Unintentional Weight Loss Despite Good Appetite


Weight loss - unintentional : MedlinePlus Medical Encyclopedia

You have lost more than 10 pounds OR 5% of your normal body weight over 6 to 12 months or less, and you do not know the reason. You have other symptoms along with the weight loss. How much weight have you lost? Are you eating less? Are you exercising more? Do you have more stress or anxiety than usual? Have you vomited? Have you had constipation or diarrhea? Do you have increased thirst or are you drinking more? Are you urinating more than usual? Have you lost any hair? Are you pleased or concerned with the weight loss? more...



An approach to the management of

An approach to the management of unintentional weight loss in elderly people. Weight loss in elderly people can have a deleterious effect on the ability to function and on quality of life and is associated with an increase in mortality over a 12-month period. We review the incidence and prevalence of weight loss in elderly patients, its impact on morbidity and mortality, the common causes of unintentional weight loss and a clinical approach to diagnosis. Voluntary weight loss among elderly patients is also associated with increased risk of death 17 and of hip fracture, 19 which highlights the importance of maintaining weight with age. The proportion of elderly people who experience rapid (within 6 months), severe (≥ 7.5% of baseline body weight) and unexplained weight loss is only 0.45%. Weight loss exacerbates the loss of fat-free mass (sarcopenia) associated with aging, 42 which leads to functional decline and fractures. 43 , 44 Many elderly patients with unintentional weight loss are experiencing concomitant malnutrition 45 and thereby have cachexia. 4 , 29 All elderly patients with weight loss should undergo screening for dementia and depression 30 by using instruments such as the Mini-Mental Status Examination 49 and the Geriatric Depression Scale 50 respectively. Unintentional weight loss is common in elderly people and is associated with significant adverse health outcomes, increased mortality and progressive disability. Up to 1 in 4 elderly people with unintentional weight loss will have no obvious medical cause. more...



Involuntary Weight Loss and Protein - Energy Malnutrition

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Weight Loss : Check Your Symptoms and Signs

What are the statistics for bile duct cancer? What is the treatment for bone cancer? What is the prognosis for bone cancer? What are the causes of colon cancer? What are the symptoms of colon cancer? What are the treatments and survival for colon cancer? What are the signs and symptoms of COPD? What are the risk factors for diabetes? What are the causes or risk factors for esophageal cancer? What are the symptoms and signs of esophageal cancer? What are the stages of esophageal cancer? What are the treatment for esophageal cancer? What are the symptoms of a stroke? What are the symptoms of type 2 diabetes? more...



The Dilemma of Weight Loss in Diabetes - Diabetes Spectrum

The Dilemma of Weight Loss in Diabetes. Furthermore, for people with type 2 diabetes, the message often is that weight loss is the answer to improving glucose control: “If you just lose 20 lb, you won't need insulin.” What does research tell us about these issues, and what should our messages as health professionals be to people with diabetes? Is weight loss the complete answer for improving blood glucose control? The remainder of this editorial addresses what is known today about weight loss in general and how this information applies to people with diabetes. And, for people with diabetes, is weight loss the cure? Weight Loss in People With Diabetes. And, yes, it does appear that in people with diabetes, weight loss may be more difficult than in people without diabetes, as was first suggested by Wing et al. Should the focus of nutrition therapy for type 2 diabetes be on weight loss or improved blood glucose control? Another issue that makes weight loss even more of a dilemma is the effect of intentional weight loss on mortality in type 2 diabetes. 25 reported that people with diabetes who had an intentional weight loss in the Cancer Prevention Study I experienced a 25% reduction in total mortality and a 28% reduction in cardiovascular disease-plus-diabetes mortality. Until all the dilemmas are solved, what are appropriate messages concerning weight loss for people with diabetes? These results highlight the importance of counseling people with diabetes to increase physical activity and improve fitness, not only as a means of controlling weight, but also for the benefits of fitness that are independent of weight loss. more...



