Weight loss
Hello doctor, I had COVID-19 and developed sequelae in early February, including shortness of breath and coughing.
I have seen a doctor about this.
After that, I started staying up late during the winter break, and my weight went from 49 kg to now.
I have begun eating more vegetables and adjusting my daily routine, but I recently caught a cold, and my weight has dropped from 49 kg to 48 kg, and now to 47.8 kg.
Is this situation normal, or should I see a specialist? Thank you, doctor.
A Fei, 10~19 year old female. Ask Date: 2024/02/16
Dr. Lin Zhebin reply Family Medicine
Hello: The general definition of significant weight loss is a decrease of 5 kilograms or 5% of body weight within six months to a year.
Given your current weight and the fact that you have lost 1.2 kilograms in half a month, it is indeed necessary to consider the possibility of abnormal weight loss.
It is recommended that you first visit a family medicine specialist for an evaluation of the underlying causes.
Reply Date: 2024/02/16
More Info
After experiencing COVID-19, many individuals report a variety of lingering symptoms, commonly referred to as "long COVID." These symptoms can include respiratory issues, fatigue, and even changes in weight. In your case, you mentioned a noticeable weight loss from 49 kg to 47.8 kg over a relatively short period, which raises some concerns.
Firstly, it’s important to understand that weight loss can be a complex issue influenced by various factors, especially following an illness like COVID-19. The body undergoes significant stress during an infection, which can lead to changes in appetite, metabolism, and overall health. Additionally, factors such as changes in sleep patterns, dietary habits, and even psychological stress can contribute to weight fluctuations.
In your situation, the weight loss you are experiencing—approximately 1.2 kg over a few weeks—could be attributed to several factors. The recent cold you mentioned could also play a role in your decreased appetite and subsequent weight loss. It’s not uncommon for individuals recovering from an illness to experience temporary changes in weight. However, if the weight loss continues or if you experience other concerning symptoms, it may indicate an underlying issue that needs to be addressed.
Given your history of COVID-19 and the subsequent symptoms you are experiencing (such as difficulty breathing and coughing), it is advisable to consult a healthcare professional. The best initial step would be to visit a family medicine physician or a primary care doctor. They can conduct a thorough evaluation, including a physical examination and possibly some laboratory tests, to determine if there are any underlying health issues contributing to your weight loss.
In addition to assessing your physical health, a healthcare provider can help you develop a plan to manage your symptoms and improve your overall well-being. This may include dietary recommendations, exercise plans, and strategies to improve your sleep hygiene. If necessary, they may refer you to a specialist, such as a pulmonologist for respiratory issues or a nutritionist for dietary concerns.
It’s also essential to monitor your symptoms closely. If you notice any additional concerning signs, such as persistent cough, significant fatigue, or other unusual symptoms, do not hesitate to seek medical attention sooner. Early intervention can be crucial in managing long COVID symptoms and preventing further complications.
In summary, while some weight loss can be expected after an illness like COVID-19, significant or prolonged weight loss should be evaluated by a healthcare professional. Start with a visit to your primary care physician, who can guide you through the next steps and help you address any lingering symptoms from your COVID-19 experience. Remember, taking care of your health is paramount, and seeking help is a proactive step toward recovery.
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