How Dr. Nghia Nguyen Diagnoses Overweight?
Dr. Nguyen uses a step-by-step approach:
Medical History & Physical Exam
He reviews your weight history, diet patterns, epigastric pain characteristics (onset, duration, triggers) and checks for abdominal tenderness or organomegaly.
Laboratory Tests
He orders:
- Complete blood count (CBC) to look for anemia or infection
- Liver function tests and pancreatic enzymes to rule out hepatobiliary or pancreatic causes
- H. pylori breath or stool antigen test if ulcer disease is suspected
Imaging & Endoscopy
- Abdominal ultrasound to evaluate liver, gallbladder and pancreas for stones or fatty infiltration
- Upper endoscopy (EGD) to directly visualize the esophagus, stomach and duodenum for gastritis, ulcers or hiatal hernia
Functional & Advanced Testing (if needed)
For unresolved cases, he may recommend:
- Gastric emptying study to assess motility delays
- CT scan or MRI of the abdomen to exclude structural masses
- Endoscopic ultrasound or biopsy to confirm inflammation, celiac disease or rare causes
Frequently Asked Questions
What does it mean to be overweight?
Being overweight means having a body mass index (BMI) between 25 and 29.9, indicating more body weight than is considered healthy for a given height.
What are the health risks of being overweight?
Overweight individuals have a higher risk of conditions like type 2 diabetes, high blood pressure, heart disease, sleep apnea, and certain cancers.
What causes weight gain?
Common causes include a sedentary lifestyle, overeating, stress, poor sleep, certain medications, and hormonal or metabolic conditions.
How can I lose weight safely?
Gradual weight loss through balanced nutrition, portion control, regular physical activity, and professional support is considered safe and sustainable.
Can being overweight affect my digestive health?
Yes. Excess weight can increase the risk of acid reflux, gallstones, fatty liver disease, and other gastrointestinal issues.
Is medication or surgery needed to lose weight?
For some people, prescription weight-loss medications or bariatric surgery may be appropriate, especially if lifestyle changes alone are not effective and health is at risk.
When should I seek help for my weight?
If your weight is affecting your health, daily activities, or self-esteem, it�s a good idea to consult a healthcare provider for a personalized plan.
