Progressive weight loss

Introduction Progressive wasting refers to a progressive, short-term, weight-measured comparison of body weight before and after weight loss, and obvious clothing widening, loosening of the belt, increased shoes and reduced subcutaneous fat, muscle weakness, sagging skin, bone protrusion, etc. circumstantial evidence.

Cause

First, insufficient food intake

(1) Malnutrition and rickets in children are caused by less food intake, lack of nutrients in the body, or weight loss caused by partial eclipse or improper feeding in children.

(2) Weight loss caused by eating or swallowing difficulties: common in oral ulcers, mandibular arthritis, osteomyelitis and esophageal tumors.

(3) weight loss caused by anorexia or loss of appetite: common in anorexia nervosa, chronic gastritis, adrenal insufficiency, acute and chronic infection, uremia and malignant tumors. Unilateral leg pain caused by no inducement is often mistaken for muscle pain and neglected. In fact, it is likely to indicate the formation of blood clots. Long-term lazy life can cause slow blood flow, especially those with a history of smoking, blood cells are more likely to gather together, leading to thrombosis. If left untreated, the pain will be more severe, causing swelling of the legs and difficulty walking.

Second, food digestion, absorption, utilization disorders: more common weight loss with loss of appetite, eating or swallowing difficulties, acid reflux, abdominal distension, long-term diarrhea. Common diseases are:

(1) Chronic gastrointestinal diseases: common in gastric and duodenal ulcers, chronic gastritis, gastrointestinal tumors, chronic colitis, chronic enteritis, intestinal tuberculosis and Crohn's disease.

(2) Chronic liver, gallbladder, pancreas: such as chronic hepatitis, cirrhosis, liver cancer, chronic biliary infection, chronic pancreatitis, gallbladder and pancreatic tumors.

(3) long-term laxatives or drugs that are irritating to the stomach and intestines.

Third, food needs to increase or consume too much: such as growth, development, pregnancy, breastfeeding, overwork, hyperthyroidism, long-term fever, malignant tumors, trauma and major surgery.

an examination

Related inspection

Thyroxine (T4) thyroid iodine test

The appetite is good, but when people are not fat, they lose weight. Loss of appetite is even thinner. Progressive wasting should be differentiated from the following diseases:

1. Consumptive weight loss: refers to the performance of weight loss caused by consumptive diseases, which can be found in tuberculosis, diabetes, hyperthyroidism and the like.

2, systemic weight loss: refers to the body caused by disease or some factors, weight loss, common in neuroendocrine and metabolic diseases, malignant tumors, chronic infections, digestive tract diseases, mental anorexia (neurolyorexia), severe trauma With burns.

Differential diagnosis

1. Consumptive weight loss refers to the performance of weight loss caused by consumptive diseases, which can be found in tuberculosis, diabetes, hyperthyroidism and the like.

2, systemic weight loss refers to the body's weight loss due to disease or certain factors, common in neuroendocrine and metabolic diseases, malignant tumors, chronic infections, digestive tract diseases, anorexia nervosa (nervous anorexia), severe trauma and burn.

3, simple weight loss including physical weight loss and exogenous weight loss. Institutional wasting is mainly non-gradual weight loss and has certain heritability. Exogenous wasting is usually affected by various factors such as diet, lifestyle and psychology. Insufficient food intake, partial eclipse, anorexia, missing meals, irregular life and lack of exercise, eating habits and work stress, mental stress and excessive fatigue are the causes of exogenous wasting. Simple upper body weight loss is a manifestation of progressive lipodystrophy. Progressive lipodystrophy is a rare autonomic nervous system disorder characterized by adipose tissue metabolic disorders. The clinical and histological features are slowly progressive bilateral distribution with substantially symmetrical, well-defined, subcutaneous adipose tissue atrophy or Disappeared, sometimes combined with limited adipose tissue hyperplasia, hypertrophy.

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