Advertisement

Sign up for our daily newsletter

Advertisement

Rapid 20 pound weight loss in elderly: What Are the Dangers of Sudden Weight Loss in the Elderly?

Weight loss treatment in long-term care. Hi Kydra and sorry to her about your dad.

Matthew Cox
Tuesday, July 6, 2021
Advertisement
  • Any senior who has experienced unexplained weight loss should be checked over by a doctor before you assume their weight loss is due to functional difficulties alone.

  • It'll also affect how you look.

  • A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.

Consequences

She is an ex-smoker and does not drink alcohol. Nonpharmacologic interventions Four studies looked at nutritional interventions or nutritional interventions combined with exercises Table 1. A GI endoscopy, esophagogastroduodenoscopy, or colonoscopy ;ound conducted. None of the 25 patients with negative findings on baseline evaluation had a malignancy on additional workup, such as computed tomography, endoscopy, colonoscopy, magnetic resonance imaging, or radionuclide examinations. Though some weight loss can be a normal part of aging — partially due to shrinking muscle mass — losing a substantial amount of weight over a short period of time can be a sign of an underlying condition.

Medication adverse effects Table 2 11718 are common but often overlooked causative factors. Try to eat things to increase weight but no luck. My father is years old, and has slimmed down too much over the last few months. I slowly lost down tonow in the last month I have lost down to Treatment focuses on the underlying cause. Feeling good now but every 3 months I may get same burning goes away by itself… Why taking a strong course of antibiotics I really feel this is not the real problem.

Hello Leslie, Greetings from me! I would advise someone with a story like yours to continue ewight advocate for answers and seek second rapid 20 pound weight loss in elderly if needed. The case revisited On further questioning, the patient admits that even though she had been eating three meals per day, she eats less at each meal than previously. Artificial sweeteners: Any effect on blood sugar? Food tastes horrid to her. WAlks 2 miles per day. Last but not least, during the clinical evaluation, the doctor will physically examine the older person and then probably order some bloodwork as well.

Appointments at Mayo Clinic

Unappetizing food. Neuroblastoma No appetite? Clin Geriatr Med. Your conscientious response to queries and down-to-earth, common-sensical advice are.

As depression sets in, seniors losx lose their appetites, which leads to weight loss. Computed tomography screening is of limited value. GP recently said that it was likely due to lower calorie intake but did not do ANY TYPE of evaluation, not even asking if his eating habits had changed. Checked with blood test his SHGB levels and has has actinic keratosis on his face, its slowly improving over last 4 months, of using prescription cream. A comprehensive medical examination is required, along with a medication regimen review and depression screening. Skip to content Post author: Stellis Health Post published: September 9, Post category: Blog Many older adults lose weight as they age, which is not necessarily a good thing.

In summary, a comprehensive history together with a physical examination should weighht the first step in eliciting the cause or causes of the weight loss. Talk therapy can help, as can antidepressant medications. According to MedlinePlus, depression in seniors can be difficult to recognize. Danny Szlauderbach. Zanni GR. Medication-related issues 2. Suspecting that the NSAIDS may be contributing to her nausea, you advise her to use acetaminophen for her knee pains instead.

Common causes of unintentional weight loss in seniors

C 5 — 71113 Consistent findings from multiple prospective cohort studies with good follow-up A baseline evaluation for unexplained, unintentional weight loss in older adults includes history, physical examination, laboratory tests, chest radiography, fecal occult blood testing, and possibly abdominal ultrasonography. Thank you for joining our reader community. See here for the options. Great zest for life. Crohn disease.

Is this normal aging process? We think she forgets to eat. The other thing to remember is that people report incorrect weights all the time, so interpret anything you hear with caution. More in Pubmed Citation Related Articles. Patient information : See handout on unintentional weight loss in older adultswritten by the authors of this article. Computed tomography imaging from neck to pelvis with contrast and a mammogram for women should be ordered, especially if step 1 findings are unremarkable. Sorry to hear of his weight loss, I can see why you are worried.

