Weight loss in kids may be considered if they are obese or overweight. Weight loss is when the body loses fats, muscles mass, and fluids, leading to total loss of body mass. Parents may consider intentional weight loss for their overweight or obese child under pediatric guidance. However, unintentional weight loss is abrupt and occurs due to underlying reasons. The causes for unintentional weight loss are usually benign, manageable, and temporary. But if the child shows other accompanying symptoms, such as sudden loss of appetite and vomiting, it is good to consult a doctor to avoid potential complications. In this post, we present the various reasons behind weight loss in children, symptoms of abnormal weight loss, and how to manage weight loss healthily.

Possible Causes Of Unintentional Weight Loss In Children

Weight fluctuations among children are common and mostly benign. If your child loses a few pounds over time, you shouldn’t worry. Rapid development, puberty, and  exam stress could be the reasons for it. However, the list doesn’t end here. There are several other reasons for unexplained weight loss in children (1). Besides these conditions, heart and kidney problems could cause unexplained weight loss. Acute or progressive weight loss may also happen due to adverse health conditions, such as cancer. If you suspect your child is losing weight for no apparent reason, consult a pediatrician (8).

Signs And Symptoms Of Abnormal Weight Loss

Temporary weight fluctuations in children are a common phenomenon. However, they can become a matter of concern when accompanied by additional symptoms, such as (9):

General weakness and lethargy Excessive sleepiness or insomnia Loss of appetite Vomiting, diarrhea, or constipation Dehydration and decreased urination Cough and sore throat Abdominal discomfort Fever Dizziness and fainting

Diagnosis Of Unexplained Weight Loss In Children

Ascertaining the precise cause could help treat and manage weight loss in children. Your child’s pediatrician could recommend the following steps (10) (11).  The doctor may suggest additional tests based on the results of the preliminary tests. If the child is diagnosed with a health condition, they may be referred to a specialist for further assessment and treatment.

Treatment And Management Of Weight Loss In Children

The treatment and management of weight loss will depend on the cause of the condition. Common illnesses, such as flu, causing weight loss can be treated by the primary healthcare provider. Chronic and complex health conditions, such as inflammatory bowel disease, genetic disorders, and hormonal problems, could require long-term care under the supervision of a specialist. Children with eating disorders and substance addiction may require psychiatric help and other therapies to improve eating habits and lifestyle choices. Treatment or adequate management of the underlying cause usually stops weight loss and lets the child regain lost weight through appropriate dietary supplementation.

Potential Complication Of Unintentional Weight Loss

Unattended long-term weight loss in children may increase the risk of problems such as chronic fatigue, anemia, and muscle and bone weakness. Depending on the underlying cause and extent of weight loss, the child could also experience nutritional deficiencies. The child may also face psychological issues, such as poor concentration and poor self-image. In extreme cases, it may even lead to developmental delays and regressions.

References: