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Why Can't I Gain Weight And Have Unexplained Weight Loss After Being Diagnosed With Hiatal Hernia?

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Posted on Mon, 30 Jul 2018
Twitter Mon, 30 Jul 2018 Answered on
Twitter Fri, 2 Dec 2022 Last reviewed on
Question : I have lost 25-30 lbs from about 3 months. I cannot gain weight. I am 6’’ 3’ weight is 175. Normal 190-95.
2 weeks ago my primary dr ordered 2 cat scans upper and lower stomach and blood work. Nothing showed up unusual

I had an endoscopy in April. It was ok. I was diagnosed with hyena hernia. I take bentyl 20 mg. Also 100 mg of hyzzar Tramadol 100 mg and Neumann 40 mg.
Eat well and bowel movements every day.

What am I missing? Thanks
I
doctor
Answered by Dr. Ramesh Kumar (16 minutes later)
Brief Answer:
Go for complete body PET scan.

Detailed Answer:

Hi,

An unexplained weight loss of 10 pounds or more/month may be the first sign of cancer. This happens most often with cancers of the pancreas, stomach, esophagus, or lung. However, as in your case your CT and endoscopy are normal chances of weight loss being a cancer related to any organ are quite low.

To be on safe side I would suggest you to go for a complete body PET scan. It is gold standard test to rule out cancer or any hidden metastasis in any part of the body. This test can be used to detect cancerous tissues and cells in the body that may not always be found through computed tomography (CT) or magnetic resonance imaging (MRI).

As you have lost around 10 lbs/month even after eating a normal diet I would suggest you to go for PET. As weight loss is drastic we can't neglect it.

Follow up with reports.
Thanks.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2901 Questions

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Why Can't I Gain Weight And Have Unexplained Weight Loss After Being Diagnosed With Hiatal Hernia?

Brief Answer: Go for complete body PET scan. Detailed Answer: Hi, An unexplained weight loss of 10 pounds or more/month may be the first sign of cancer. This happens most often with cancers of the pancreas, stomach, esophagus, or lung. However, as in your case your CT and endoscopy are normal chances of weight loss being a cancer related to any organ are quite low. To be on safe side I would suggest you to go for a complete body PET scan. It is gold standard test to rule out cancer or any hidden metastasis in any part of the body. This test can be used to detect cancerous tissues and cells in the body that may not always be found through computed tomography (CT) or magnetic resonance imaging (MRI). As you have lost around 10 lbs/month even after eating a normal diet I would suggest you to go for PET. As weight loss is drastic we can't neglect it. Follow up with reports. Thanks. Regards