You elderl want to ask his doctors to explain to rapid 20 pound weight loss in elderly why his stomach is bothering him when he eats. Being concerned he got various medical check ups and got to know about diabetes and some stomach problem. Does a negative baseline evaluation provide adequate reassurance? Sometimes people are reacting to pain or discomfort in the mouth or otherwise related to eating. Megestrol acetate and mirtazapine for the treatment of unplanned weight loss in the elderly.

Significance

Father 94 years old blood test and urine test normal. So in geriatrics, we usually recommend that an older person — or their caregivers — monitor weight regularly. Should I be concerned? To see the full article, log in or purchase access.

Many types of health problems can cause weight loss. I have tooth or mouth problems that make it hard for me to eat. Search dates: January and March Investigation and management of unintentional weight loss in older adults. These are easily overlooked in older adults. Impossible to say over the internet what might be causing her weight loss and what should be done. He recently had an EGD and that came back normal.

Visual examination, swallowing rapid 20 pound weight loss in elderly. Put it on the calendar. Reprints are not available from the authors. You may also want to consider getting a second opinion. Here is an answer to a similar question from a few weeks ago that may be helpful. When cancer returns: How to cope with cancer recurrence Whipple's disease Your secret weapon during cancer treatment? I was wondering what should we do or how do we modify his diet to control this unintentional weight loss.

Sometimes when we weigh someone regularly every week or 2 should be sufficient we find that things are actually stable or improving slowly. Grace Brooke Huffman explains that there is a strong correlation between the quality of life and quick, unintentional weight loss. Gastrointestinal malignancies, peptic ulcer disease, dyspepsia, gastroesophageal reflux, cholecystitis. Plug your weight, age, height, gender and activity level in an online calorie needs calculator -- like the one from the Baylor College of Medicine -- then choose how many calories you want to cut for weight loss. British Medical Journal. Celiac disease diet: How do I get enough grains?

Common causes of unintentional weight loss in seniors

Poorly fitting dentures, dental caries or abscess, periodontal disease, esophageal stricture or webs. They found nothing. Yesavage JA, et al. Hi Destiny. Or is a day fast considered safe?

  • Risk factor modification appears to have been successful so you do not consider further nutritional or pharmacologic interventions at this time. Involuntary weight loss in elderly individuals: assessment and treatment.

  • A baseline evaluation for unexplained, unintentional weight loss in older adults includes history, physical examination, laboratory tests, chest radiography, fecal occult blood testing, and possibly abdominal ultrasonography. Antidepressants for children and teens Antidepressants: Side effects Antidepressants: Selecting one that's right for you Antidepressants: Which cause the fewest sexual side effects?

  • The search included meta-analyses, randomized controlled trials, clinical trials, and reviews.

  • Generally, to sort through all these possibilities, doctors will need to interview the older patient and the family. Diabetes and liver Diabetes insipidus Diabetes management: Does aspirin therapy prevent heart problems?

  • Pharmacotherapy ; 25 —9 [ PubMed ] [ Google Scholar ].

Biopsy came back positive for H. How to track weight and nutrition in an older person Tracking Weight: This is a terrific quick-and-easy way to monitor overall health and nutrition in an older adult. How Our Service Works. She had a frontal body scan — negative. He has lost almost 20 lbs. This amount of weight loss does sound concerning.

Although cyproheptadine has been studied in patients with cancer and cachexia, 38 routine use in older adults with unintentional weight loss has not been studied. Here is an answer to a similar question that I provided recently. By Linda Ray. So glad you find this useful. He is about 5 feet 9 inches tall and he used to weigh around 65kg back in Having to get these sweet protein drinks because she really likes them, but even with that and eating more sweets, she is still losing weight. Caffeine: Does it affect blood sugar?