Unintentional Weight Loss Symptom Evaluation

Unintentional Weight Loss Symptom Evaluation. Unintentional weight loss is often a consequence of physiological and psychological disorders and should be promptly investigated. On the other hand, sudden and unintentional weight loss requires immediate medical attention, as it could predict the presence various serious disease conditions. A decrease in appetite and therefore total calorie intake, and an increased rate of metabolism or activity level are associated with weight loss. Some of the health-related disorders that are associated with weight loss are listed below: Patients with cancer produce substances like cachectin and interleukins that are responsible for weight loss. Increased metabolism may be responsible for weight loss in patients with blood cancer. Various infections like lung abscess, HIV, fungal diseases, and subacute bacterial endocarditis (infection of the heart) cause unintentional weight loss. Tuberculosis should be suspected in a patient with chronic cough, low-grade fever in the evenings and weight loss. Lung Diseases: Besides lung infections, conditions like severe chronic obstructive pulmonary disease and breathlessness are also associated with weight loss. Digestive System Disorders: Digestive system disorders can reduce appetite and the absorption of nutrients from food, thereby resulting in weight loss. In addition, dental problems may also be associated with reduced food intake and therefore weight loss. Kidney Diseases: Kidney diseases may be associated with weight loss due to loss of protein in the urine, and the associated nausea and vomiting. Social factors like isolation and financial hardship are also responsible for the weight loss. more...



Unexplained, Sudden Weight Loss in Cats

Depending on the reason for your cat’s weight loss, you may notice that your cat’s appetite is reduced or entirely gone, a condition known as anorexia. If you are not sure what your cat’s ideal weight should be, your veterinarian will be able to provide guidance and a suggested feeding regimen to meet your cat’s nutritional needs. Causes of Cat Weight Loss. Cats under psychological stress may go off their food, which can result in weight loss. Although not all cat weight loss is caused by cancer, it is a relatively common culprit. This disease, which may be caused by a failure to produce the hormone insulin or an impaired ability to respond to it, commonly causes weight loss in cats, often with a change in appetite. more...



How Should I Evaluate Weight Loss in the

How Should I Evaluate Weight Loss in the Elderly? How should I approach the evaluation of weight loss in this elderly patient? A provider should be concerned, however, about unexplained weight loss over a 6-month period of 10 pounds (4.5 kg), weight loss of more than 5% of the patient's body weight, or weight loss that is persistent despite interventions. The first thing to check when evaluating weight loss is whether the patient is eating a sufficient number of calories to maintain body weight. When dietary intake seems to be adequate, the weight loss is more likely to be a consequence of disease. Numerous medical problems can cause or contribute to unexplained weight loss (Table). Diseases Associated With Weight Loss. more...



Unintentional Weight Loss and Appetite Stimulants

Unintentional Weight Loss and Appetite Stimulants. Elderly patients experiencing weight loss should be screened for depression (eg, Geriatric Depression Scale), as the incidence of depression is high among these patients in both community and nursing home settings. As a result, appetite stimulants should not be considered as a first-line treatment for unintended weight loss in the elderly because of the lack of clear evidence of their benefit and the potential for significant medication-related side effects. The use of megesterol acetate in elderly patients with weight loss often is seen in those who have been hospitalized and then discharged to a nursing facility. The antidepressant mirtazapine (Remeron) has been used to help increase appetite and weight gain in depressed elderly patients. However, it has not been studied specifically for unintended weight loss in the elderly. Physicians should work closely with other members of the care team to identify and treat the underlying causes contributing to weight loss. Evaluating and treating unintentional weight loss in the elderly. An approach to the management of unintentional weight loss in elderly people. Treatment of unintentional weight loss in the elderly. more...



Weight Loss

However, occasionally, the first symptom to develop in some serious diseases is weight loss. Some people may see a doctor to say that they have lost weight and don't know why. However, occasionally, weight loss is the first symptom noticed. So, weight loss is sometimes the first thing reported to a doctor. Weight loss may develop due to not eating much. It may be friends or family who actually notice that the person has lost weight. Family and friends may show concern about weight loss and not be aware that the person has an alcohol problem. But, occasionally, the first symptom that is noticed with infections such as tuberculosis or HIV is weight loss. However, weight loss may be the first symptom noticed. Again, it is sometimes friends or family who may first notice that a person is not right and has lost weight and it then turns out to be the early stages of dementia. See individual leaflets on the various diseases that can cause weight loss. more...



