Help with Unexplained Weight Loss and Severe Leg Pain

Question #28532

91 days ago

538

Help with Unexplained Weight Loss and Severe Leg Pain - #28532

Client_7c6616

Mra name Shakeel he, umer 30 saal aur weight 49kg, height 5.7". Kuch salo se mra weight Kam ho raha he, chehra be-ronaq jism bilqul patla kamzor ho chuka he hadian nazr atti hn, tango mn shadeed kism ka dard rehta he. Pehle mn bhag bhag k Kam krta ta, ab to chalne phrne se b qasir hon. Please help me for Allah bless.

How long have you been experiencing weight loss?:

- More than 6 months

Have you noticed any changes in your appetite?:

- Decreased appetite

Do you have any other symptoms besides weight loss and leg pain?:

- No other symptoms

300 INR (~3.53 USD)

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

90 days ago

Hello Shakeel,
Aap jo symptoms bata rahe hain — lambi duration se weight loss, bhook kam lagna, jism ki kamzori, aur tangon mein severe dard — yeh normal nahi hain aur inko ignore nahi karna chahiye.
Is tarah ke symptoms ke kuch serious causes ho sakte hain jaise malnutrition, anemia, tuberculosis, ya metabolism se related problems jaise hyperthyroidism. Tangon ka dard weakness, vitamin deficiency (especially Vitamin D, B12) ya nerve/muscle problem ki wajah se bhi ho sakta hai.
Aapka weight (49 kg at 5.7”) kaafi kam hai, isliye proper medical checkup bohot zaroori hai. Aapko jaldi se ek doctor ko dikhana chahiye aur kuch basic tests karwane honge jaise:
Blood test (CBC, hemoglobin)
Thyroid test
Vitamin D aur B12 levels
Blood sugar
Chest X-ray (agar TB ka doubt ho)
Filhal aap apni diet improve karne ki koshish karein — doodh, anday, daal, fruits, aur protein wali cheezein zyada lein — lekin sirf diet se yeh problem solve nahi hogi jab tak exact cause na pata chale.
Agar dard itna zyada hai ke chalna mushkil ho raha hai, to delay na karein aur jaldi doctor ke paas jayein.
Aapka case serious hai lekin sahi diagnosis aur treatment se theek ho sakta hai.
I trust this helps
Thank you
Take care

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

89 days ago

Given your situation, unexplained weight loss and severe leg pain are concerning and could be indicative of several underlying conditions. First, it’s crucial to see a healthcare professional as soon as possible for a thorough evaluation. Weight loss like this, combined with leg pain, could be related to nutritional deficiencies, metabolic disorders, infections, or more serious systemic conditions like cancer or autoimmune disorders. When you visit your doctor, they’ll likely start with a complete physical examination, evaluate your comprehensive medical history, and may order some basic laboratory tests including blood work, urine tests, possibly imaging studies, to narrow down the possibilities. Key tests might include a Complete Blood Count (CBC) to check for anemia, metabolic panel to assess kidney, liver function, and thyroid tests to rule out hyperthyroidism or other metabolic causes. For the leg pain, conditions like peripheral neuropathy, nerve impingement, or vascular issues could be suspects, and depending on findings, further imaging or nerve studies might be necessary. They may also assess for musculoskeletal problems or even conditions like vitamin D deficiency or calcium irregularities, which are fairly treatable but require diagnosis first. In terms of immediate steps, ensure that your diet is well-balanced and rich in proteins, vitamins, and minerals—this could mean incorporating more fruits, vegetables, lean meats, and possibly a multivitamin. However, dietary changes alone are unlikely to solve the underlying issue, which is why a professional diagnosis is essential. This problem needs a targeted approach guided by professional assessment and comprehensive check-up that only a qualified provider can give.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

88 days ago

Aapke symptoms severe weight loss, weakness aur tangon ke dard ke saath Malnutrition ya Anemia jaisi condition ki taraf ishara karte hain, lekin kisi chronic infection ya hormonal problem ko bhi rule out karna zaroori hai.
6 mahine se zyada weight loss hona ek warning sign hai, isliye sirf diet se theek hone ka intezar karna safe nahi hai.
Aap turant ek General Physician ko consult karein jahan blood tests aur proper evaluation karke exact cause ka treatment shuru kiya ja sake.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

91 days ago

Hello ji
Aapki problem se lagta hai ya to bmr related problem hai jismein hormonal alterations hai ya chances hai high blood sugar ke
Kuch test likh raha hun isko karwayo tabhi pata lagega kya problem hai
Inko endocrinologist ko dikhana aur accordingly medication lena
Bina doctor ko bataye koi dawai nahi leni
Serum ferritin
Serum tsh
CBC
Esr
Serum rbs
Rft
Lft
Crp
Hopefully aap jaldi theek ho
Regards

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Client_7c6616

Client

91 days ago

Test krwa k reports share kro ga

Dr. Bharat Joshi

91 days ago

Hello ji
Bilkul share karo
Direct idea ho jayegaa
Thanks

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

90 days ago

At your height (5’7") and weight (49 kg), you are underweight, which may fall under Underweight, and this can lead to muscle wasting, fatigue, and visible bones. The leg pain and weakness could be related to nutritional deficiencies (such as vitamin D, calcium, or vitamin B12), muscle loss, or even conditions like Anemia. Since your appetite is also reduced, your body is not getting enough nutrients to maintain strength and energy.
It is very important that you get some basic tests done, including complete blood count (CBC), vitamin B12, vitamin D, thyroid function, and blood sugar, to identify the exact cause. In the meantime, focus on improving your diet by eating high-calorie, nutrient-rich foods such as milk, eggs, bananas, dates, nuts, peanut butter, rice, and lentils, and try to eat small frequent meals (4–5 times daily) even if appetite is low. You may also benefit from a multivitamin and protein supplement if available. Adequate rest, sunlight exposure, and light physical activity (as tolerated) can help gradually rebuild strength.
Your condition suggests severe underweight with possible nutritional deficiencies or anemia causing weakness and leg pain, so you should undergo basic medical tests and improve your diet urgently, as proper diagnosis and nutrition can significantly help you regain strength and health.

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

90 days ago

Hi Shakeel,
Thank you for trusting us with your health. I am Dr. Nikhil Chauhan here to assist you. I have reviewed your details carefully.
First, please know that you have taken a very important step by reaching out. We will address this step by step.
Here is a breakdown of your situation and what needs to happen next:
Concerning Signs (Why this needs immediate attention):
· Chronic Weight Loss: Losing weight continuously for years, especially at your age (30) and current weight (49kg), is a red flag. Your BMI is very low.
· Muscle Wasting: The description of your face losing luster and bones becoming visible suggests significant muscle loss (cachexia).
· Severe Leg Pain: The pain is so severe it has stopped you from walking, which points to a deeper issue than simple fatigue.
· Functional Decline: Going from being active (“bhag bhag k kaam”) to barely walking indicates a rapid decline in health.
Immediate Action Plan (Please do this as soon as possible):
1. Consult a Doctor Immediately: You must see a physician. Do not delay. This needs a physical examination.
2. Specific Tests to Discuss with your Doctor:
· Blood Work: Complete Blood Count (CBC), ESR, Blood Sugar (to rule out diabetes), Thyroid Profile, Kidney and Liver Function tests.
· Infections: Tests for Tuberculosis (TB) , as it is very common in Pakistan and causes weight loss, leg pain, and weakness.
· Imaging: An X-ray or MRI of your legs to check the bones and joints for any infection or damage.
· Gut Health: An stool examination and possibly an endoscopy/colonoscopy to check for absorption issues, as the weight loss is severe.
3. Nutritional Support: While waiting for the appointment, try to eat small, frequent meals. Focus on high-protein foods (eggs, lentils (daal), milk, yogurt, chicken) to help preserve muscle mass.
To help you further, it would be helpful to know:
· Do you have a fever, especially at night?
· Have you had any persistent cough or digestive issues (diarrhea/constipation)?
· Is the leg pain in the joints or the long bones?
Please see a doctor today or tomorrow. You need a proper diagnosis to start feeling better.
Wishing you strength and a speedy recovery.
Dr. Nikhil Chauhan

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

90 days ago

Hello
Shakeel bhai, aapke symptoms—lambe arse se weight loss, kamzor jism, chehra be-ronaq, hadiyan nazar aana, aur tangon mein shadeed dard—bahut important hain aur inhe ignore nahi karna chahiye. Ye sab milkar kisi underlying medical problem ki taraf ishara karte hain, jaise:
- Nutritional deficiency (vitamin, iron, protein ki kami)
- Hormonal imbalance (thyroid, diabetes, etc.)
- Chronic infection (TB, hepatitis, etc.)
- Digestive issues (malabsorption, stomach problems)
- Other medical conditions (cancer, chronic illness)
Aapke liye sabse pehle doctor se milna zaruri hai, taaki asli wajah pata chal sake aur sahi ilaaj ho. Allah aapko sehat de, aur agar aur sawal ho toh poochhiye.
### Kya Karna Chahiye?
1. Doctor se milen: Aapko ek general physician ya internal medicine specialist se milna zaruri hai. Wo aapka physical check-up karenge aur kuch blood tests (CBC, thyroid, sugar, liver, kidney, vitamin D/B12, calcium) recommend karenge.
2. Balanced diet: Jitna ho sake protein-rich khana (dahi, paneer, dal, nuts, eggs), fruits, vegetables, aur milk lein.
3. Rest aur hydration: Aaram karein, pani peete rahein.
4. Leg pain ke liye: Vitamin D aur calcium ki kami ho sakti hai, lekin bina doctor ki salah ke supplements na lein.
### Kab Doctor Ko Jaldi Dikhayein?
- Agar weight loss aur kamzori badh rahi ho
- Agar bukhar, raat ko paseena, ya khoon aana ho
- Agar chalne phirne mein aur zyada mushkil ho
Thank you

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