Consequences

Thanks for your help. Muscle wasting takes place when the elderly lose weight too quickly. Feeling good now but every 3 months I may get same burning goes away by itself… Why taking a strong course of antibiotics I really feel this is not the real problem.

And is there any way to restore her tastebuds? Appetite stimulants may increase weight but have serious adverse effects and no rapid 20 pound weight loss in elderly of decreased mortality. My mother in law, keeps dropping weight. Great zest for life. A cross-sectional study of 68 community-dwelling older adults in the midwestern United States with an average age of 86 years and 51 of whom were women showed that depression using the Geriatric Depression Scale was independently associated with weight loss OR 1. Bezoars: How do they happen?

Air Force Medical Department or the U. Should I be concerned? My wife age 68 yrs. Staff at assisted living communities tend to develop close relationships with residents, so drastic changes in weight or eating habits are unlikely to go unnoticed. Impossible to say over the internet what might be causing her weight loss and what should be done.

What is sudden weight loss for seniors?

Your mother may well be experiencing some depression and this can cause lack of appetite and weight loss. By Linda Ray. Diabetes management: How lifestyle, daily routine affect blood sugar Diabetes: Eating out Diabetes nutrition: Sweets Diabetes prevention: 5 tips for taking control Diabetes symptoms Diabetes treatment: Can cinnamon lower blood sugar?

Sign up now. Ann Fam Med. Antidepressants for children and teens Antidepressants: Side effects Antidepressants: Selecting one that's right for you Antidepressants: Which cause the fewest sexual side effects? If you are concerned about unintentional weight loss, you should consult a health professional.

She is also diabetic. More importantly, all of the 22 patients with malignant disease had abnormal results in the baseline assessment. Today he want to see an oncologist, who noticed the weight loss and suggested beginning cancer treatment might help. Alibhai SM, et al.

Associated Data

Enlarge Print. A Mediterranean-style diet can work well for many people. The other is to bring in information related to symptoms and ability to obtain food.

Live with 91 year old husband -large family close by. Graves' disease H. Have regular 2 monthly blood test because wegiht being on Prednisolone so far no negative result from doctor Advice please how to put on weight — my clothes are all getting too big!! Functional issues 37 Infection, autoimmune disorders, malignancy, diabetes mellitus, thyroid disease. There is also minimal evidence to support use of pharmacologic agents.

Megestrol acetate: adverse effects. Nutritional intervention in special care units for dementia. Get immediate access, anytime, anywhere. Rapid 20 pound weight loss in elderly is becoming more loss in the pass weeks. Or is a second opinion and a change of doctors the best approach at this point? Social Isolation and Depression As senior citizens become less mobile, they tend to spend more time alone at home. But that may not be so for a healthy, community-dwelling older adult who has always been thin.

Hello, I had to edit down your comment as it was too long to be posted in its entirety. My grandpa is losing weigh about 10 kg in one year Ni has macrocytic anemia. Hi i weighed about 70kilo two years ago i noticed lot of muscle loss, now last 9 months 61 to 63 kilo the doctor did not think cancer as i would have other syptoms? The physical examination can aid in evaluating concerns prompted by history findings. Pharmacotherapy ; 25 —9 [ PubMed ] [ Google Scholar ].

History and Physical Examination

He recently had an EGD and that came back normal. I am extremely concerned but neither she nor her family seem to be. Int J Cardiol.

Share this article:. You'll likely notice faster-than-expected weight loss as your body adjusts to your new diet. Caregivers should watch for signs of quick weight loss that could signify cancer, hyperthyroidism or liver disease. If you have doubts, I would recommend considering a second opinion, preferably at an academic medical center. You may also want to try seeing a different type of doctor or a specialist. In terms of blood in the urine, medications that affect platelet function can make a person more likely to have bleeding but usually only if there is some other vulnerability in the system.

ALSO READ: Marshall 20 20 Weight Loss Foods

Unintentional weight loss in older adults. I slowly lost down tonow in the last rapidd I have lost down to You might also ask: Were there abnormal laboratory test results? There is more on the physiologic causes of anorexia in aging in this scholarly article: Mechanisms of the anorexia of aging-a review. Stajkovic, S. Kernisan and a caregiver, or care recipient. Fecal transplant treatment of C.

Thank you for your time and for your help. Hi Destiny. Medications, functional limitations, intake issues, psychological problems, reduced social activity and low income can all contribute to unexplained weight loss. I took him to the doctor, they did thorough work up — blood tests, comprehensive questions, CT scans. Unfortunately, the only advice I can give is to keep asking the doctors questions. Throat cancer Thyroid disease: Can it affect a person's mood?

  • Do they like to eat or seem uninterested? Who we are.

  • High calorie supplements such as milkshakes, cheese and whole grains can help maintain proper weight.

  • Veterans Resources.

  • Any comments Dr. We are wondering if the overall decrease in nutrition, combined with this scant energy supply being largely diverted to healing 2 broken bones over the past months, is actually diverting energy from the brain, and and accelerating her dementia, which seems to be worsening week by week.

A workout arpid. Checked with blood test his SHGB levels and has has actinic keratosis on his face, its slowly improving over last 4 months, of using prescription cream. We are from India and living in a joint family. Robbins LJ. Involuntary weight loss in elderly outpatients: recognition, etiologies, and treatment. Unintentional weight loss: diagnosis and prognosis. Getting Started Why Geriatrics Are you a caregiver?

This material ih not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Sudden senior weight loss is quick, unintentional, and unexplained weight loss in older adults. Thank you, Dr. I read about whey protein isolate for sports people and was wondering if it would be a better option than the ones he has tried? See also 6 tips to manage rheumatoid arthritis symptoms Acanthosis nigricans Addison's disease Adjuvant therapy for cancer Adrenal fatigue: What causes it?

History and Physical Examination

Many studies have used milk or whey protein. My parents live in Florida and my family and I live in California. The brief answer is that yes, you should be concerned. Lean body mass declines at a rate of 0.

Sometimes when we weigh someone regularly every week or 2 should be sufficient we find that things are actually stable or poun rapid 20 pound weight loss in elderly. Unintended weight loss is a major red flag. Be sure they take a look in her mouth. My neighbor has always been very thin but in the last couple of years has been steadily going down in weight. This often involves a multidisciplinary team, including dentists; dietitians; speech, occupational, or physical therapists; and social service workers. Sao Paulo Med J.

H-L independently reviewed all identified citations to select relevant publications that met arpid inclusion criteria. Some of the conditions commonly associated with sudden weight loss in the elderly include:. Consistent findings from two prospective trials. It sounds like he lost weight but for some time now has been stable at a lower weight? Unintentional weight loss appears to be associated with an increased risk of death among both older adults living in care facilties and community-dwelling older adults. Wallace Video Build resilience to better handle diabetes C.

Planning Out Your Timeline

Decreased mobility, medications, state of mind and financial difficulties can all contribute to sudden weight loss. It is my understanding that once cachexia gets started that it is something of a speeding train. Request your advise for her weight gain. Dad is early eighties. Life enrichment programme.

  • Some of the health consequences of sudden senior weight loss are:. Reprints are not available from the authors.

  • If you have doubts, I would recommend considering a second opinion, preferably at an academic medical center. I think he should be checked by a Gastroenterologist and his esophagus.

  • Your information will never be sold to anyone, whether you browse the site, sign up for email updates, or register for an event. How Our Service Works.

A: This question comes up a lot for families. Diabetes and foot care Elderly and Heat Diabetes and menopause Diabetes and summer: How to beat the heat Diabetes and travel: Planning is key Diabetes and electric blankets 10 ways to avoid diabetes complications Diabetes diet: Should I avoid sweet fruits? If there is a concern about cognitive impairment, a caregiver or family member can provide corroborating information. I am extremely concerned but neither she nor her family seem to be. Diabetes and liver Diabetes insipidus Diabetes management: Does aspirin therapy prevent heart problems? It is my understanding that once cachexia gets started that it is something of a speeding train.

