Weight Loss: When to Seek Help for Emotional and Physical Health - Family Medicine

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Weight issues


Hello Doctor: During the summer vacation, I often stayed up late and skipped breakfast, which gradually decreased my appetite.
Additionally, a relative, my uncle, passed away from cancer, which has made me feel somewhat down.
After school started (studying away from home), my appetite has not improved, and I have begun to feel a sense of fear and confusion about the future, as well as homesickness.
As a result, I have lost a significant amount of weight (I am 159 cm tall and weigh 47 kg; I was already underweight, but I have lost another 2 kg over the past two months).
However, I know that abnormal weight loss can be a sign of many diseases, so should I see a doctor? Or is this just related to my emotional state that needs adjustment? What can I do to return to a healthy weight?

Eva, 20~29 year old female. Ask Date: 2015/10/29

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your abnormal weight loss, it is recommended that you consult your family physician first for a basic evaluation to determine if there are any underlying systemic issues.
Changhua Hospital cares about you.

Reply Date: 2015/10/29

More Info


Understanding Weight Loss: When to Seek Help for Emotional and Physical Health
It's important to recognize that weight loss can be influenced by a variety of factors, including emotional well-being, physical health, and lifestyle choices. In your case, it seems that a combination of emotional distress due to personal loss and changes in your daily routine has contributed to your weight loss. Given your height of 159 cm and current weight of 47 kg, it appears that you are already on the lower end of the healthy weight spectrum. A significant and unintentional weight loss, especially when accompanied by emotional distress, can be a cause for concern.

First and foremost, it’s crucial to address the emotional aspects of your situation. The loss of a loved one can lead to feelings of grief, sadness, and anxiety, which can significantly impact your appetite and overall mental health. It’s not uncommon for individuals to experience changes in their eating habits during such difficult times. If you find that your emotional state is affecting your ability to eat or maintain a healthy lifestyle, it may be beneficial to seek support from a mental health professional. Therapy or counseling can provide you with coping strategies to deal with your grief and anxiety, helping you to regain a sense of normalcy in your life.

In terms of physical health, the fact that you have experienced a noticeable weight loss over a short period of time is something that should not be overlooked. Unintentional weight loss can sometimes indicate underlying health issues, such as metabolic disorders, gastrointestinal problems, or other medical conditions. It would be wise to consult with a healthcare provider to rule out any potential medical concerns. A thorough evaluation, including a physical examination and possibly some laboratory tests, can help determine if there are any underlying issues that need to be addressed.

To regain a healthy weight, it’s essential to focus on both nutrition and emotional well-being. Here are some strategies that may help you:
1. Balanced Diet: Aim to consume a well-balanced diet that includes a variety of foods from all food groups. Incorporate whole grains, lean proteins, healthy fats, fruits, and vegetables into your meals. If you find it difficult to eat large meals, consider smaller, more frequent meals or snacks throughout the day.

2. Hydration: Ensure you are drinking enough fluids, as dehydration can also affect your appetite and overall health. Water is essential, but you can also include herbal teas or broths.

3. Routine: Establishing a daily routine can help bring structure to your day, which may improve your appetite and mood. Try to set regular meal times and include physical activity that you enjoy.

4. Physical Activity: Engage in regular physical activity, as it can help stimulate appetite and improve your mood. Activities like walking, yoga, or dancing can be beneficial.

5. Social Support: Surround yourself with supportive friends and family who can encourage you to eat well and engage in activities that promote your well-being. Sharing meals with others can also make eating more enjoyable.

6. Mindfulness and Relaxation: Practice mindfulness techniques, such as meditation or deep breathing exercises, to help manage stress and anxiety. This can improve your overall emotional health and may positively impact your appetite.

7. Professional Guidance: Consider working with a registered dietitian or nutritionist who can help you create a personalized meal plan that meets your nutritional needs and supports healthy weight gain.

In summary, it’s essential to address both the emotional and physical aspects of your health. Seeking help from healthcare professionals can provide you with the support and guidance you need to navigate this challenging time. Remember, it’s okay to ask for help, and taking proactive steps towards your health is a positive move in the right direction.

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