[25F] Experiencing rapid weight loss and night sweats

Patient Description

A 25-year-old female is reporting significant rapid weight loss of 10 pounds in less than 2 weeks, accompanied by a lack of appetite, severe weakness, exhaustion, and night sweats. Despite efforts to alleviate the night sweats by adjusting the sleeping environment, they persist nightly. Additionally, the patient is experiencing sore abdominal muscles as if after an intense workout, which began 4 days ago. The patient has a history of Ehlers Danlos Syndrome, diagnosed in 2019, and had a duodenal switch procedure in 2022, but her weight had stabilized since then. She is not currently on any medications and has no known drug allergies.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Infection: Certain infections can cause symptoms such as rapid weight loss, lack of appetite, exhaustion, night sweats, and muscle soreness. These could include viral infections like HIV, or bacterial infections like tuberculosis.

    • Treatment would depend on the specific infection, but could include antibiotics or antiviral medications.
  • Cancer: Although less likely at your age, certain types of cancer can cause similar symptoms. Lymphoma, for example, often causes night sweats, weight loss, and fatigue.

    • Treatment would typically involve chemotherapy, radiation, or surgery.
  • Endocrine disorders: Conditions such as hyperthyroidism or Addison's disease can cause weight loss, fatigue, and other symptoms.

    • Treatment would typically involve hormone replacement therapy.
  • Mental health conditions: Conditions such as depression or anxiety can cause a loss of appetite and fatigue.

    • Treatment would typically involve therapy and/or medication.
  • Malabsorption: Given your history of a duodenal switch, it's possible that you're not absorbing nutrients properly, which could cause weight loss and fatigue.

    • Treatment would typically involve dietary changes and possibly supplements.

What you can do

Given the severity and duration of your symptoms, it's important to see a healthcare provider as soon as possible. They can perform a physical examination and order tests to help determine the cause of your symptoms. In the meantime, try to stay hydrated and eat small, frequent meals if you can.

What you should look out for

Seek immediate medical attention if you develop any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • A fever over 100.4°F
  • Difficulty breathing
  • Confusion or difficulty staying awake

Remember, this advice is meant to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for accurate information.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What could be causing rapid weight loss and night sweats in a young adult?

Rapid weight loss and night sweats in a young adult could be caused by infections (such as HIV or tuberculosis), endocrine disorders (like hyperthyroidism), or even certain cancers (such as lymphoma). It's important to consult a healthcare provider for a proper diagnosis.


How can Ehlers Danlos Syndrome affect symptoms like muscle soreness and fatigue?

Ehlers Danlos Syndrome can lead to joint and muscle pain due to hypermobility and connective tissue issues, which might contribute to muscle soreness and fatigue. However, these symptoms could also be related to other underlying conditions.


What are the potential complications of a duodenal switch procedure?

A duodenal switch procedure can lead to malabsorption, which might cause nutrient deficiencies, weight loss, and fatigue. It's important to monitor nutritional intake and consult with a healthcare provider for appropriate dietary adjustments.


When should someone seek immediate medical attention for symptoms like these?

Immediate medical attention should be sought if there are symptoms like severe abdominal pain, blood in stool or vomit, a fever over 100.4°F, difficulty breathing, or confusion. These could indicate serious complications that require urgent care.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback