OverviewWeight loss occurs when a person burns more calories, or energy, than he or she takes in. It may be deliberate or unintentional.
What is going on in the body?A loss of weight is due to one of three factors:
• fewer calories are consumed
• more calories or energy are burned off during activity
• a person's basic resting metabolism speeds up
Weight loss may or may not be intended. Unplanned weight loss is often a sign of serious illness.
What are the signs and symptoms of the condition?Weight loss through physical activity and eating a proper diet should not cause concern. Rather, the person usually feels healthier. Intentional weight loss through unhealthy means, such as smoking or misuse of diuretics, causes other health consequences.
Unintended weight loss is a cause for concern. In this setting, the healthcare professional will need more information, such as:
• How much weight has been lost?
• When did the weight loss start?
• Has the person's appetite or thirst level changed?
• Has the person's diet changed?
• Has the person's activity level changed?
• Has there been a change in the person's bladder or bowel habits?
• Has the person's mood changed?
• What medicines, drugs, herbs, or other substances is the person taking?
• What other medical conditions does the person have?
• Are there any other symptoms, such as fever or weakness?
What are the causes and risks of the condition?
Some of the causes of weight loss are as follows: cancer, including colon cancer, lung cancer, cancer of the pancreas, or leukemia
conditions that affect the ability of the intestines to absorb food and other nutrients
diabetes, a condition that results in high blood glucose levels
digestive diseases, such as inflammatory bowel disease
or peptic ulcers
hormone imbalances, such as an increased thyroid hormone level known as hyperthyroidism
increased level of physical activity, due to exercise or manual labor
infections, such as HIV
or tuberculosis
intake of fewer calories
medicine or drugs, such as amphetamines, ephedrine, cocaine, heroin, or alcohol
psychiatric conditions, such as depression, anorexia, or schizophrenia
severe kidney, liver, or heart disease
What can be done to prevent the condition?
For unintended weight loss, prevention is related to the cause. Avoiding the drugs that cause weight loss could prevent those cases due to drugs. Practicing safest sex can nearly eliminate the risk of sexually-transmitted HIV infection. Practicing safer sex can reduce, but not eliminate, cases due to sexually-transmitted HIV infection. Many cases of unintended weight loss cannot be prevented.
How is the condition diagnosed?
In some cases, the cause of the weight loss is obvious from the medical history and a physical exam. In other cases, further tests are needed. Blood and urine tests may be ordered to diagnose underlying health problems. X-ray tests may be done, such as a chest X-ray to look for heart or lung disease. An abdominal CT scan can be used to look for cancer of the pancreas or liver.
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HEALTH CENTERS
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