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What Causes Sudden Weight Loss With Loose Bowel Movement,fatigue And Night Sweats?
Question: Hi doc, I have been having a few problems as of 8 months now. Am only 120-125 lbs normally then lost 15 lbs in 3 weeks, haven't been able to get it back. My diet is healthy and no change with appetitive, I eat more in evenings than days. Had a swimmers ear for year and half that won't clear completely up. Bowels are stringy and loose. From rabbits pellets to diareha. Have sore painful belly many nights and is affecting work and no sleep. Tired too much, no energy or interest, always was energetic. Am turning 47 soon, so I have had nite sweat for a year but now they are very two weeks for a few days and only affects my chest stomach and back and when I wake the water evaporates off me in 2 minutes, soon as I sleep again within 15 mins I am soaking again my scalp is wet also. It's only when I sleep. As well I have been nauseated frequently for months and now just vomits out of the blue without warning even on empty stomach. I feel lightheaded a lot. So as u can see its so much. I am regularly checked for thyroid and diabetes, just had a spike in bp occasionally for two yrs but doc says its fine. Can u help guide me which test I shud ask my doc to focus on? Thanks
Brief Answer:
begin with ultrasound abdomen and stool examinatio
Detailed Answer:
hello and welcome,
It seems that your problem is more related to the bowel rather than perimenopause.
You also have a history of a colon issue years ago. This may again be another one as you are having irregular bowels.
You also have associated vomiting. So a gastric or intestinal condition is most likely causing this. It is difficult to pin point a cause without examination and extensive investigations but a baseline evaluation includes an ultrasound of the abdomen and a stool examination for red blood cells, ova and cysts.
With these then further investigations are a barium meal or an endoscopy or a CT[ computed tomography] scan as per case. An HIV test is also recommended.
Meanwhile I suggest that you start probiotics and eat cooked [ not raw] salads as a part of your regular meals. We also prefer to give a course of antibiotics like metronidazole or erythromycin to help clean the bowel along with probiotics.
Other reasons for weight loss include stress, imbalance between calorie intake and work and lack of sleep. So please check if any of these are present in your case.
So discuss the case with your doctors and then go for further evaluation.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
[You may also ask me direct questions at the following link. http://doctor.healthcaremagic.com/doctors/dr-madhuri-n-bagde/66844 Thanks!!]
begin with ultrasound abdomen and stool examinatio
Detailed Answer:
hello and welcome,
It seems that your problem is more related to the bowel rather than perimenopause.
You also have a history of a colon issue years ago. This may again be another one as you are having irregular bowels.
You also have associated vomiting. So a gastric or intestinal condition is most likely causing this. It is difficult to pin point a cause without examination and extensive investigations but a baseline evaluation includes an ultrasound of the abdomen and a stool examination for red blood cells, ova and cysts.
With these then further investigations are a barium meal or an endoscopy or a CT[ computed tomography] scan as per case. An HIV test is also recommended.
Meanwhile I suggest that you start probiotics and eat cooked [ not raw] salads as a part of your regular meals. We also prefer to give a course of antibiotics like metronidazole or erythromycin to help clean the bowel along with probiotics.
Other reasons for weight loss include stress, imbalance between calorie intake and work and lack of sleep. So please check if any of these are present in your case.
So discuss the case with your doctors and then go for further evaluation.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
[You may also ask me direct questions at the following link. http://doctor.healthcaremagic.com/doctors/dr-madhuri-n-bagde/66844 Thanks!!]