Your loved one should be screened for these cancers regularly. She spits it out in her napkin ,she gags on it and almost vomits. She will sometimes eat if something is put front of her. Some of the health consequences of sudden senior weight loss are: Loss of ability to perform activities of daily living like bathing, dressing, and grooming Fatigue Greater risk of falls and injuries Worsening of cognitive and mood disorders Increased need for long-term care like assisted living facilities or nursing homes Infections Common causes of unintentional weight loss in seniors Although sometimes the cause of unintentional weight loss in elderly adults goes undiscovered, it may be a sign of an underlying medical condition. Impossible to say over the internet what might be causing her weight loss and what should be done. Diabetes and rheumatoid arthritis, and the medications used to treat those conditions, can interfere with appetite and have side effects that include nausea. In: Ferri's Clinical Advisor

Significance

It sounds like your father has been diagnosed with dementia and has lost 10 pounds recently. At this point he is frustrated because his appetite is steadily decreasing. Your reply will be highly acknowledged Regards Javeria.

And of course, ask the doctors what they hope to learn from the colonoscopy and is there any other way to get this diagnostic information? For doctors, unintended weight loss is a major red flag when it comes to the health of an older person. It sounds like he lost weight but for some time now has been stable at a lower weight? If that's the case, you'd want to cut a smaller number of calories -- say, to calories -- and lose 0. Diabetes management: How lifestyle, daily routine affect blood sugar Diabetes: Eating out Diabetes nutrition: Sweets Diabetes prevention: 5 tips for taking control Diabetes symptoms Diabetes treatment: Can cinnamon lower blood sugar? But they tend to go together.

  • Be sure to check for problems related to purchasing, preparing, and eating food. A 35 pound weight loss sounds worrisome.

  • Arch Intern Med.

  • Hi Stacey. They may be a sign that an older person is impairedor otherwise needs more support with daily life.

  • He may also be more physically active now and burning more calories.

  • Am Fam Physician. When cancer returns: How to cope with cancer recurrence Whipple's disease Your secret weapon during cancer treatment?

  • Search dates: January and March

Risk factors relating blood markers of inflammation and nutritional status to survival in cachectic geriatric patients wejght a randomized clinical trial. When it comes to rapid 20 pound weight loss in elderly loss in the elderly, watch for a few key warning signs:. I applaud your, as always, calm and methodical approach, bringing to light avenues which could easily have been overlooked. Decreased daily living skills and poverty negatively impact shopping and cooking. If you are very concerned about malignancy, I would ask them to discuss the possibility of further evaluation to look into that. Other signs of diabetes include: Lack of energy Frequent urination Excessive thirst Diabetes is easy to diagnose with some simple blood tests. The doctors have given her many, many, many blood tests — all negative.

Ultrasounds are also sometimes used, as weivht CT scans. Few randomized controlled trials have been conducted. Keeping a detailed record of all prescription and over-the-counter medications could also be useful to doctors and is a safe practice in general. Exactly how much you lose depends on a few factors, though, including how much time you'll be able to devote to activity, how well you control your diet and how many calories you burn now.

Risks of Losing Weight Too Quickly

Good appetite. According to this Canadian Weightt Journal review articlecommon causes to consider are:. I have very bad night sweats I wake up 2 to 3 times a night like I have work out for an hour or more. She will sometimes eat if something is put front of her. Ultrasounds are also sometimes used, as are CT scans.

If I were giving advice to someone in your situation, I would weight loss by looking at the medications and other health issues, probably also ordering some screening bloodwork. If your father is eating calories per day and still losing weight, I would recommend you keep asking the doctor questions about what they have checked for and how they plan to evaluate further. Today he want to see an oncologist, who noticed the weight loss and suggested beginning cancer treatment might help. It might also help to see if they can assist with some kind of calorie counting and evaluation of how much he is actually taking in. Therefore, substantial weight changes should not be attributed to normal anorexia of aging. The article aims to help older adults and families prepare, so that they can get better help. Since then he has maintained at 49kg.

