What Is Abnormal Weight Loss?
Abnormal weight loss is defined as losing more than 5% of your body weight over 6 to 12 months without trying through diet or exercise. It's tracked in the ICD-10 coding system under R63.4 to help doctors identify and treat unexpected weight loss.
Common Causes and Risk Factors
- Digestive disorders (celiac disease, Crohn's disease)
- Overactive thyroid (hyperthyroidism)
- Chronic infections (HIV, tuberculosis)
- Cancers (stomach, pancreas, lungs)
- Mental health issues (depression, anxiety)
- Medication side effects
- Poor diet or decreased appetite
- Age over 65 years
- History of gastrointestinal problems
- Heavy alcohol use or limited access to healthy foods
Signs and Symptoms
- Rapid, unintentional weight loss
- Persistent fatigue or low energy
- Bloating, diarrhea, or other digestive issues
- Loss of muscle mass
- Weakness or dizziness
- Decreased appetite
How Dr. Rishi Diagnoses Abnormal Weight Loss?
Dr. Rishi uses a step-by-step approach:
Medical History and Physical Exam
He reviews your health history, current medications, GI symptoms, appetite changes, weight-loss timeline, alcohol use, and other risk factors.
Blood Tests
We check thyroid function, nutrient levels (iron, vitamin B12, vitamin D), inflammatory markers, and general health indicators.
Stool and Breath Tests
These identify malabsorption issues, small-intestinal bacterial overgrowth, and pancreatic enzyme insufficiency.
Imaging Studies
- Abdominal ultrasound to evaluate the liver, pancreas, gallbladder, and other organs.
- CT scan or MRI for detailed cross-sectional images of the digestive tract and surrounding tissues.
Endoscopy and Colonoscopy
Direct visualization of the esophagus, stomach, small bowel, and colon. Biopsies are taken as needed to rule out inflammation, infection, or cancer.
Frequently Asked Questions
What is the ICD-10 code for abnormal weight loss?
R63.4 is the medical code used for tracking unexplained weight loss.
When should I see a doctor for weight loss?
If you lose over 5% of your body weight in 6 months without trying, book an appointment.
Can stress cause weight loss?
Yes. Long-term stress or anxiety can reduce your appetite and lead to weight loss.
Are there causes outside the digestive system?
Yes. Problems with the thyroid, mental health, or cancer can cause weight loss.
How long does it take to get answers?
You can usually complete tests within 1-2 weeks. Follow-up procedures may come soon after.
Is endoscopy a safe test?
Yes. It's a common and safe procedure with a short recovery time.
Do you take insurance?
GastroDoxs accepts most insurance plans and helps you check your benefits.
Can I fix this by changing my diet alone?
Diet helps, but the best results come from a mix of medical care and nutrition support.
How is malabsorption treated?
We use digestive enzymes and diet changes to help your body absorb nutrients better.
What can I do to support recovery?
Eat well, rest, manage stress, and have small, balanced meals often.