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

How to reduce weight of a malnourished patient ?

Male, Age 17. 5 7 140 lbs. Wants to lose weight rapidly for a wrestling match. He restricted hi diet to 500 calories a day and used diuretics. Exercises vigorously for 2 hours a day. Symptoms include arrhythmia, tachycardia , shortness of breath, confusion, headache, diarrhea , drowsiness , muscle weakness and mild paralysis of lowere extrmities. Family history of heart attack, grandfather at age 92. Normal red and white blood count, low total protein, slightly elavated creatinine kinases, low vitamins and minerals, shows depressed metabolism, coronary angiography and nuclear scan results normal, elevated kidney function, borderline renal failure, negative for recreational or medication drugs and high levels of the laxitive Miralax. The patient is seriously malnourished. Could he have nephrosis ?
Asked On : Sun, 7 Nov 2010
Answers:  1 Views:  300
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics
General & Family Physician 's  Response
Restricting diet to 500 calories can cause malnutrition. Diuretics cause electrolyte imbalance. There are different symptoms involving many systems. Low total proteins are from malnutrition. Lightly elevated creatinine kinases, elevated kidney function, borderline renal failure may be from increased Creatinine released from excess muscle strain and from use of muscles for glucose production because of malnutrition.

I don't think you have nephrosis but these are from recent abnormal physiology. Life is more important than going for wrestling match when there are many risk factors. You can try for wrestling by slowly improving your muscles power and slowly losing weight.

Best Wishes
Dr. Jagdish
Answered: Sun, 7 Nov 2010
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© 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