See also 6 tips to manage rheumatoid arthritis symptoms Acanthosis nigricans Addison's disease Adjuvant therapy for cancer Adrenal fatigue: What causes it? An approach to the nonpharmacologic and pharmacologic management of unintentional weight loss among older adults. Zanni GR. And has he been checked for other common causes of weight loss what have they done to check, what did they find? When baseline evaluation is unremarkable, a three- to six-month observation period is justified. Body composition changes with age. A 35 pound weight loss sounds worrisome.

  • What is the prognosis for those with unintentional weight loss?

  • Depression is one of the leading causes of unintentional weight loss in seniors. Hey my father suffered from heart attack about 1 years ago due to blockage in the arteries causeof increased level of cholesterol, 2 stent were placed.

  • Your loved one should be screened for these cancers regularly.

  • Blood test two years ago was normal including thyroid levels. No difference in bowel action — regular once each morning.

  • Competing interests: None declared. Eur J Clin Nutr.

It is unclear whether this relationship is a direct cause or a marker for an underlying condition. As a 70 year old woman who has lost 35 pounds in the last 4 months I became concerned and found your site. A Mediterranean-style diet can work well for many people. Weight loss treatment in long-term care. When that happens, recalculate your calorie needs, taking into account your new, lighter, body weight. Free E-newsletter Subscribe to Housecall Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Sign Up Now.

This page also provides resources on how to lodge a complaint. I would recommend you ask the doctor to clarify the reasons for the referral to endocrinology. Or you are welcome to join. Now, in most cases, some nutritional supplementation is in order. Flavor enhancement of food improves dietary intake and nutritional status of elderly nursing home residents. Therefore, megestrol may not be appropriate for all patients, and the risks vs.

COVID-19: Advice, updates and vaccine options

They are expensive, usually contain a lot of sugar, and contain various additives. Correspondence to: Dr. She reports that she is eating three meals per day as usual.

Philadelphia, Pa. Thank you. Request your advise for her weight gain. Clinical evaluation for cancer in patients with involuntary weight loss without specific symptoms. Appetite stimulants may increase weight but have serious adverse effects and no evidence of decreased mortality.

ALSO READ: 30 Day Shred Weight Loss Reviews

WAlks 2 miles per day. Some research suggests older adults benefit from 1. My mother in law, keeps dropping weight. Thank you so much in advance for your courtesies and care when responding. He continues to lose weight.

Leave a Reply Cancel reply Your email address will not be published. Table 3. Do they like to eat or seem uninterested? Particularly those who are not fully competent to assert or articulate their needs. Tumor necrosis factor-alpha and involuntary weight loss in elderly, community-dwelling adults.

COVID-19: Advice, updates and vaccine options

Wallace JI, et al. Dad is early eighties. There is no significant finding in the tests. Screening for nutritional risk in community-dwelling old-old.

Rapid weight loss is considered a health risk when it occurs within a six-month period. High calorie supplements such as milkshakes, cheese and whole grains can help maintain proper weight. Rapid 20 pound weight loss in elderly dementia and weight loss: some people with dementia do lose weight because they forget to eat or otherwise have trouble organizing themselves to get food, prepare it, etc. I have to say that it sounds unusual for a nursing facility to be serving highly spiced food; at such a facility, I would expect the menu and food to be determined by some kind of dietary professional, it should not be up to the whim of the cook. Reprint Permissions A single copy of these materials may be reprinted for noncommercial personal use only. He had to undergo anesthesia to have some bladder stones blasted out.

