HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Weight Loss And Lower Back Pain In Feeding Mother?

Posted on Tue, 1 Apr 2014

Question: SIR, MY WIFE IS A MOTHER OF 01YEAR 2MONTHS OLD HEAVY BREAST FEEDED BABY,EVERY DAY MOST OF THE TIME HE NEEDS HER MOTHERS MILK. STARTING OF HER PREGNANCY INTHE YEAR OF XXXXXXX 2012 HER WEIGHT WAS 48 KG,IN PREGNANCY PERIOD IT BECOME 54 -56 KG.AFTER GIVING BIRTH OF MY SON IN XXXXXXX 2013 ,FIRST COUPLE OF MONTH HER WEIGHT WAS MEASURED BUT IN AUGUST-SEPTEMBER 2013 HER HEALTH BECOME WEEK AND SHE STARTS LOSSING WEIGHT,JAN-2014 I MEASURED IT 37 KG AND THIS MONTH ALSO IT BECOME SAME 37 KG ONLY,HERE IT IS TO MENTION THAT OCT- 2011 SHE WAS DIOGONOSED WITH HIATUS HERNIA AND ANTRAL GASTRITIS,AND AFTER DELIVERY SHE USE TO TAKE NORMAL RICE,DAL,FISH,NO HIGH CALORIE FOOD SHE HAS TAKEN IN THIS PERIOD THOUGH SHE IS LACTATING TILL DATE,SHE DONT HAVE ANY FEVER SINCE MY BABYS DELIVERY,BUT HAVING THROUGHT CONGESTION FOR LAST FEW DAYS AND LOWER BACK PAIN WHICH IS GOING DOWN TO HER LEG, AND SOME TIME HER LEGS BECOME PAIN FULL WHEN SHE DO FATIGUE WORK,THIS BACK PAIN WAS FROM 2006-07 ONWARDS, AND HER MENS PERIOD IS NORMAL SOME TIMES WHEN SHE FEELS BACK PAIN SHE OBSERVE WHITE DISCHARGE FROM HER VAGINA,WHEN I VISIT TO LOCAL GYNECOLOGIST HE HAS GIVEN CHEST X-RAY,SUGAR-PP, AND HIV TEST.THOUGH 2011 AND 2012 TWO TIMES BEFORE PREGNANCY SHE HAS BEEN TESTED HIV NEGETIVE (REPORT ATTACHED) IN RAPID TEST.NEITHER SHE DONT HAVE ANY EXPOSURES NOR WE HAVE SEX FOR LAST ONE AND HALF YEAR.NOW MY QUESTION IS THAT; 1. SHOULD I GO FOR HIV TEST AGAIN. 2. WHAT MAY BE THE REASON FOR HER WEIGHT LOSS, 3. WHAT FOOD SHE SOULD TAKE TO GAIN WEIGHT. 4. IS THERE ANY CHANCE OF HIV INFECTION. WITH THANKS XXXXXXX

Answered by Dr. Richa Agarwal (27 minutes later)

Brief Answer: Your wife needs evaluation for her problem. Detailed Answer: Hi, Thanks for writing to us. 1) If she is not having any issues go for HIV test( I know she is not exposed nor involved in any sexual activity) but it's better to be ruled out. 2) There are so many reasons for her weight loss but most important cause her diet is not appropriate. 3) For lactating mother diet is full with high fibre, milk product and vegetable etc. She should take daliya, moong daal, milk, curd and vegetable in her diet. 4) Chances of HIV infection are very less in her case. In my opinion she should take diet as advise in frequent interval, Iron and calcium supplements and she should go for pelvic examination and investigation to see for vaginal infection ( because It may also cause weight loss). I think I have answered your query if you have further question I will be happy to help you. Good luck. Regards Dr.Richa

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Richa Agarwal (12 hours later)

MAM, YOU HAVE MENTIONED THAT If she is not having any issues go for HIV test.ALREADY I HAVE MENTIONED IN MY QUESTION/MEDICAL REPORT THAT I HAVE A 01 YRS & 03 MONTHS OLD BABY.AGAIN I AM HIGHLIGHTING SOME POINTS FOR YOUR PERUSAL: 1. MY WIFE HAS A BABY OF 1 YEAR 03 MONTHS OLD,BORN IN XXXXXXX 2013. 2. HER TSH -4.53, HB-12.2, WBC-6000, RBC 0000, MEAN ESR-10 MM , PLASMA GLUCOSE-86 MG/DL. 3. RAPID HIV TEST CARRIED OUT IN APR-2011 AND XXXXXXX 2012 DURING HER PREGNANCY PERIOD. REPORT WAS NEGATIVE. 4. SHE IS A CRONIC HIATUS HERNIA AND ANTRAL GASTRITIS PROBLEM ,UNABLE TO TAKE ANY HIGH CALORIE FOOD LIKE DATES,CASHEW, SATURATED MILK PRODUCT , XXXXXXX , MOONG DAL. FOR THAT ALREADY I HAVE VISITED TO A GASTROENTROLOGIST,BUT SHE WAS UNABLE TO TAKE GASTRO MEDICINE ALONG WITH VITAMIN SYRUP,WHENEVER SHE IS TAKING THIS, SHE FEELS UNCOMFORTABLE WITH EXCESSIVE PRESSURE IN HER BOWL WITH CONSTIPATION PROBLEM, BUT WITH OUT GASTRO MEDICINE SHE IS ABLE TO TAKE NORMAL FOOD WITH NO DIFFICULTY. 5. SHE WAS 48 KG BEFORE PREGNANCY,DURING PREGNANCY IT TOUCHED NEAR 58 KG AND AFTER DELIVERY IN XXXXXXX 2013 IT WAS 52 KG SHE LOSS WEIGHT DURING MARCH 2013 TO OCT 2013 AND BECOME 37 KG.FROM OCTOBER 2013 TO MARCH 2013 IT IS 37 KG AND CONSTANT FOR LAST FIVE MONTHS. NOW MY QUESTION TO YOU IS THAT 1. WHETHER I SHOULD GO FOR HER HIV TEST. 2. WHAT ARE THE IRON AND CALCIUM SUPPLEMENTS YOU ARE SUGGESTING,CAN YOU MENTION SPECIFICALLY. 3. IF SHE IS UNABLE TO TAKE HIGH CALORIE FOOD THEN WHAT CAN BE ALTERNATIVE FOR HER DIET. 4. AT LAST WHAT ARE THE SPECIFIC TEST YOU ARE SUGGESTING FOR HER. I AM WAITING FOR YOU VALUABLE ADVICE, AS I AM VERY WORRIED FOR HER HEALTH BECAUSE MY BABY NEED HER MOTHER MOST AND I WILL TRY BEST TO MAKE HER ALRIGHT. WITH REGARD'S XXXXXXX

Answered by Dr. Richa Agarwal (14 hours later)

Hi, Sorry for my delayed response. In my opinion here are answer of your questions- 1) Yes, She should go for her HIV test . 2) If she is having problem with iron and calcium supplement, she should not go for it. 3)Diet for her would be- Drink a lot of water. Frequent small quantity meal. Take XXXXXXX and oatmeal. Take skimmed milk and low fat yogurt. Take egg white. Take low fat diet. 4) You have already done so many test and result are normal so in my opinion you should wait for sometime and not to go for another testing because her weight is now stable also. If you want you can take one opinion from gastroenterologist about your diet. I think I have answered your query if further questions please ask. Good luck. Regards Dr. Richa

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D