Ascariasis Aspergillosis Atypical antidepressants Atypical cells: Are they cancer? This site complies with the HONcode standard for trustworthy health information: verify here. It is important to recognize the warning signs. Peptic ulcers are a fairly common health problem. Your suggestions will unexplained weight loss at 60 us improve this article. To find the most current information, please enter your topic of interest into our search box.
GADDEY, MD, Ehrling Bergquist Family Medicine Residency Program, Offutt Air Force Base, Nebraska KATHRYN HOLDER, MD, David Grant Medical Center, Travis Air Force Base, California. Patient information : See handout on unintentional weight unexplained weight loss at 60 in older adultswritten by the authors of this article. This clinical content conforms to AAFP criteria for continuing medical education CME. See CME Quiz Questions.
Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality. The most common etiologies are malignancy, nonmalignant gastrointestinal disease, and psychiatric conditions. Overall, nonmalignant diseases are more common causes of unintentional weight loss in this population than unexolained. Medication use and polypharmacy uneexplained interfere with taste or cause nausea and should not be overlooked.
Social factors may contribute to unintentional weight loss. Recommended tests include a complete blood count, basic metabolic panel, liver function tests, thyroid function tests, C-reactive protein levels, erythrocyte sedimentation rate, glucose measurement, lactate dehydrogenase measurement, and urinalysis. Chest radiography and fecal occult blood testing should be performed. Abdominal ultrasonography may also be considered. When baseline evaluation is unremarkable, a three- to six-month observation period is justified.
Treatment focuses on the underlying cause. Nutritional supplements and flavor enhancers, and dietary modification that takes into account patient preferences and chewing or swallowing disabilities may be considered. Appetite stimulants may increase weight but have serious adverse effects and no evidence of decreased mortality. Unintentional weight loss unexplained weight loss at 60. This article focuses on the evaluation, diagnosis, and potential treatments of unintentional weight loss in patients older than 65 years.
The pathophysiology of unintentional unexplzined loss is poorly understood. It is unclear whether this relationship is a direct cause or a marker for an underlying condition. Lean body mass begins to decrease up to 0. This loss is offset by gains in fat mass that continue until 65 to 70 years of age. Total body weight usually peaks at 60 years of age with small decreases of 0. Therefore, substantial weight changes should not be attributed to normal anorexia of aging.
Overall, nonmalignant diseases are more common than malignancy. Medication adverse effects Table 2 11718 are unexplaied but often overlooked causative factors. Allopurinol, angiotensin-converting enzyme inhibitors, antibiotics, unexplained weight loss at 60, antihistamines, calcium channel blockers, levodopa, propranolol, selegiline Eldyprylspironolactone Aldactone Amantadine, antibiotics, anticonvulsants, antipsychotics, benzodiazepines, digoxin, levodopa, metformin Glucophageneuroleptics, opiates, SSRIs, theophylline Bisphosphonates, doxycycline, gold, iron, nonsteroidal anti-inflammatory drugs, potassium Amantadine, antibiotics, bisphosphonates, digoxin, dopamine agonists, metformin, SSRIs, statins, tricyclic antidepressants Information from references 117and Several tools have been developed to aid physicians in remembering the multiple etiologies of unintentional weight loss.
These include the mnemonic Meals on Wheels medication effects; emotional problems, especially depression; anorexia nervosa; alcoholism; late-life paranoia; swallowing disorders; oral factors, such as poorly fitting dentures and caries; no money; wandering and other dementia-related behaviors; hyperthyroidism, hypothyroidism, hyperparathyroidism, and hypoadrenalism; enteric problems; eating problems, such as inability to feed oneself; low-salt and low-cholesterol diet; stones; social problems, such as isolation and inability to obtain preferred foods.
If there is a concern about cognitive impairment, a caregiver or family member can provide corroborating information. The history should focus on the amount of weight lost and the unexplainde frame in which the weight loss occurred. If no baseline weight is available, evidence of change in clothing size, confirmation lsos weight loss by a relative or friend, and a numerical estimate of weight loss can be used.
Mercy Hospital - Sudden Weight Loss
Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality. The most common etiologies are malignancy, nonmalignant. Unexplained weight loss: et al. Investigation and management of unintentional weight loss "Mayo," " Mayo Clinic," " galexcity.ru," " Mayo Clinic Healthy. Aug 06, · 15 Cancer Symptoms Women Shouldn't Ignore. Weight Loss Without Trying. Ask your doctor about any unexplained aches that last a month or.