10 Signs Your Weight Loss Problem is Really a Thyroid

10 Signs Your Weight Loss Problem is Really a Thyroid Problem. You did your homework and tried every weight loss program you could find. Weight Loss Is Regulated by the Thyroid. An underactive thyroid can't regulate your body's rate of metabolism and you become overweight, suffering with weight loss problems, even if you only eat a little food. Are all weight loss problems thyroid or hormone related? Thyroid problems are not the only reason people have excess weight or have difficulty with weight loss. Weight Loss Won't Happen Until the Thyroid Problem is Addressed. Getting Your Thyroid Tested As a Step to Weight Loss. So how do you determine if thyroid hormones are causing weight loss problems? Thyroid dysfunction has a high probability of being passed on through your family tree and with it, you may have weight loss problems.                   10 Signs that your Thyroid can be the cause of your Weight Loss problem. more...



Senior Weight Loss and Poor Nutrition

She has really bad arthritis, so it's hard for her to get out of the house, and she can't cook the way she used to. Unintentional weight loss should always be a red flag for those of us caring for elders, so I'm glad this issue has caught your attention. The key, however, is to first make sure that your aunt's weight issues really are best addressed with this type of nutritional supplement. To figure this out, you'll want to do a little basic investigation as to what might be behind the weight loss. Some chronic medical conditions, such as COPD , are also known to often affect appetite and weight. Along with these medical investigations, you'll want to assess for more subtle problems that can interfere with an older person's nutrition. Once some of the underlying causes for weight loss are identified, have the doctor help you create a plan to address them. Some families find them helpful; for others they're expensive or the older person doesn't like drinking them. My prescription for caregivers worried about weight loss: "¢ Try to document the weight loss, and be sure to get a medical check-up focused just on this problem "¢ Also be sure to check for some subtler problems that are more likely to be missed by a routine medical check-up. more...



Loss of appetite - Symptom Checker – Medical

What Is a Decreased Appetite? These can be serious if left untreated, so it is important to find the reason behind your decreased appetite and treat it. What Causes A Decreased Appetite? In most cases, your appetite will return to normal once the original condition is treated. ( NIH, 2010 ) Your appetite may also tend to decrease when you are sad, depressed, grieving, or anxious. Boredom and stress have also been linked to a decreased appetite. Some medications and drugs may reduce your appetite. If the cause is a bacterial or viral infection you will usually not require treatment, as your appetite will quickly return once your infection is cured. This will help your doctor to assess your nutritional intake and the extent of your decreased appetite. It may then be necessary to conduct tests to find the cause of your decreased appetite. If your decreased appetite has resulted in malnutrition, you may be given nutrients through an intravenous (IV) line. What Is the Outcome if Decreased Appetite Is Not Treated? If your decreased appetite is caused by a short-term condition, you are likely to recover naturally without any long-term effects. However, if your decreased appetite is caused by a medical condition, the condition could worsen without treatment. If left untreated, your decreased appetite can also be accompanied with more severe symptoms, such as: more...



Weight Loss - Unintentional - Symptoms, Causes, Tests

You or a family member loses more weight than is considered healthy for their age and height. You have lost more than 10 pounds OR 5% of your normal body weight over 6-12 months or less, and you don't know the reason. You have other symptoms along with the weight loss. The health care provider will do a physical exam and check your weight. You will be asked questions about your medical history and symptoms, including: When did the weight loss begin? Is among the first to achieve this important distinction for online health information and services. Is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. more...