Sometimes a nutritionist or registered dietician can be helpful if serious causes of weight loss are ruled out. I would advise someone with a story like yours to continue to elderly for answers and seek second opinions if needed. Medical nutrition therapy for the prevention and treatment of unintentional weight loss in residential healthcare facilities. Complete blood count, chest radiography, electrocardiography, basic metabolic panel. Depression is one of the leading causes of unintentional weight loss in seniors. Her weight loss appears to have been the result of multiple factors, including social isolation, bereavement, chewing issues, decreased oral intake and possibly the use of NSAIDs.

Q: My year-old father lives in his own home about miles from us. Treatment focuses on the underlying cause. A: This question comes up a lot for families. Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality.

Author disclosure: No relevant financial affiliations. Allopurinol, angiotensin-converting enzyme inhibitors, antibiotics, anticholinergics, antihistamines, calcium channel blockers, levodopa, rapis, selegiline Eldyprylspironolactone Aldactone. Social Isolation and Depression As senior citizens become less mobile, they tend to spend more time alone at home. Involuntary weight loss. Ruigrok J, Sheridan L. Veterans Resources.

  • References 1. Your reply will be highly acknowledged Regards Javeria.

  • And while it's natural to want rapid results, don't expect to lose 20 pounds in just a couple weeks. A baseline evaluation for unexplained, unintentional weight loss in older adults includes history, physical examination, laboratory tests, chest radiography, fecal occult blood testing, and possibly abdominal ultrasonography.

  • For example, a 5 percent weight loss in someone who is pounds 72 kilograms is 8 pounds 3. You may want to ask his doctors to explain to you why his stomach is bothering him when he eats.

  • This often goes hand-in-hand with malnutrition in aging.

I hope your conversations with your providers bring you the information and advice that you need. I am almost 91 years of age and I am losing weight slowly. Adapted with permission from The clinical and cost-effectiveness of medical nutrition therapies: evidence and estimates of potential medical savings from the use of selected nutritional intervention. Could it be anemia after all this time?

You take a closer look in her mouth and notice that wsight dentures are loose and that there are a few small ulcers on her hard palate. Core laboratory tests are conducted, including an ultrasensitive thyroid-stimulating hormone test, urinalysis, and a fecal occult blood test. As Dr. June The study primarily focused on examining the changes in anthropometric parameters, amino acids, neuropeptides and cytokine levels associated with anorexia. My mother age 70, weight 35 kilos. Any advice would be helpful.

Your no nonsense approach was what I needed. You could also consider asking about a swallowing evaluation; these are done by speech therapists who have experience identifying difficulties people have with eating and swallowing. Dad is early eighties. My father is years old, and has slimmed down too much over the last few months.

  • Holroyd-Leduc, ac.

  • Amantadine, antibiotics, anticonvulsants, antipsychotics, benzodiazepines, digoxin, levodopa, metformin Glucophageneuroleptics, opiates, SSRIs, theophylline.

  • Recommended laboratory tests include 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.

  • Functional issues, medications, issues with intake, and psychological and social factors also need to be considered. This enables us to spot weight loss sooner rather than later.

  • Maybe spend some extended time with your father who lives miles away, not just a short visit, but enough time to get a grasp on the problem from up close.

Infection, autoimmune disorders, malignancy, diabetes mellitus, thyroid disease. Both problems are common in older adults. Using a standardized data abstraction sheet, information was extracted that was pertinent to the study design, study population and size, clinical setting, outcomes and results. Beginning around age 65 to 70, weight loss occurs at a rate of 0. If cancer is the culprit, early treatment can be life-saving.

Findings from three retrospective and three prospective studies. Brief screening instruments for dementia in primary ralid. Keeping close track of weight, activity and intake is a good place to rapid 20 pound weight loss in elderly before talking to a healthcare provider. Anticytokine therapies, antileptin therapies, and anti-inflammatory medications are under investigation. If I were giving advice to someone in your situation, I would start by looking at the medications and other health issues, probably also ordering some screening bloodwork. It is my understanding that once cachexia gets started that it is something of a speeding train.

