OverviewMost people have experienced a temporary loss of appetite at some time. This is rarely a worrisome symptom unless it lasts for more than a day or two.
What is going on in the body?A loss of appetite can be quite concerning when it fails to go away. It can be a sign of a serious underlying condition, such as depression or cancer. It also commonly occurs during a sudden illness, such as an infection. When a loss of appetite continues for a long time, a person is at risk for malnutrition.
What are the signs and symptoms of the condition?The healthcare professional will need more information when a person mentions losing his or her appetite. For instance, he or she may ask:
• when the loss of appetite started
• whether the change in appetite was gradual or sudden
• whether the person feels sick or not
• whether any weight loss has occurred
• whether the change in appetite is constant, or comes and goes
• what medications or drugs a person takes, if any
• what other medical conditions a person has, if any
• whether the loss of appetite is for all food, or just certain foods
• how the person's mood has been
• how food tastes when it is eaten
• whether the person has recently undergone any significant life changes or traumas
What are the causes and risks of the condition?
There are many causes of a loss of appetite that continues for more than a few days, including: infections, such as pneumonia, hepatitis, HIV, influenza, or a kidney infection called pyelonephritis
serious liver, kidney or heart disease. For instance, chronic renal failure, cirrhosis, or congestive heart failure
can cause a loss of appetite.
cancer of any kind, such as colon cancer, stomach cancer, or a blood cancer called leukemia
blockage in the bowels, known as intestinal obstruction
inflammation in the bowels or gut, such as occurs with pancreatitis, an inflammation in the pancreas, irritable bowel syndrome, or appendicitis
endocrine problems, such as diabetes mellitus, or a condition that causes low thyroid hormone levels called hypothyroidism
autoimmune disorders, conditions in which a person's immune system attacks his or her own body. Examples include rheumatoid arthritis
and scleroderma.
psychiatric conditions, such as depression, schizophrenia, or an eating disorder called anorexia nervosa
medications or drugs, such as alcohol, narcotics, antibiotics, chemotherapy
medications used to treat cancer, and a diabetes medication called metformin
pregnancy
dementia, such as Alzheimer's disease, a condition that causes decreased memory and a decline in other brain functions
What can be done to prevent the condition?
Prevention is related to the cause. For instance, avoiding drugs known to cause a loss of appetite can prevent cases due to drugs. Proper control of diabetes can prevent cases due to this cause. Many cases cannot be prevented.
How is the condition diagnosed?
In some cases, the diagnosis is obvious from the history and physical exam. In other cases, further tests will be needed, depending on the suspected cause. For instance, blood tests can help diagnose diabetes, hormone imbalances, and liver disease.
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HEALTH CENTERS
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