Weight loss in Alzheimer disease - American Society for

Background: Epidemiologic studies have shown that weight loss is commonly associated with Alzheimer disease (AD) and is a manifestation of the disease itself. Conclusion: Nutritional education programs for the caregivers of AD patients seem to be the best way to prevent weight loss and improve the nutritional status of these patients. They recruited 362 AD patients and 317 control subjects and determined the percentage of patients who lost or gained ≥5% of their body weight during participation in the study. The same finding was observed for a loss of ≥10% of initial body weight. In a recent study, White et al ( 16 ) determined the association of weight change in AD with the severity of the disease and mortality. They showed that the risk of weight loss tends to increase with the severity and progression of AD. The nondemented subjects had a significantly higher mean weight than did the demented patients at admission and throughout the longitudinal study period. No significant difference in energy expenditure was found between the AD patients and the control subjects after adjustment for body composition. Anorexia may occur in the late stage of the disease and contribute to the associated weight loss. We researched significant weight loss during the first year of follow-up to identify subjects with weight variations and those whose weight remained stable throughout the study. Furthermore, weight loss was accompanied by a higher deterioration of those aspects of dementia explored by the MMSE and HDS. more...



Can Stress Cause Weight Gain or Weight Loss

Can Stress Cause Weight Gain or Weight Loss? For this reason, stress in our lives can cause both weight gain or weight loss. Stress and weight gain. Whilst hormones have some effect on appetite and weight gain in the presence of stressful situations, to some degree the mind can also contribute to the amount and type of food we choose to eat. Lack of time can also mean there is no time to exercise, which means you are not burning the excess calories you are consuming and are more likely to gain weight. Stress and weight loss. If this is the case for you it is important to see a health professional as you are at risk of developing nutritional deficiencies which can have serious consequences for your health and also increase anxiety levels. What to do to minimize stress and maintain your weight. When you exercise, hormones are released that can counteract the stress hormones and make you feel better. However, it is important to be aware that excessive exercise can in fact increase cortisol levels, so choose an activity that is not too intensive and that you enjoy for the best stress relief. Taking time to relax and do something for you is the best way to beat stress. It is thought that stress can lead to depletion of some vitamins in the body, particularly if you are frequently missing meals, which leaves you at risk of deficiencies. A good multi-vitamin can help to restore the balance and keep you healthy despite the stress. It has been found that those who deprive themselves of too many calories in an effort to lose weight can induce a biochemical response in the body that in fact leads to increased hunger and stress levels. more...



Study Evaluates Unintentional Weight Loss in Horses

Researchers pinpointed a definitive cause of weight loss in 60% of evaluated cases, however the remaining 40% were classified as idiopathic (of unknown cause) weight loss. Unintentional weight loss in horses is frustrating to both owners and veterinarians, especially when the horse is still eating well. In their retrospective study, Katz and colleagues evaluated medical records from 40 horses presented to the UCD Veterinary Teaching Hospital between 2002 and 2011 for investigation due to weight loss despite a good appetite. Of the cases with definitive causes, the team reported that "the mechanisms of weight loss were predominately inadequate absorption/increased loss of nutrients (due to conditions such as inflammatory bowel disease or intestinal lymphosarcoma) followed by increased nutritional utilization (due to infection)." These findings led researchers to conclude that, "BCS in conjunction with albumin concentration can possibly be used as a prognostic indicator for survival for horses with weight loss despite a good appetite." The study, "A retrospective study of horses investigated for weight loss despite a good appetite (2002-2011)," will appear in an upcoming issue of the Equine Veterinary Journal. more...



Evaluating and Treating Unintentional

Evaluating and Treating Unintentional Weight Loss in the Elderly. Elderly patients with unintentional weight loss are at higher risk for infection, depression and death. Food and Drug Administration has labeled no appetite stimulants for the treatment of weight loss in the elderly. Unintentional weight loss in the elderly patient can be difficult to evaluate. Selected Medications Associated with Unintentional Weight Loss in the Elderly. The use of formal screening instruments for depression, such as the Geriatric Depression Scale, 25 may be necessary in the elderly patient with unintentional weight loss. However, none are specifically indicated for the treatment of weight loss in elderly patients, and few have been studied in this population. Food and Drug Administration has not labeled any of these drugs for use in elderly patients with weight loss. Although medications may help promote appetite and weight gain in an elderly patient with unintentional weight loss, drugs should not be considered first-line treatment. Low body weight and weight loss in the aged. Unexplained weight loss in the ambulatory elderly. Diagnosis and management of weight loss in the elderly. more...



