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What could be causing my dramatic weight loss? To give you

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an idea I've lost 20...
What could be causing my dramatic weight loss? To give you an idea I've lost 20 pounds in the last month even though I've maintained regular eating habits.
Submitted: 1 year ago.Category: Medical
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7/28/2016
Doctor: Anthony Bray, MD, Doctor replied 1 year ago
Anthony Bray, MD
Category: Medical
Satisfied Customers: 10,341
Experience: 14 years experience in the field of Family Practice
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Hello,

If you have lost 20 pounds without trying in past month then you need to get medical evaluation

What is up your age ?

Do you have any medical problems?

Take any meds ?

Problems that could lead to rapid weight loss could include many different possible problems ...type one diabetes/ diabetes insipidus / tuberculosis / various cancers / HIV -AIDS / malabsorption problems of the GI tract ...

Clues to illness might include nausea ? Fever ,chills, night sweats ? Abdominal pain? Frequent urination ? Frequent thirst ?

Let me know if you have further questions or concerns

I Will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback

Thank you and Best Regards,

Anthony Bray MD

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Customer reply replied 1 year ago
24* Not that I'm aware of* Buspar, Trazodone, Hydroxyzene, and Citalopram* I've woken up sweating, felt somewhat chilled, and had abdominal pain (also had skiing accident recently)
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Hello!

Ok well I recommend that you make appointment with your primary care doctor very soon to start evaluation ....

Keep track of daily weights ...

Check your temperature AM and PM and keep record

Also pulse rate ...

Chills / sweats / Abdominal pain / weight loss >> these symptoms need to be checked further ...you need added testing ....

I hope that this helps to point you in the right direction ...

Let me know if you have further questions

Best regards,

Anthony Bray MD

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Customer reply replied 1 year ago
Recently I've seen tons of doctors due to being concerned about my heart as well as had blood tests. None of my doctors told me I had to worry about anything. I'm confused...
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Have you specified to your doctors about the weight loss ?? That should prompt evaluation ...

What tests have you had ?

Blood tests ? CBC -- Metabolic profile ? Hemoglobin A1c / C-peptide / amylase / LIPASE / HIV / urinalysis / renal function / thyroid function / liver function ....

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

With abdominal pain I think to have an abdomnal CT may be advisable as well....

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

What is your current height and weight ??

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Customer reply replied 1 year ago
My weight is 138 and my height is 5'10"
Customer reply replied 1 year ago
I've had blood tests done
Customer reply replied 1 year ago
My thyroid, liver, etc seemed to be working fine
Customer reply replied 1 year ago
There's NO reason I'd possibly have HIV or AIDS
Customer reply replied 1 year ago
My hemoglobin was fine as well
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Ok ...your current BMI is 19.8 ...low normal as underweight starts at 18.5 BMI ( 128 pounds )

Yet the unwanted WEIGHT LOSS remains disturbing and needs explanation...

Tests that you report this far seem fine I agree ...more extensive tests needed in my opinion however....

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

No diarrhea ?? No frequent urination problems??

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Customer reply replied 1 year ago
I have been going to the restroom a lot but I'm wondering if lack of sleep coudl cause this
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

It matters too as to how your weight behaves from this point forward as well....

If same in 2 weeks / 4 weeks / 6 weeks then that paints less concern than continuing unexplained weight loss...

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Lack of sleep should not itself ...

Do you take any stimulants ? Caffeine / Adderall / Ritalin / cocaine / amphetamines ....

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Customer reply replied 1 year ago
Well for about a month me weight has been around 136 - 140. Before this month I weighed something like 160 so this has concerned me as well.
Customer reply replied 1 year ago
Caffeine is the only of those I take
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

I agree that an unexpected drop from 160 is of concern ...

So for past month more stable weight then?

Have you had other improvement such as less abdominal pain??

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Customer reply replied 1 year ago
Over the past month my weight hasn't changed drastically
Customer reply replied 1 year ago
I haven't really seen many improvements
Customer reply replied 1 year ago
I've been fairly tired recently
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

So it may have been a GI problem....

