficult to draw any definitive conclusions at this time.
However, I recommend seeking a physician for a personal evaluation to determine which tests should be conducted.
Generally, specialties such as Family Medicine, Metabolism, or Gastroenterology can be helpful.

Reply Date: 2022/10/16

More Info

When it comes to gastrointestinal issues, especially in older adults, it is crucial to approach the situation with care and thoroughness. Your father's symptoms of back pain, loss of appetite, and weight loss are concerning and warrant further investigation. These symptoms can be indicative of various underlying conditions, and it is essential to identify the root cause to provide appropriate treatment.

Firstly, the combination of back pain and gastrointestinal symptoms can sometimes point to issues such as gastritis, peptic ulcers, or even more serious conditions like malignancies. The loss of appetite and significant weight loss, particularly if he has not been eating well for several days, raises red flags that should not be ignored. It is vital to ensure that he does not become dehydrated or malnourished, as this can lead to further complications.

Given these symptoms, it would be advisable to consult a gastroenterologist. A gastroenterologist specializes in diagnosing and treating conditions related to the gastrointestinal tract, including the stomach, intestines, liver, and pancreas. They can perform necessary diagnostic tests, such as endoscopy or imaging studies, to evaluate the gastrointestinal system more thoroughly.
In addition to gastrointestinal issues, it might also be beneficial to consider a consultation with a primary care physician or an internist. They can provide a comprehensive evaluation of your father's overall health, including his musculoskeletal complaints (like back pain) and any other systemic issues that may be contributing to his symptoms. They can also coordinate care with specialists and ensure that all aspects of his health are being addressed.

Furthermore, if there is a suspicion of psychological factors contributing to his loss of appetite, such as depression or anxiety, a referral to a mental health professional may also be warranted. Mental health can significantly impact physical health, especially in older adults, and addressing these issues can lead to improvements in appetite and overall well-being.

In the meantime, it is essential to monitor your father's condition closely. Encourage him to eat small, frequent meals rather than large ones, as this might be more manageable for him. Nutritional supplements may also be beneficial if he is unable to consume enough food. Ensuring he stays hydrated is equally important, so encourage him to drink fluids regularly.

In summary, your father's symptoms are concerning and should be evaluated by a gastroenterologist for gastrointestinal issues, while also considering a visit to a primary care physician for a comprehensive health assessment. Early intervention is key to preventing further complications, and addressing these symptoms holistically will provide the best chance for recovery.

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