Unexplained Sudden Weight Loss in Cats and Dogs

In today’s world in which more than 50 percent of dogs and cats are considered overweight or obese, weight loss is often a desirable outcome for our sedentary, overfed pets. A change in diet can sometimes cause weight loss either because the pet finds the food less appealing or because it has fewer calories. A move to a new home, a change in schedule, or greater access to the outdoors can lead to weight loss if a pet becomes more active as a result. Geriatric pets can sometimes lose small amounts of weight as part of the normal aging process. Persistent, rapid, or dramatic weight loss (greater than 10 percent of a pet’s body weight), however, can be the sign of a serious condition, such as: Has the pet’s home life or schedule changed? Has the pet’s diet changed? If changes in diet or activity level don’t seem sufficient explanation for the degree of weight loss (particularly if the pet’s weight loss is greater than 10 percent of her body weight), a veterinary visit is absolutely in order. There are several steps a veterinarian may undertake to discern the origin of the weight loss. When did you first notice the weight loss? What a pet looks and feels like can tell your veterinarian a lot about weight loss. Definitive treatment depends on the underlying cause of the weight loss. more...



Unintentional Weight Loss in Horses/Study

Summary: Reasons for performing study: Weight loss despite a good appetite is a frequent diagnostic challenge for equine veterinarians; however, there are few objective reports and little descriptive information regarding risk factors and prognostic indicators. Objectives: To provide a descriptive epidemiological analysis of horses evaluated for weight loss despite a good appetite and evaluate relationships between historical and clinicopathological findings and final outcome (survival vs. Methods: Medical records of horses referred for investigation of weight loss despite a good appetite were reviewed. more...



An approach to management of unintentional weight loss in

An approach to the management of unintentional weight loss in elderly people. Weight loss in elderly people can have a deleterious effect on the ability to function and on quality of life and is associated with an increase in mortality over a 12-month period. We review the incidence and prevalence of weight loss in elderly patients, its impact on morbidity and mortality, the common causes of unintentional weight loss and a clinical approach to diagnosis. Voluntary weight loss among elderly patients is also associated with increased risk of death 17 and of hip fracture, 19 which highlights the importance of maintaining weight with age. 43 , 44 Many elderly patients with unintentional weight loss are experiencing concomitant malnutrition 45 and thereby have cachexia. Unintentional weight loss is common in elderly people and is associated with significant adverse health outcomes, increased mortality and progressive disability. Unexplained weight loss in the ambulatory elderly. Unintentional weight loss: diagnosis and prognosis. Unintentional weight loss in the ambulatory setting: etiologies and outcomes [abstract]. Evaluating and treating unintentional weight loss in the elderly. more...



Cancer, Weight Changes, Muscle Loss, Fatigue

Treating and managing these symptoms can help you feel better and allow you to continue with more of your usual activities. These substances can lead to weight loss, muscle loss, and a decrease in appetite. They can also lead to side effects such as nausea, vomiting, and mouth sores, which can affect your ability to eat normally, further contributing to weight and muscle loss. Fatigue is also a factor, since the decreases in exercise and other physical activities that happen when you’re not feeling well can also contribute to muscle loss. How are weight changes and muscle loss treated? These drugs can increase appetite for some people and may help to prevent weight and muscle loss, but they do not build up lost muscle tissue. What can I do to help maintain my weight and build strength? You can also try some upper body exercises while sitting in a chair – moving your arms up and down and front to back can help maintain flexibility. Making a fist and lifting your arms up and down in front of you can increase strength. Note the type of exercises or other physical activities you do and how they affect your mood and energy level. Nutritionists and physical or occupational therapists can advise you on other ways to maintain your weight and build strength as you cope with cancer. more...



