Since beginning the new year on January 1, I have lost 19 lbs (today is January 16), going from 267 lbs to 248 lbs (I am 6'2" tall). I also have a rapid onset of stomach fullness when eating even relatively small amounts of food, and frequent, liquid diarrhea. Truth be told I don't have much appetite, and I am recovering from a bout of flu that lasted from 1/4 until about 1/11 (cough/cold, sinus pain/pressure, and generalized malaise/body aches). Concurretn with the flu, I also had an outbreak of oral herpes, for the which I took Valtrex, 2 gm Q12H x 1 day (4 gm total) and used a Zovirax ointment on the cold sores.
This past week I tried to eat lots of high-fat, and fattening foods (pizza, doughnuts, burgers, rotisserie chicken) to see if I could abate or even reverse some of the weight loss, but I could not - in fact, I lost an additional two pounds. My mouth "feels funny" - dry and tingly, for lack of better descriptors, and I get really sleepy after eating. I drink only about 15 oz of coffee each day, in the morning. I eat pretty much everything, but have recently tried to limit my beef intake out of concern for BSE/vCJD.
I am a 40 year old caucasian man. I take the following medications: Zoloft 200 mg/day (depression), Lisinopril 20 mg/day (hypertension), Singulair 20 Mg/day (extrinsic asthma), Clonazepam 0.5 mg BID (anxiety), Valtrex 1 gm PRN (oral herpes), Ambien 10 mg HS (insomnia), Tylenol #4 PRN for headache pain (taken infrequently). During my flu and herpes outbreak, I took 400 mg Ibuprofen QID for achiness and fever, which I have now been able to discontinue. I also take Claritin-D as needed for seasonal rhinitis. Ive been taking all these meds in these amounts for at least a year - none of them are new to me.
Needless to say I'm afraid to go to my doctor - sounds foolish, I know - but I'm very concerned that this might be cancer, or diabetes, or something worse. I am my family's sole support - I have a small son and a stay-at-home spouse, and the thought of a serious illness scares me. The weight loss is really the scariest thing to me - I know at 6'2" and 267 I needed to lose weight, but I'd been roughly that weight for more than a few years, and I'm a terrible dieter - I cheat constantly.
I'd love feedback as to what this might or might not be. Sould it be Hepatitis? A yeast infection of some kind? Other possibilities? Parasite? Something...worse?
Lastly I just had to change insurance from an open plan to a HMO - and this is just the sort of thing that scares me about HMO care - I don't want some doctor just shoving Immodium at me and waving me off - it seems like this might be serious. How do I bring appropriate gravitas to bear on the medical equation in an HMO environment?
Thanks - peace and love to all of you, and I welcome your feedback.