Differential Diagnosis for Unintentional Weight Loss
Single Most Likely Diagnosis
- Intentional weight loss: Given that the weight loss is possible intentional, this is the most likely diagnosis, as many individuals intentionally try to lose weight through diet and exercise.
Other Likely Diagnoses
- Hyperthyroidism: An overactive thyroid gland can cause unintentional weight loss, even if the person is eating more.
- Diabetes mellitus: Uncontrolled diabetes can lead to weight loss due to the body's inability to use glucose for energy.
- Gastrointestinal disorders: Conditions like celiac disease, Crohn's disease, or ulcerative colitis can cause weight loss due to malabsorption or decreased appetite.
- Chronic stress or anxiety: Ongoing stress or anxiety can lead to changes in appetite and metabolism, resulting in weight loss.
Do Not Miss Diagnoses
- Cancer: Various types of cancer, such as pancreatic, lung, or stomach cancer, can cause unintentional weight loss, often accompanied by other symptoms like fatigue or pain.
- Infections: Chronic infections like tuberculosis or HIV/AIDS can lead to weight loss due to the body's increased energy expenditure and decreased appetite.
- Neurological disorders: Conditions like Parkinson's disease, multiple sclerosis, or Alzheimer's disease can cause weight loss due to changes in appetite, metabolism, or swallowing difficulties.
Rare Diagnoses
- Addison's disease: A rare endocrine disorder that can cause weight loss, fatigue, and changes in skin pigmentation.
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause weight loss, hypertension, and other symptoms.
- Whipple's disease: A rare bacterial infection that can cause weight loss, diarrhea, and abdominal pain.