Weight Loss Despite a Good Appetite

Weight Loss Despite a Good Appetite. Endocrine disorders, such as diabetes or hyperthyroidism, have weight loss and increased appetite as their major symptoms. Weight loss and a healthy appetite could just be part of a natural process if you are just starting an exercise program. If you experience sudden weight loss and and have an increased appetite, it's best to contact your doctor immediately. Problems with the gastrointestinal tract, where food absorption takes place, can also be responsible for weight loss despite a healthy appetite. These disorders - referred to as "malabsorption syndromes" - will have other symptoms along with the weight loss and appetite, including fat in the stool, diarrhea, flatulence, cramps and bloating. Symptoms of type 1 diabetes include weight loss and increased appetite, fatigue, increased thirst and urination, and nausea and vomiting. It has similar symptoms as type 1 but does not usually have weight loss as one of them. Not all problems associated with weight loss and a hearty appetite are the result of an underlying disorder. Consider if one of these factors is causing your weight loss. Cancer, drug use, depression and eating disorders, such as bulimia, can all cause rapid weight loss, even if your appetite is increased. more...



An approach to the management of

Weight loss in elderly people can have a deleterious effect on the ability to function and on quality of life and is associated with an increase in mortality over a 12-month period. We review the incidence and prevalence of weight loss in elderly patients, its impact on morbidity and mortality, the common causes of unintentional weight loss and a clinical approach to diagnosis. An approach to the management of unintentional weight loss in elderly people. Voluntary weight loss among elderly patients is also associated with increased risk of death 17 and of hip fracture, 19 which highlights the importance of maintaining weight with age. The proportion of elderly people who experience rapid (within 6 months), severe (≥ 7.5% of baseline body weight) and unexplained weight loss is only 0.45%. Weight loss exacerbates the loss of fat-free mass (sarcopenia) associated with aging, 42 which leads to functional decline and fractures. 43 , 44 Many elderly patients with unintentional weight loss are experiencing concomitant malnutrition 45 and thereby have cachexia. 4 , 29 All elderly patients with weight loss should undergo screening for dementia and depression 30 by using instruments such as the Mini-Mental Status Examination 49 and the Geriatric Depression Scale 50 respectively. 1: Strategies for treating weight loss in elderly patients. Unintentional weight loss is common in elderly people and is associated with significant adverse health outcomes, increased mortality and progressive disability. Unexplained weight loss in the ambulatory elderly. Unintentional weight loss: diagnosis and prognosis. Unintentional weight loss in the ambulatory setting: etiologies and outcomes [abstract]. Evaluating and treating unintentional weight loss in the elderly. more...



Colon Cancer and Unexplained Weight Loss

Many of us wouldn't want to question unexplained weight loss. We'd just be happy to be losing weight! Though the prospect of losing weight without even trying may seem like a blessing, it really is something to question. Reasons for Unintentional Weight Loss. Possible causes of unintentional weight loss include depression, frequent diarrhea, hyperthyroidism (an overactive thyroid gland), infection, poor nutrition, AIDS, and cancer. If you're trying to figure out why someone else is losing weight unintentionally, you may also want to look into drug abuse, eating disorders, and smoking. Unexplained Weight Loss and Colon Cancer. You're unlikely to notice the diversion of blood and nutrients, but sometimes tumors release chemicals that increase the body's metabolism (such as burn calories faster), which can lead to unexplained weight loss. Medical Attention for Unexplained Weight Loss. (That would be about 10 pounds for a 200-pound person.) You should also call your doctor if you experience unexplained weight loss in conjunction with other potential colon cancer symptoms . "Colon Cancer: Signs and Symptoms." Mayo Clinic 17 Aug. "Signs and Symptoms of Cancer." American Cancer Society 28 Feb. "Weight Loss - Unintentional." National Institutes of Health 22 Jan. If you're trying to figure out why someone else is losing weight unintentionally, you may also want to look into drug abuse, eating disorders , and smoking. more...