Ok the fatigue may also be a clue symptom ...broad in nature on that however

.

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Customer reply replied 1 year ago
what do you mean by a GI problem
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Diarrhea ? You might benefit to have stool studies sent ..

GI --- gastrointestinal....

Small intestine or colon .....

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Customer reply replied 1 year ago
Would you worry about this a lot
Customer reply replied 1 year ago
What would you do to solve this besides see a doctor
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

I would take it seriously ...

Recommend that you see a gastroenterologist ...

The gastrointestinal tract seems to be more the source of the weight loss problem....

I don't have an alternative really to good medical evaluation and care

I agree it is encouraging that your weight loss seems to have stabilized ...

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Customer reply replied 1 year ago
Could this be life threatening
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

I don't know what your diagnosis is so impossible to give you any reasonable prognosis ....

That being said I think it is a good sign that you have had stabilized weight and the rapid drop has tapered off...

You might have an intestinal parastic infection as one of many possible issues ...

I do strongly advise that you follow though with this issue however ...

It could be that one week of an antibiotic may completely put you back on tract ....

Certain problems could be of more serious nature ...

I hope that this is helpful for you

Let me know if you have further questions or discussion

Best regards!

Please remember to leave positive feedback on this thread...

Thank you !

Anthony Bray MD

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Customer reply replied 1 year ago
I apparently weight 135 so this does concern me given I used to be 160
Customer reply replied 1 year ago
If we could I'd like to talk more
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Hello again,

Yes I'm here ..mtgat is fine ..

I agree that your continued loss is of concern and needs further work up...

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Customer reply replied 1 year ago
Could something serious be going on?
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Yes it could be of a serious nature ..

I would probably focus on the GI tract as I believe you mentioned some abdominal pain...?

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Do you have diarrhea or multiple bowel movements per day ??

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

You may have problem of malabsoption for some reason...

It could be certain intestinal problems / Crohn's disease / Celiac disease / SIBO....others ...

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Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Do you have frequent urination ?? Frequent thirst??

Onset of type one diabetes can present like this ....

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Customer reply replied 1 year ago
I have
Customer reply replied 1 year ago
I don't have a lot of bowl movements or diarrhea
Customer reply replied 1 year ago
I urinate about three to four times a day
Customer reply replied 1 year ago
Is it possible I was gaining weight before due to being depressed?
Customer reply replied 1 year ago
Now I'm happier and have a stable job and ever since this I've been losing weight
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Hello again,

Yes possible ...

What was your weight prior ?

Age 20? 22??

If you had a stable platform then gained with depression it is possible change in mood state could correspond as reason ...

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Customer reply replied 1 year ago
150 poundsI'm 24 years old
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Hello again,

So at 135 you seem well below your normal baseline ..

I think that you need further work up in this case ...

The cause of your weight loss is not clear at this point ....

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Customer reply replied 1 year ago
Could've I been gaining weight due to depression?
Customer reply replied 1 year ago
Not to be rude but that's a YES or NO question
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Yes you could gain weight ( or lose) due to depression but it sounds that your baseline was 150...Age 20..22 or later ??

Then max up to 160...correct??

Then you lost to 136 to 140 within past month ...

Latest 135 ...

So trend seems to be continuing // investigation to cause seems to be needed at this time ...

If next week's show stable or gain that would be helpful ...

Let me know if you have further questions or discussion

Best regards,

Anthony Bray MD

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Customer reply replied 1 year ago
I recently took a meds for anxiety and my heart is going fast and I'm feeling mentally slow. Could this be serious?
Customer reply replied 1 year ago
This has been going on for about an hour
Doctor: Anthony Bray, MD, Doctor replied 1 year ago

Hello again,

Only one hour favors that it may be as much anxiety here with these recent symptoms I think ...the meds you took for anxiety may have had a sweating effect on you as to feel mentally slow ....

How is the pulse rate ?? The actual rate would be helpful to know ...

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