Obesity: Symptoms, Causes, and Necessary Tests

Obesity issue

I haven't undergone any examinations, but I suspect I have a gastric ulcer because I experience stomach pain whenever I get hungry, and if I go too long without eating, I even start to shake.
Additionally, my appetite has been increasing; I am 170 cm tall and have gone from weighing 50 kg at 18 years old to nearly 80 kg at 27 years old, with most of the weight gain concentrated around my abdomen, which makes it difficult for me to wear pants.

1.
I am unsure if there might be an underlying issue causing my symptoms.

2.
What tests should I undergo to confirm whether my obesity is related to a medical condition?

A-Hong, 20~29 year old female. Ask Date: 2007/12/29

Dr. Chen Yuchao reply Family Medicine

There are many causes of obesity.
It is best to schedule an appointment with a family medicine specialist to evaluate and rule out any potential underlying conditions.
After that, focus on total caloric intake and exercise.
If there are gastrointestinal symptoms, please consult a gastroenterologist for treatment.

Reply Date: 2007/12/29

More Info

Obesity is a complex condition characterized by excessive body fat that can lead to various health issues. It is essential to understand the symptoms, causes, and necessary tests to evaluate your health status accurately. Based on your description, there are several factors to consider regarding your weight gain and potential underlying health issues.

Symptoms and Concerns
1. Weight Gain: You mentioned that your weight has increased significantly from 50 kg to nearly 80 kg over the years. This substantial weight gain, particularly concentrated around the abdomen, can be indicative of several health issues, including metabolic syndrome, insulin resistance, or hormonal imbalances.

2. Abdominal Pain: The pain you experience when hungry could be related to gastric issues, such as gastritis or peptic ulcers. It is not uncommon for individuals with ulcers to feel pain when their stomach is empty, as the acid can irritate the ulcerated area. Additionally, the sensation of shaking when hungry may indicate low blood sugar levels, which can occur if you are not eating regularly or if your body is not processing food efficiently.

3. Increased Appetite: An increase in appetite can be associated with various factors, including hormonal changes, stress, or even psychological factors such as emotional eating. It can also be a sign of metabolic changes in your body.

Possible Underlying Issues
Given your symptoms and significant weight gain, there are several potential underlying issues to consider:
- Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) in women can lead to weight gain, particularly around the abdomen, along with symptoms like irregular periods and increased appetite.

- Metabolic Disorders: Conditions like hypothyroidism can lead to weight gain and fatigue, as the body's metabolism slows down.

- Gastrointestinal Issues: As you suspect a possible ulcer, it would be prudent to investigate any gastrointestinal issues that could be contributing to your symptoms and weight gain.

Recommended Tests
To determine whether there is an underlying condition contributing to your obesity and symptoms, consider the following tests:
1. Blood Tests: A comprehensive metabolic panel can help assess your overall health, including liver and kidney function, blood sugar levels, and electrolyte balance. Thyroid function tests (TSH, T3, T4) can help evaluate if hypothyroidism is a factor.

2. Gastric Evaluation: If you suspect a peptic ulcer or gastritis, an upper gastrointestinal endoscopy may be necessary to visualize the stomach lining and assess for any abnormalities.

3. Hormonal Assessments: Tests for hormones related to metabolism, such as insulin and cortisol levels, can provide insight into whether hormonal imbalances are contributing to your weight gain.

4. Body Composition Analysis: A body composition test can help determine the percentage of fat versus muscle in your body, providing a clearer picture of your health beyond just weight.

Lifestyle Modifications
In addition to medical evaluations, consider implementing lifestyle changes that can help manage your weight and improve your overall health:
- Dietary Changes: Focus on a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. Reducing processed foods and sugars can help manage weight and improve overall health.

- Regular Exercise: Incorporating regular physical activity into your routine can help with weight management and improve your metabolic health. Aim for a mix of cardiovascular and strength-training exercises.

- Stress Management: Since stress can contribute to weight gain and unhealthy eating habits, consider practices such as mindfulness, yoga, or meditation to help manage stress levels.

Conclusion
Your concerns about weight gain, abdominal pain, and increased appetite are valid and warrant further investigation. It is essential to consult with a healthcare professional who can guide you through the necessary tests and evaluations to determine if there are underlying health issues contributing to your symptoms. By addressing these concerns early, you can take proactive steps toward better health and well-being.

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