Unintentional weight loss in older adults - PubMed Central

Given that unintentional weight loss is a common condition among older adults and is associated with adverse outcomes, our objective was to review the evidence regarding risk factors, differential diagnosis, prognosis, investigation and treatment of unintentional weight loss in this population. Based on evidence from a large cohort study that involved 4010 persons aged 65 years and older from 11 cities in Europe, the most common independent factors associated with unexplained weight loss are those related to food intake. 10 In multivariate analysis, only difficulties in bringing food to the mouth and chewing were significantly associated with weight loss. A chart review of 290 medical records from many centres in the United States that included long-term care residents and home care clients found six factors to be associated with unexplained weight loss. A cross-sectional study of 68 community-dwelling older adults in the midwestern United States (with an average age of 86 years and 51 of whom were women) showed that depression (using the Geriatric Depression Scale) was independently associated with weight loss (OR 1.65, 95% CI 1.12–2.43). 12 Another prospective study (n = 309) found that psychiatric and psychological diseases are one of the primary reasons for unexplained weight loss. Another prospective trial randomized 29 dieticians to the provision of usual nutritional care or a new medical nutritional therapy protocol for prevention and treatment of unexplained weight loss among long-term care residents. One study also looked at the use of dronabinol for unexplained weight loss. Medications that are not clearly required and that may be contributing to the weight loss should be discontinued or appropriate alternatives considered. What is the prognosis for those with unintentional weight loss? Although treatment remains a challenge, clinicians should attempt to identify and address factors that may be contributing to the weight loss. A comprehensive history and physical examination has the greatest potential for eliciting the cause(s) of weight loss. more...



Unexplained, Sudden Weight Loss in Cats

There are a variety of different conditions in the gastrointestinal tract that may cause cat weight loss. Common GI problems that produce weight loss in cats include inflammatory bowel disease, food allergies, or certain infections. Also known as worms, intestinal parasites may be the cause of your cat’s unintentional weight loss. Many elderly cats exhibit weight loss, and it can be difficult to determine the precise cause of the problem, especially because metabolism changes with age. In addition to weight loss, hyperthyroidism may cause vomiting, diarrhea, and muscle wasting. To determine what is causing your cat’s weight loss and design the best treatment plan for you and your pet, your veterinarian will likely do a complete physical exam, blood work, and urinalysis. Depending on the reason for your cat’s weight loss, a variety of treatments and dietary changes to treat the underlying condition and restore weight may be prescribed. The weight loss caused by certain conditions of the gastrointestinal tract may be addressed, either solely or in part, by making appropriate changes to your cat’s diet. Cats that lose weight because of food allergies may recover completely when the offending foods are removed from their diet. more...



Unexplained Weight Loss

Understanding unexpected weight loss. What are some possible causes of weight loss, what questions might your doctor ask, and what can you expect as you and your doctor seek to determine the cause? What Is Unexplained Weight Loss? Weight loss may occur because you are eating less, or because your body is using nutrients differently due to a change in your metabolism or the growth of a tumor. If you are losing weight without trying it is important to make an appointment to see your doctor, even if you think there is an explanation for your weight loss. Diagnosing Weight Loss That Isn’t Intentional. If you have unintentional weight loss, your doctor will first take a careful history and do a physical exam. How fast have you been losing weight? Have you ever had weight loss like this before? How upsetting is the weight loss to you? Causes of Unexplained Weight Loss. There are many reasons for unexplained weight loss, some serious, and some more of a nuisance. Importance of Unintentional Weight Loss. Unintentional weight loss in older adults . Weight Loss – Unintentional. more...



Cancer and Weight Loss as a Symptom

Unexplained weight loss can be a symptom of many conditions - cancer included. Weight Loss and Cancer. Unintentional weight loss can be a symptom of cancer , though vague and non-specific. When To See Your Doctor About Weight Loss. Generally, you should see your doctor if you have lost 5 percent of your body weight within six months or less and have done so without modifying your diet or exercising. Your doctor may ask you several questions to help identify why you are losing weight. Your doctor will want to know the basics like when you first started to lose weight and how much you have lost. Remember, Weight Loss Doesn't Mean You Have Cancer. You may also get a better understanding of what your symptoms, like weight loss , may mean by using the About.com Symptom Checker , an interactive health education tool. more...



