[72M] Experiencing weight loss and gastrointestinal symptoms

Patient Description

A 72-year-old male reports significant weight loss of 10 kg over the past 2 months, with clothes fitting more loosely. The patient has a history of atrophic gastritis diagnosed 5 years ago, which has recently worsened. Accompanying symptoms include nausea, malnutrition, loss of appetite, and constipation, with bowel movements occurring only once a week for the last month, described as dry. Additionally, the patient experiences weakness, rating it 10 out of 10 in severity, and gets tired very quickly from performing mundane tasks. This weakness has been present for one month. There is no history of recent injuries, accidents, or observed blood in the stool.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are a few possible explanations for your symptoms:

  • Malnutrition: This can result from not getting enough nutrients in your diet, which can lead to weight loss, weakness, and constipation. Given your history of atrophic gastritis, your body may not be absorbing nutrients as well as it should.

    • Treatment typically involves dietary changes and sometimes supplements to ensure you're getting the nutrients you need. In severe cases, you may need to be fed through a tube or IV.
  • Gastrointestinal obstruction: This could be causing your constipation and loss of appetite. In severe cases, it can lead to malnutrition and weight loss.

    • Treatment typically involves removing the obstruction, which might require surgery in some cases.
  • Depression: This can cause a loss of appetite, weight loss, and constipation. It can also make you feel weak or tired.

    • Treatment typically involves therapy and/or medication.

What you can do

  1. Try to eat small, frequent meals. This can be easier on your stomach than three large meals a day.
  2. Drink plenty of fluids to help with constipation.
  3. Try to get some light exercise each day, such as walking. This can help stimulate your appetite and improve your strength.
  4. Consult a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Reasons to seek urgent medical attention:

  • If you notice blood in your stool or black, tarry stools
  • If you develop severe abdominal pain
  • If you become so weak that you have trouble standing or walking
  • If you develop a fever (temperature over 100.4°F) or chills

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and treatment plan.

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10 mo ago

People Also Ask


What are the common symptoms of atrophic gastritis and how can it affect nutrient absorption?

Atrophic gastritis is a condition where the stomach lining becomes thin and loses its ability to produce stomach acid and enzymes. This can lead to poor absorption of nutrients like vitamin B12, iron, and calcium, causing symptoms such as fatigue, weakness, and weight loss.


How can malnutrition lead to symptoms like weight loss and weakness?

Malnutrition occurs when the body doesn't get enough nutrients, leading to weight loss, muscle weakness, and fatigue. It can result from poor diet, absorption issues, or increased nutritional needs due to illness.


What are the potential causes of constipation in older adults?

Constipation in older adults can be caused by a variety of factors including reduced physical activity, inadequate fluid intake, low fiber diet, certain medications, and underlying medical conditions like gastrointestinal obstruction.


How can depression contribute to physical symptoms such as loss of appetite and fatigue?

Depression can lead to physical symptoms such as loss of appetite, weight loss, and fatigue due to changes in brain chemistry that affect mood and energy levels. It can also cause a lack of interest in eating and difficulty sleeping, further contributing to these symptoms.


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