HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Quick Weightloss

default
Posted on Wed, 24 Sep 2014
Question: My wife lost 55 lbs in 8 mo she is 5/4 and 60 years old she was 155 now she is 98 lbs she talks to her self all day and night she has a peg line and dont want anything she says its her throth or neck when she takes adavin she will eat and calm down what is her problem thanks
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Significant weight loss, needs work up

Detailed Answer:
Thank you for asking
Adavin is an anxiolytic and i don't think mere anxiety can cause so much weight loss. This is called significant weight loss and it needs work up to sort out and rule out any harmful etiologies.
PEG percutaneous endoscopic gastrostomies lines are also notorious for weight imbalances and can be considered a cause here but it needs work up to confirm.

below is the long list of possibilities for such a significatn weight loss and they need to be addressed before it is too late.

Loss of appetite and conditions that prevent food consumption, eg dysphagia, painful mouth sores, newly applied orthodontic appliances, or loss of teeth.
Persistent vomiting, eg pyloric stenosis, hiatus hernia.
Malabsorption, eg coeliac disease, chronic pancreatitis, Crohn's disease, gastrointestinal infection, gastrointestinal fistulas, carcinoid, intestinal hypermotility, hepatobiliary disease, food intolerance.
Medication, especially polypharmacy in the elderly.
Endocrine: diabetes mellitus, hyperthyroidism, Addison's disease, gut hormone tumours (eg VIPoma).
Malignancy: lymphoma, leukaemia, carcinoma, sarcoma.
Systemic disease, eg heart failure, chronic respiratory disease, chronic renal failure, liver failure, rheumatoid arthritis, systemic lupus erythematosus.
Acute infection.
Chronic infections and infestations, eg tuberculosis, HIV (one in ten in one study),[2] parasitic infections.
Drug abuse, heavy smoking.
Malnutrition, social isolation.
Psychological: stressful life events, depression, anorexia nervosa, psychoses, manipulative behaviour, food phobias.

Nut shell, get to an internal medicine expert and let them connect the dots and make a complete clinical correlation for further management.

I hope it helps. take good care of your wife and do as directed. Dont forget to close the discussion please.

May the odds be ever in your favour.
regards
Khan
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Quick Weightloss

Brief Answer: Significant weight loss, needs work up Detailed Answer: Thank you for asking Adavin is an anxiolytic and i don't think mere anxiety can cause so much weight loss. This is called significant weight loss and it needs work up to sort out and rule out any harmful etiologies. PEG percutaneous endoscopic gastrostomies lines are also notorious for weight imbalances and can be considered a cause here but it needs work up to confirm. below is the long list of possibilities for such a significatn weight loss and they need to be addressed before it is too late. Loss of appetite and conditions that prevent food consumption, eg dysphagia, painful mouth sores, newly applied orthodontic appliances, or loss of teeth. Persistent vomiting, eg pyloric stenosis, hiatus hernia. Malabsorption, eg coeliac disease, chronic pancreatitis, Crohn's disease, gastrointestinal infection, gastrointestinal fistulas, carcinoid, intestinal hypermotility, hepatobiliary disease, food intolerance. Medication, especially polypharmacy in the elderly. Endocrine: diabetes mellitus, hyperthyroidism, Addison's disease, gut hormone tumours (eg VIPoma). Malignancy: lymphoma, leukaemia, carcinoma, sarcoma. Systemic disease, eg heart failure, chronic respiratory disease, chronic renal failure, liver failure, rheumatoid arthritis, systemic lupus erythematosus. Acute infection. Chronic infections and infestations, eg tuberculosis, HIV (one in ten in one study),[2] parasitic infections. Drug abuse, heavy smoking. Malnutrition, social isolation. Psychological: stressful life events, depression, anorexia nervosa, psychoses, manipulative behaviour, food phobias. Nut shell, get to an internal medicine expert and let them connect the dots and make a complete clinical correlation for further management. I hope it helps. take good care of your wife and do as directed. Dont forget to close the discussion please. May the odds be ever in your favour. regards Khan