Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
158 Doctors are Online

Overweight. Certain areas of body dark in color. Sex problems. Guidance

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2009
Answered : 8985 Questions
have friend...male...age 46...grossly 410 pounds..there are areas of his body which have become quite dark. lowers legs, in winter.. area of face....he's ALWAYS falling sleep on job... sleeps knees on floor with upper body laying top of bed.. there's diabeties for both parents..both overweigh..- probably sex problems ..have checked online - hemochromatosis came up...which will put by him....are there anyother condiditons he should check out...he has said his doctor's says he's in completely good health..which i find hard to believe.
Posted Tue, 11 Jun 2013 in General Health
Answered by Dr. Shoaib Khan 10 hours later
Hello and welcome to XXXXXXX

Thank you for your query.

I respect your concern for your friend. Let me help you with a few conditions that could be checked/ruled out, based on the description you have provided me:
-Diabetes (check blood sugar and HbA1c) -- poor blood circulation takes place in diabetes, which can cause darkening of skin. Winter also causes changes in blood vessels, in normal people this change would not be seen; but in the presence of some abnormality, there will be a noticeable change. This is the first condition I would like you to rule out, even more due to the strong family history
-Atherosclerosis (to check blood supply, as he often falls asleep)
-Sleep disorders
-Varocise veins
-Cardiac function (tests: EKG and 2D-echocardiography)
-Obesity can cause a change in blood circulation, which is still not considered abnormal, this can result in numbness, excess sleep, lethargy, in-activeness, poor concentration, depression, etc.
-Blood cholesterol

I also need you to understand that obese individuals may look unwell quite often and their activities and capacities might not match up to that of a normal/healthy individual. As a friend the best advise you can give is to restrict his intake and increase his physical activities.

Addressing hemochromatosis which you are suspecting, this is also brought about in men due to: diabetes or heart failure. So finding diabetes would still be our first option. Hemochromatosis will also have other symptoms like joint pain, weakness, fatigue. Can be diagnosed with a simple blood test (serum transferrin saturation and serum ferritin).

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications or any more information. I would gladly help you.

Best wishes.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor