I have an average weight loss of 4 percent every year. Is it due to any infection?

Hi,

Welcome to icliniq.com.

Thanks for your query.

You have nothing to worry about your health. You do not have to worry about getting any infection from your roommate unless you had sexual exposure with him. Your weight loss is not so significant. It could have been due to some nonspecific factors. But you can do a basic laboratory checkup to rule out the cause.

Tests to do:

1. Hematology and Biochemistry,

a. Blood Tests - CBC (complete blood count).

b. ESR (erythrocyte sedimentation rate).

c. CRP (C-reactive protein), LDH (Lactate Dehydrogenase), HbA1c (Hemoglobin A1c).

d. FBS (fasting blood sugar).

e. PPBS (post prandial blood sugar).

f. Liver function tests- Bilirubin, SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic-oxaloacetic transaminase), serum albumin, globulin, albumin/globulin (A/G)ratio.

g. Renal function tests- Serum Creatinine, BUN (blood urea nitrogen), Electrolytes.

h. T3 (triiodothyronine), T4 (tetraiodothyronine), TSH (thyroid stimulating hormone).

i. HIV (human immunodeficiency virus), HCV (Hepatitis C), HBV (Hepatitis B), HSV (Herpes Simplex Virus) and STD (sexually transmitted disease) panel in case of sexual exposure, and COVID-19 antibody.

2. Urine routine.

3. Radiology - X-ray chest.

4. Clinical - blood pressure and ECG (electrocardiogram).

Please revert after tests.

Additionally, please take a protein-based supplement milk drink.

Hi,

Welcome back to icliniq.com.

Thanks for your query. I saw the attached reports (attachment removed to protect the patient's identity). When were these tests done? I suggest you need thyroid hormone therapy for possible hypothyroidism along with other therapies for thyroiditis. It is best to consult a local endocrinologist for treatment, as you will have to be monitored regularly, and these medicines may not be possible to be prescribed online. Please check and revert.

Hi,

Welcome back to icliniq.com.

A few inputs-

1. HSV-1 - Has the treatment been initiated? Do you have any lesions in either the mouth or genitalia? Extremities or skin?

2. Weight loss- Thyroid disorders could cause loss of weight.

3. Levothyroxine dosage at 25 mcg may be less than optimal.

4. Alternative therapies - Additional alternative agents, for example, monoclonal antibodies may be explored.

5. Reports and Treatments - Kindly send all reports and prescriptions at once. Getting pieces of information in an incomplete manner can hamper me to give you comprehensive advise.

Hi,

Welcome back to icliniq.com.

1) Epstein-Barr virus (EBV) infection can cause flu-like infection, weight loss, sore throat, enlarged cervical glands, chills, joint pains, nausea, vomiting, rash, and abdominal pain. Most cases are mild and self-limiting, with full recovery occurring over several weeks. There is no specific treatment for EBV. However, some things can be done to help relieve symptoms, including drinking fluids, getting plenty of rest, and taking over-the-counter medications for pain and fever. Some physicians use corticosteroids to treat significant swelling in the throat or an enlarged spleen, but steroids are not needed in most patients. Antiviral medications are available to help oral hairy leukoplakia, including tablet Acyclovir, tablet Ganciclovir and tablet Foscarnet (consult with a specialist doctor, talk with him or her, and take medicine with their consent). In almost all people infected with EBV, the prognosis recover completely in about one to four months. In addition, neurological changes are usually completely resolvable.

2) Herpes simplex virus (HSV) infection shows possible symptoms like tingling, itching, or burning. However, the skin may tingle, itch, or burn before the blisters appear. Sores are generally painful, fluid-filled blisters that break open and ooze fluid and form a crust before healing. Where the sores appear often varies with type:

Oral herpes (HSV-1): Most blisters appear on the lips or around the mouth, the face, and the tongue. Most patients are treated with antiviral medicine, an antiviral cream or ointment that can relieve the burning, itching, or tingling sensation. In addition, oral antiviral pills or intravenous shots can shorten an outbreak of herpes. Antiviral medicines approved for treating both types of herpes simplex include Acyclovir, Famciclovir, and Valacyclovir.

Any virus, bacteria, parasite, or fungus-related infection test that is still missing or anything that requires retesting? - Does not appear that way.

Is there a possibility of some secondary infection of the liver, pancreas, or gallbladder because of some infection? - If so, will those miss incomplete blood count tests. Yes, Secondary bacterial infection may happen. Complete blood count does change in such circumstances.

A blood culture may need to be repeated if the prescriber feels so in his or her clinical judgment since he or she may have had reasons to prescribe the drug.

I cannot prescribe for such diseases. Hashimoto's thyroiditis can cause weight gain. You are already on treatment for its symptoms.

Thank you.