If you have difficulty gaining weight, you should consult a specialist in endocrinology or a nutritionist?
Hello, doctor.
I have been consistently underweight for a long time (165 cm / around 48-52 kg).
About 5 to 6 years ago, I consulted a gastroenterologist, and after examination, there were no significant issues.
The doctor mentioned that it might simply be due to poor intestinal absorption.
My highest weight was 58 kg, but that was during a period when I took dietary supplements to increase my nutrient intake and was mostly inactive at home due to military service.
I would like to gain weight through a normal diet, but I also get tired from work every day (going up and down stairs), and sometimes I don't have time to eat much.
I often feel like I'm burning more calories than I'm absorbing.
If I want to consult a doctor again, which department should I visit? Should I directly tell the doctor that I have difficulty gaining weight? What dietary recommendations do you have? Thank you.
Aries, 30~39 year old female. Ask Date: 2016/01/19
Dr. Shi Guimei reply Nutrition
Dear Aries: Hello! I suggest that you first record the types and amounts of food you consume for three days, as well as whether you smoke or drink alcohol, along with your commuting times and sleep schedule.
I can help you evaluate this, or you can consult a hospital nutritionist for an assessment, or see a metabolic specialist for further evaluation.
Wishing you health and happiness! Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/01/19
More Info
When dealing with weight gain issues, especially in the context of being underweight or having difficulty gaining weight, it is essential to consult a healthcare professional who specializes in nutrition and metabolism. In the United States, the most appropriate medical specialties to consider would be a family medicine physician, endocrinologist, or a gastroenterologist. Each of these specialties can provide valuable insights and guidance based on your specific situation.
1. Family Medicine Physician: A family doctor can perform a comprehensive evaluation of your health, including a review of your medical history, lifestyle, and dietary habits. They can help identify any underlying health issues that may be contributing to your difficulty in gaining weight, such as hyperthyroidism or malabsorption syndromes. They can also refer you to a nutritionist or dietitian for tailored dietary advice.
2. Endocrinologist: If your family doctor suspects that hormonal imbalances might be affecting your weight, they may refer you to an endocrinologist. This specialist focuses on the endocrine system, which includes glands that produce hormones. Conditions like hyperthyroidism can lead to increased metabolism and difficulty in gaining weight.
3. Gastroenterologist: Since you mentioned having previously consulted a gastroenterologist, this specialty is also relevant. If there are concerns about your digestive system's ability to absorb nutrients effectively, a gastroenterologist can conduct tests to evaluate your gastrointestinal health. They can check for conditions such as celiac disease, Crohn's disease, or other malabsorption syndromes that could hinder weight gain.
When you visit any of these specialists, it is important to communicate your concerns clearly. You can start by saying, "I have been struggling to gain weight despite my efforts, and I would like to understand why this is happening." This will help the doctor understand your situation and guide them in conducting the necessary evaluations.
Dietary Recommendations
In addition to seeking medical advice, there are several dietary strategies you can implement to help increase your caloric intake and promote healthy weight gain:
1. Increase Caloric Density: Focus on foods that are high in calories but low in volume. Examples include nuts, seeds, avocados, and nut butters. These foods provide healthy fats and can significantly increase your caloric intake without requiring you to eat large quantities.
2. Frequent Meals: Instead of three large meals, try to eat smaller meals more frequently throughout the day. This can help you consume more calories without feeling overly full.
3. Protein-Rich Foods: Incorporate protein-rich foods into your diet, such as lean meats, dairy products, eggs, legumes, and protein shakes. Protein is essential for muscle growth and repair, which can be beneficial if you're looking to gain weight healthily.
4. Smoothies and Shakes: Consider making smoothies or shakes that combine fruits, vegetables, protein powder, and healthy fats (like nut butter or avocado). These can be a convenient way to increase your caloric intake.
5. Limit Empty Calories: While it may be tempting to consume high-sugar or high-fat junk foods to gain weight, focus on nutrient-dense foods that provide vitamins and minerals essential for overall health.
6. Stay Hydrated: Sometimes, people confuse thirst with hunger. Ensure you are well-hydrated, but try to drink fluids between meals rather than during meals to avoid feeling too full to eat.
7. Monitor Your Progress: Keep track of your weight and dietary intake to see what works best for you. This can help you and your healthcare provider make informed decisions about your dietary plan.
In conclusion, consulting a family medicine physician, endocrinologist, or gastroenterologist can provide you with the necessary support to address your weight gain concerns. By combining medical advice with strategic dietary changes, you can work towards achieving a healthier weight in a sustainable manner. Always remember that gaining weight should be approached with the same care and consideration as losing weight, focusing on overall health and well-being.
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