Glaciers play a crucial role in the Asian Water Tower, underscoring the necessity of accurately assessing their mass balance and ice volume to evaluate their significance as sustainable freshwater resources. In this study, we analyzed ground-penetrating radar (GPR) measurements from a 2020 survey of the Xiao Dongkemadi Glacier (XDG) to determine ice thickness, and we extended the glacier’s volume-change record to 2020 by employing multi-source remote-sensing data. Our findings show that the GPR-derived mean ice thickness of XDG in 2020 was 54.78 ± 3.69 m, corresponding to an ice volume of 0.0811 ± 0.0056 km3. From 1969 to 2020, the geodetic mass balance was −0.19 ± 0.02 m w.e. a−1, and the glacier experienced area and ice volume losses of 16.38 ± 4.66% and 31.01 ± 4.59%, respectively. The long-term mass-balance reconstruction reveals weak fluctuations occurred from 1967 to 1993 and that overall mass losses have occurred since 1994. This ongoing shrinkage and ice loss are mainly associated with the temperature increases in the warm season since the 1960s. If the climate trend across the central Tibetan Plateau follows to the SSP585 scenario, then XDG is at risk of disappearing by the end of the century.