Weight gain

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Weight gain

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Weight gain is an increase in body weight. It is generally caused by the intake of excess calories, little exercise, or may be caused by a medical condition. One exception is bodybuilding, in which muscle is gained by workout routines. With a large differential diagnosis, weight gain is a prevalent complaint among adult patients.

It may be intentional or unintentional, sometimes for muscle building, or for health reasons, i.e. increasing body fat percentage to a healthy amount. Intentional reasons may include gaining weight to get to a healthy weight, bodybuilding, and recovery for eating disorders like Anorexia Nervousa.

See also obesity for a full discussion.

Symptoms

Causes

Common Causes

Causes by Organ System

(By organ system)

Cardiovascular Alstrom syndrome, Heart failure
Chemical / poisoning No underlying causes
Dermatologic Hypertrichosis brachydactyly obesity and mental retardation
Drug Side Effect 4-Chlorodehydromethyltestosterone, Aldesleukin , Amiodarone, Amisulpride, Amitriptyline, Anastrozole , Aripiprazole , Asenapine, Atenolol, Azelastine, Bisoprolol , Bosentan , Carteolol , Carvedilol , Chlorpropamide, Chlorprothixene, Ciprofloxacin, Clomiphene , Clomipramine, Clozapine, Combined oral contraceptive pill, Cyclosporine , Cyproheptadine, Cyproterone, Danazol, Desonide, Desoximetasone , Dexamethasone, Diclofenac, Dienogest, Diflunisal , Disopyramide, Docetaxel , Doxazosin , Doxepin, Escitalopram, Estrogen Injection, Ethinylestradiol, Etodolac , Fenoprofen , Fentanyl, Fludrocortisone acetate , Gabapentin, Gestrinone, Glatiramer, Glucocorticoid, Goserelin, Haloperidol, Hormone replacement therapy, Hydralazine , Hydrochlorothiazide, Hydrocortisone, Iloperidone, Imatinib, Imipramine, Implanon, Indomethacin, Insulin, Interferon beta-1a , Interferon beta-1b , Itraconazole, Ketorolac, Ketotifen, Labetalol, Levobunolol, Levomepromazine, Lithium , Lofepramine, Maprotiline, Meclofenamate, Medroxyprogesterone, Mefenamic acid, Megestrol , Meglitinide, Mesoridazine, Methylprednisolone, Metoprolol, Mianserin, Minoxidil, Misoprostol, Nabumetone, Nadolol, Nialamide, Norplant, NuvaRing, Olanzapine, Oprelvekin, Oxandrolone, Oxcarbazepine, Oxymetholone, Paliperidone, Paroxetine, Perphenazine, Phenelzine, Phenothiazine, Pindolol, Pioglitazone, Piroxicam, Pizotifen, Prednisolone, Pregabalin, Progesterone, Propranolol, Quetiapine, Ractopamine, Reserpine, Risperidone, Rituximab, Rofecoxib, Rosiglitazone, Salsalate, Sargramostim, Selective serotonin reuptake inhibitors, Sertindole , Sertraline, Sirolimus , St John's wort, Steroid medications, Sulfonylureas, Sulindac, Sunitinib , Temozolomide , Terazosin, Thiazolidinedione, Thioridazine , Thiothixene, Timolol, Trazodone, Trestolone, Tretinoin, Triamcinolone oral, Tricyclic antidepressants, Trifluoperazine, Trifluperidol, Valproic acid, Venlafaxine, Vigabatrin, Ziprasidone, Zotepine
Ear Nose Throat Metaphyseal dysostosis mental retardation conductive deafness
Endocrine Achard-Thiers Syndrome , Acromegaly , Anophthalmia-short stature-obesity, Cushing's syndrome, Diabetes mellitus, Froelich's syndrome, Growth hormone deficiency, Growth Hormone Receptor Deficiency, HAIR-AN Syndrome, Hashimoto's thyroiditis, Hyperpituitarism , Hyperprolactinemia, Hypothalamic tumor, Hypothyroidism, Laron Syndrome , Low Testosterone levels, Lymphomatous thyroiditis , Mauriac syndrome, Polycystic ovary Syndrome, Prediabetes, Pseudocyesis, Renal tubulopathy-diabetes mellitus-cerebellar ataxia, Riedel's thyroiditis, Sub clinical hypothyroidism
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease No underlying causes
Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy No underlying causes
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Dental No underlying causes
Miscellaneous No underlying causes

Causes in Alphabetical Order

Causes include; [1] [2]

Acute or chronic Liver Disease

  • Decreased hepatic protein production causes a decrease in intravascular oncotic pressure
  • Leads to edema, ascites etc.

Congestive Heart Failure
Cushing's Syndrome

  • Cortisol levels may be elevated due to
  • Adrenocorticotropic hormones secreting adrenal adenoma
  • Adrenal hyperplasia
  • Adrenocorticotropic hormone secreting ectopic tumor

Diabetes Mellitus
Hyperplasia

Hypothalamic lesions
Growth hormone deficiency
Medication side effects

  • Oral contraceptives
  • Corticosteroids
  • Antidepressants

Premenstrual syndrome
Pregnancy
Pre-eclampsia/Eclampsia
Polycystic Ovary Syndrome

  • Hirsutism
  • Irregular menstrual cycle
  • Insulin resistance
  • Obesity

Laboratory Findings

  • fasting glucose
  • urinealysis
  • U&E
  • Random cortisol

Primary Prevention

  • Low calorie diet and excercise

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Acknowledgements

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

List of contributors:


Suggested Reading and Key General References

Suggested Links and Web Resources

For Patients

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