Above answer was peer-reviewed by :
Dr. Prasad
Yep, sounds right had an ablation 5 yrs ago, cysts on Fallopian tubes, takes naproxen one day of month which was two days ago,,didn't go to work, like appenditisitis, then it goes, but belly swollen sore and hurts li,e childbirth,,and I had three, natural, had cysts lazed a few yrs ago,,but blockage inside of tubes, never had indigestion probs before except 20 yrs ago,,took probiotics then,,and have been taking them all week now,,great improvement, but my stools are always the same?..And also thought I had parasite from 2 yrs ago when my ear thing started,,but it was a yr before I told doc,,,I ordered stool samples,,gave them to lab and they said no,,you haven't been out of country so we won't do them and ultrasound? Well they se the no need for it now,,even though I have had a history of endometri problems,,I am so turned off from the system here,,they are not helping me,,tried holistic,,that seemed to work better,,,but I am just worried bout a tutor or cancers somewhere at this point,,never threw up in my life except 5x,,but now it's constant,,my heads aches when I lY down to,,hard to sleep with itchy ears on top of all this
Brief Answer:
try antacids and see, cancer is rare
Detailed Answer:
Hello and welcome back,
I understand that the issue well.
At this point of time I would not worry so much about cancers as they are rare. The commoner causes of nausea, vomiting abdominal pain are gastritis or enteritis, that is infection of stomach or intestines, acid peptic disease or hyperacidity and gall stones.
Another way out now could be to use anta acids and eat a really bland diet low in spice and oil like cooked cereal, rice gruel, or soup [ no spice]. Drugs like pantoprazole once a day are very useful for a week. Other ones are aluminium hydroxide gel and ranitidine [ less effective]. If the symptoms decrease then the cause is acidity in the stomach. Also no alcohol or smoking as they shoot up the acidity.
The pain of gall stones is severe and does not get relieved easily even with drugs. An ultrasound helps to diagnose.
Drugs like ondensetrone help to control nausea and vomiting and simple ones like doxylamine can be had over the counter once or twice a day.
Ear infections may also cause nausea and vomiting but abdominal pain is not there in such cases.
I suggest that you see a gastroenterologist if these remedies do not work.
Also once you are relieved of these symptoms you may try natural estrogen containing products like soyabean, black kohash, yams, carrots, fenugreek, sesame seeds and clover to help decrease the menopausal symptoms.
Hope this helps you.
Let me now if there are any more queries.
I completely understand the issue.
Take care.
Dr Madhuri
try antacids and see, cancer is rare
Detailed Answer:
Hello and welcome back,
I understand that the issue well.
At this point of time I would not worry so much about cancers as they are rare. The commoner causes of nausea, vomiting abdominal pain are gastritis or enteritis, that is infection of stomach or intestines, acid peptic disease or hyperacidity and gall stones.
Another way out now could be to use anta acids and eat a really bland diet low in spice and oil like cooked cereal, rice gruel, or soup [ no spice]. Drugs like pantoprazole once a day are very useful for a week. Other ones are aluminium hydroxide gel and ranitidine [ less effective]. If the symptoms decrease then the cause is acidity in the stomach. Also no alcohol or smoking as they shoot up the acidity.
The pain of gall stones is severe and does not get relieved easily even with drugs. An ultrasound helps to diagnose.
Drugs like ondensetrone help to control nausea and vomiting and simple ones like doxylamine can be had over the counter once or twice a day.
Ear infections may also cause nausea and vomiting but abdominal pain is not there in such cases.
I suggest that you see a gastroenterologist if these remedies do not work.
Also once you are relieved of these symptoms you may try natural estrogen containing products like soyabean, black kohash, yams, carrots, fenugreek, sesame seeds and clover to help decrease the menopausal symptoms.
Hope this helps you.
Let me now if there are any more queries.
I completely understand the issue.
Take care.
Dr Madhuri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much for you help it was so informative and helpful. I will try to incorporate all the remedies you suggested. I feel less worried now. This is an awesome service to help people like this, thank you
Brief Answer:
You are welcome.
Detailed Answer:
You are most welcome and service is a pleasure for me.
Take care and get well soon.
Dr Madhuri
You are welcome.
Detailed Answer:
You are most welcome and service is a pleasure for me.
Take care and get well soon.
Dr Madhuri
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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