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Obesity with irregular periods, dry skin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Good afternoon.
User :   Hi
Doctor :   This is Dr XXXXXXXX here.
Doctor :   How can I help you?
User :   GA!!!
User :   I would like to reduce my weight
Doctor :   May I know your current height and weight?
User :   How can i do that?
Doctor :   may I know your age and gender?
User :   4.9"
User :   Female
User :   weight - 63
User :   Age : 27
Doctor :   Do you have any other medical illness?
User :   no nothing
Doctor :   Have you seen a doctor?
Doctor :   have you tried any measures to reduce weight in the past?
Doctor :   Are you there?
User :   ya.. sorry
User :   I haven't met doctor
Doctor :   Ok
User :   i use to take oats in the morning alone... that too 5 months back for few weeks only
Doctor :   Ok
User :   but one thing I use to have irregular periods cycle
Doctor :   Before I can explain to you, can I ask a few questions to look for the possible cause of increased weight?
User :   sure
Doctor :   Ok
Doctor :   Are your periods regular?
User :   no
Doctor :   Can you explain them?
User :   I use to get once in 6 months from initial days
Doctor :   Ok
User :   even now
Doctor :   Do you have other associated symptoms such as dry skin, hair growth changes, not able to reduce weight inspite of eating less, depression and so on?
Doctor :   Are you there?
User :   dry skin - yes
User :   depression - yes
User :   I use to skip breakfast frquently
User :   and dinner too
Doctor :   Ok
User :   only the lunch i use to have mostly
User :   that too outside food... not the home food
User :   in offc i use to have
User :   i haven't tried any measures to reduce till now... i use to try for GYM, but very irregular
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok...
User :   also I use my car, so walking is also very very less
Doctor :   Based on your current weight and height, your BMI stands at 30 which falls under the category of obesity
Doctor :   Weight changes are governed by various factors such as genes, diet and lifestyle and certain by medical conditions.
User :   I have excess fat only in my hips and thighs
Doctor :   Now from your description of symptoms, I think you could be having a medical condition -
Doctor :   a thyroid or a ovarian hormone dysfunction that is probably causing the increased weight along with the other symptoms that you reported.
Doctor :   Hence apart from diet modifications and exercises, it is also necessary that you address the medical problems also.
User :   oh ok
Doctor :   So let me suggest the measures/steps that you need to take.
User :   yes pls
Doctor :   1. Get a thyroid function test done
User :   ok
Doctor :   2. If the tests are normal, then you need to consult a gynecologist.
User :   ok
Doctor :   Gynecological evaluation for probably PCOD is to be done.
Doctor :   Hypothyroidism and PCOD are 2 important medical conditions causing obesity.
User :   k
Doctor :   3. If either of these are abnormal, then appropriate correction of the condition can stablilse your weight
Doctor :   4. In the mean time while you look for these evaluation, involve in weight reducing physical exercises such as brisk walking, jogging and so on.
Doctor :   Do not concentrate on your diet now.
User :   ok
Doctor :   5. Regular exercises and daily exercise is a must.
Doctor :   6. Involve in slow and gradual dietary modifications.
User :   ok
Doctor :   Few diet changes that you can involve now are as follows.
User :   yes
Doctor :   1. Break your diet into small and frequent meals.
User :   ok
Doctor :   2. Inbetween the 3 meals include in low calorie low fat diet products such as triptin biscuit snacks, fruits salads and so on.
Doctor :   c. Reduce the quantity of sugar intake, and avoid all juck and highly sweet food products.
User :   ok
Doctor :   These few diet changes can be done initially.
Doctor :   Since you are our corporate customer, you can take the help of a diet plan from one of our nutritionist.
User :   ok
Doctor :   after getting the initial tests and doctor check up.
User :   And one more question
Doctor :   The dietician can help you plan a personalised diet chat associated medical illness is found.
Doctor :   hence I do suggest you to come back after the initial blood test and obtain an opinion from our dietician
User :   I would like to meet a gynecologist... I would like to have them in my area where I reside
User :   sure
Doctor :   and take a personalised diet plan programme done for you.
User :   sure
User :   I would like to meet a gynecologist... I would like to have them in my area where I reside
User :   Is it possible?
Doctor :   Give me minute while I look for a gynecologist at your location.
User :   sure
Doctor :   I would probably suggest you to get the thyroid function test first
User :   sure
Doctor :   and then consult the gynecologist.
User :   really thanks a lot...
Doctor :   If you are interested in an appointment, we shall help you with fixing with the appointment
Doctor :   with the same doctor or an alternative gynecologist of your choice(once you get the test done)
Doctor :   Hence I suggest you to come back to chat with us after the test is done,
User :   oh thanks... I will get back to you once I have done the test on this weekend
User :   :-) ok
Doctor :   If the tests show abnormal report, then an endocrinologist will be a better person toe help you.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   I am clear... thanks a lot!!!
Doctor :   Thanks for consulting me.
Doctor :   Have a nice evening!!
Doctor :   Bye for now.
User :   u too... bye
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