I'm Losing Weight and Have No Appetite

However, if you continue to lose weight over an extended period of time due to a decrease in your appetite, you can lose too much weight. Everyday factors can contribute to a decreased appetite and unintentional weight loss. Or more, or if you lose 5 percent or more of your overall body weight. In some cases, you can easily pinpoint the reasons for your loss of appetite and weight loss. If you have recently experienced the loss of a loved one, or you are having difficulties in one or more of your relationships, you may also notice a decreased appetite and eventual weight loss. A dysfunction of your endocrine system resulting in diseases such as diabetes and disorders of your thyroid and adrenal glands can also cause appetite changes and weight loss. Your doctor will likely ask you many questions regarding your loss of appetite and weight. She will likely ask you about your diet, how often you are eating, and how much weight you have lost. She may even ask you questions regarding your mental health, since depression can also cause appetite loss. Your doctor will evaluate all of your answers closely to narrow down the causes and eventually pinpoint the cause of your decreased appetite and weight loss. more...



An approach to the management of

An approach to the management of unintentional weight loss in elderly people. Weight loss in elderly people can have a deleterious effect on the ability to function and on quality of life and is associated with an increase in mortality over a 12-month period. We review the incidence and prevalence of weight loss in elderly patients, its impact on morbidity and mortality, the common causes of unintentional weight loss and a clinical approach to diagnosis. Voluntary weight loss among elderly patients is also associated with increased risk of death 17 and of hip fracture, 19 which highlights the importance of maintaining weight with age. 7.5% of baseline body weight) and unexplained weight loss is only 0.45%. Weight loss exacerbates the loss of fat-free mass (sarcopenia) associated with aging, 42 which leads to functional decline and fractures. 43 , 44 Many elderly patients with unintentional weight loss are experiencing concomitant malnutrition 45 and thereby have cachexia. 4 , 29 All elderly patients with weight loss should undergo screening for dementia and depression 30 by using instruments such as the Mini-Mental Status Examination 49 and the Geriatric Depression Scale 50 respectively. 1: Strategies for treating weight loss in elderly patients. Unintentional weight loss is common in elderly people and is associated with significant adverse health outcomes, increased mortality and progressive disability. Unexplained weight loss in the ambulatory elderly. Unintentional weight loss: diagnosis and prognosis. Unintentional weight loss in the ambulatory setting: etiologies and outcomes [abstract]. Evaluating and treating unintentional weight loss in the elderly. more...



Older Clients and Eating Disorders - Today's Dietitian

With the increasing prevalence of eating disorders among older adults, it’s important to recognize the symptoms and learn how to help care for these aging patients. Eating disorders such as anorexia nervosa and bulimia can occur insidiously and surreptitiously in the elderly, often because of the multiple other causes of unintentional weight loss that commonly accompany the aging process. Learn about the issues underlying the growing prevalence of eating disorders in the elderly, the contributing factors to weight loss, strategies for managing the disease, and the part dietitians play in caring for this vulnerable population. The causes of weight loss in ambulatory patients may differ from those of long term care facility residents.3 In one study, depression was identified in 36% of nursing home residents with unintentional weight loss.8 In another study, overall, psychiatric disorders, including depression, accounted for 58% of the cases of involuntary weight loss in nursing home patients.3 Lower socioeconomic status and functional disabilities also can contribute to involuntary weight loss in elderly patients.5. It’s important for a patient’s family and friends to be supportive and to understand that anorexia nervosa in the elderly isn’t merely a manifestation of a person’s stubbornness and refusal to eat but a serious and potentially lethal mental disorder. Loss of appetite isn’t intrinsically a normal characteristic of aging.2 However, with an increasingly older population, more cases of eating disorders in the elderly are being reported. • Seek ongoing supervision with a clinical psychologist trained in eating disorders and the elder population. • Recognize symptoms of malnutrition (physical, behavioral, and emotional) and refeeding in the elderly. • Eating Disorders: Critical Points for Early Recognition and Medical Risk Management in the Care of Individuals With Eating Disorders by the Academy for Eating Disorders Medical Care Standards Task Force. Evaluating and treating unintentional weight loss in the elderly. Low body weight and weight loss in the aged. Unexplained weight loss in the ambulatory elderly. Diagnosis and management of weight loss in the elderly. more...




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