Sorry to hear of this recent weight loss. Should I be concern? The search included meta-analyses, randomized controlled trials, clinical trials, and reviews. She has 3 meals a day and a snack at night.

What is sudden weight loss for seniors?

We all want to stay healthy and fit as we age, raoid when does losing weight become worrisome for older adults? How tall are you. Anticholinergics, antihistamines, clonidine Catapresloop diuretics. Although testing should be directed toward areas of concern based on the history and physical examination, tests found to be of highest yield in identifying potential causes include stool hemoccult, barium enema, sigmoidoscopy, upper gastrointestinal series, endoscopy and thyroid function tests. Sign up for our newsletter.

  • Functional issues 37 ,

  • She had a stool test — negative.

  • Cyproheptadine and dronabinol may promote weight gain; central nervous system toxicity is a concern. This is a very well thought out article about the complexities of unexplained, sudden weight loss in older adults.

  • Self-neglect is challenging, especially when people have dementia.

  • Overall, nonmalignant diseases are more common causes of unintentional weight loss in this population than malignancy.

Lack of social interaction, loneliness and inability to participate in regular activities can also lead to depression. Weiht weight loss: the forgotten vital sign. Rapid weight loss is considered a health risk when it occurs within a six-month period. Correspondence to: Dr. A: This question comes up a lot for families. Mom is 92 yrs old.

I rapud well balanced meals, lots of fruits and vegetables. Not sure what kind of doctor to see and which test to perform further. Treatment should focus on the underlying cause. Aging Dis. Rapid 20 pound weight loss in elderly is definitely not ideal for a person her age to remain mostly in bed, because at this age the muscles get deconditioned very quickly when older adults are in bed due to illness. Have regular 2 monthly blood test because of being on Prednisolone so far no negative result from doctor Advice please how to put on weight — my clothes are all getting too big!! For example, the weight change could reflect a loss of muscle but a gain of fluid.

Appointments at Mayo Clinic

Good luck growing your group! Otherwise, we generally recommend calorie-dense foods and extra protein. Good appetite. I would certainly recommend bringing this up with her usual health care providers and asking lots of questions about what might be going on. Involuntary weight loss: the forgotten vital sign.

Have you actually sampled the food being served to your mother? Rapif JI, et al. My father is 71 years old. Keep in mind that senior care facilities often keep track of these factors as part of their regular services. Try out PMC Labs and tell us what you think. She lost 07 kilogram for last 03 years. If she is not improving under the care of her current health providers, I would recommend considering a second opinion.

It seems to us, that the mom, at least, is slowly starving herself dapid death due to a resistance to the food being offered her. His weight at present is only about 48 kg. Now at o 47 kg at cm. Your family can ask about evaluation for all the common causes of weight loss and malnutrition that I list in the article. A Mediterranean-style diet can work well for many people. Any pain or difficulty with chewing or swallowing?

On further questioning, the patient admits that even though she had been eating three meals 200 day, she eats less at each meal than previously. Sometimes when individuals lose weight, their cholesterol levels normalize so that might be worth reviewing as well. My mother 74 is unable to eat due to a dental infection.

A person viewing it online may make one printout of the material llss may use that printout only for his or her personal, non-commercial reference. Eur J Intern Med. Anticholinergics, antihistamines, clonidine Catapresloop diuretics. Dronabinol has been associated with significant adverse effects, particularly central nervous system toxicity. No controlled trials of dronabinol were identified; therefore, this medication cannot be recommended. Linda Ray.

J Am Geriatr Soc. Otherwise, quite advanced dementia when people are totally bedbound can wieght be associated with weight loss. Graham M, Knight B. Amazing website. Maintaining weight loss is difficult, and if the patient is keeping the pounds off easily, dieting may be a coincidental occurrence. A randomized, double-blind trial conducted in Denmark among 24 hospitalized patients compared differences in total nutrient intake between a diet that included a standard 4.

Sidebar1?
Sidebar2?