[42F] Experiencing severe hunger and weight loss

Question

Could this be a tapeworm or a parasite?

Patient Description

A 42-year-old female reports experiencing severe hunger even after eating well, accompanied by a 10-pound weight loss over the past week. The symptoms began suddenly two days ago. The patient also experiences sudden vomiting, particularly if eating or drinking too quickly, and constant abdominal pain located above the belly button and under the lungs. The patient has been under stress, although it is described as usual and not extreme. The last bowel movement was yesterday, with no noted changes in stool color or consistency. The patient denies any relief from the severe hunger and reports no other significant symptoms such as increased thirst or urination.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Hyperthyroidism: This condition occurs when your thyroid gland is overactive and produces too much thyroid hormone. It can lead to symptoms such as unexplained weight loss, increased appetite, and increased thirst. Vomiting can also occur in some cases. A blood test to check your thyroid hormone levels can help diagnose this condition.

  2. Diabetes Mellitus: Sudden weight loss, increased hunger, and increased thirst can be signs of diabetes, particularly if your body is not using glucose properly. This can also lead to nausea and vomiting. A blood test to check your blood sugar levels can help determine if this is the cause.

  3. Gastrointestinal Issues: Conditions such as gastritis or peptic ulcers can cause abdominal pain and vomiting. These conditions can also affect your appetite and weight. An endoscopy or imaging studies may be needed to diagnose these issues.

What you can do

Severe Hunger and Weight Loss:

  • It's important to see a healthcare provider as soon as possible to determine the underlying cause of your symptoms. They may perform blood tests or imaging studies to help diagnose the issue.
  • In the meantime, try to eat small, frequent meals that are easy to digest. Foods like bananas, rice, applesauce, and toast (the BRAT diet) can be gentle on your stomach.

Vomiting:

  • Stay hydrated by sipping on clear fluids like water, broth, or an electrolyte solution. Avoid drinking too quickly to prevent further vomiting.
  • Avoid foods and drinks that can irritate your stomach, such as caffeine, alcohol, and spicy foods.

Increased Thirst:

  • Monitor your fluid intake and ensure you're drinking enough water throughout the day. However, if you find yourself excessively thirsty despite adequate fluid intake, this should be evaluated by a healthcare provider.

Consider using MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can provide valuable insights into your condition and help guide your treatment.

What you should look out for

Given the severity and sudden onset of your symptoms, it's important to seek medical attention promptly. Reasons to seek care more urgently include:

  • Persistent vomiting that prevents you from keeping fluids down
  • Severe abdominal pain that does not improve
  • Signs of dehydration, such as dizziness, dry mouth, or decreased urination
  • Any new or worsening symptoms

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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26 d ago

People Also Ask

What could cause severe hunger and weight loss despite eating well?

Severe hunger and weight loss despite eating well could be caused by conditions such as hyperthyroidism, diabetes mellitus, or gastrointestinal issues like gastritis or peptic ulcers. These conditions can affect metabolism, appetite, and digestion, leading to the symptoms described.

How can stress impact gastrointestinal symptoms like vomiting and abdominal pain?

Stress can exacerbate gastrointestinal symptoms by affecting the digestive system's function. It can lead to increased stomach acid production, which may cause or worsen conditions like gastritis or peptic ulcers, resulting in symptoms such as vomiting and abdominal pain.

What are the potential causes of sudden vomiting after eating or drinking quickly?

Sudden vomiting after eating or drinking quickly can be due to gastrointestinal issues such as gastritis, peptic ulcers, or even a reaction to stress. Eating or drinking too quickly can overwhelm the digestive system, leading to nausea and vomiting.

When should I seek medical attention for symptoms like severe hunger, weight loss, and vomiting?

You should seek medical attention if you experience persistent vomiting that prevents you from keeping fluids down, severe abdominal pain that does not improve, signs of dehydration, or any new or worsening symptoms. These could indicate a more serious underlying condition that requires prompt evaluation and treatment.

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