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Suggest treatment for loss of appetite - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:My appetite for food and drink has totally gone?
Doctor:I read your concern about low appetite.
Doctor:Since how long have you been suffering with low appetite?
User:I do not any appitite and my urine output is very low, for about 3 weeks now
Doctor:Are you running fever?
User:No fever
User:I have vomitted several times
Doctor:And since when have you been vomiting?
Doctor:Is there history of abdominal pain, loose stool too?
Doctor:What about history of weakness, generalized body ache, limb swelling, breathing difficulty?
User:11/2 weeks..but just dry heaves
Doctor:I need some more information to be able to address your concern appropriately. I hope you don't mind answering them.
Have you been tested for diabetes, high blood pressure, renal and liver disease?
User:My current medical condition is as follows:Diabetes Type2,COPD,Cardiac problems and Sever backpain caused by Scoliosis and disk problems I also have my BP 147/74 as we speak
Doctor:And you have no other symptoms that I mentioned earlier?
Doctor:Or do you?
User:I will answer any and all questions...I have had full body aches off and on for the last 3 weeks and my back pain has been sever enough to hindeer my normal walking...this came on sudenly
Doctor:Thanks for providing the extra information.
Doctor:Let me brief you now.
Doctor:I am slightly concerned about your symptoms.
Doctor:Low appetite and reduce urine out put can be an indication of active infection or metabolic - electrolyte changes.
Doctor:Presence of body ache, worsening back pain and dry heaves + vomiting spells suggest possibility of an infection such as virus lingering inside the body.
User:My wife has said my urine is very strong
Doctor:Besides, lack of appetite can lead to nutritional and electrolyte deficiency.
Doctor:Since you have a low urine out put you are most likely passing a concentrated urine.
Doctor:This action is because the kidney is acting to prevent fluid loss.
Doctor:I would order few basic blood tests inorder to find the real cause.
Doctor:Those tests include a complete blood count, blood sugar recheck up, serum electrolytes, serum creatinine and urine routine/microscopy.
Doctor:If you haven't seen a doctor yet, I would recommend that you consider it soon.
Doctor:Visit your physician and get these tests done.
Doctor:If needed, he can start IV fluids to correct immediate fluid deficiency and then act on the problem as per the test reports.
User:My feet and ankles are swollen due to my cardiac problems even though I am on 40mg Torsimide
Doctor:Presence of low urine out put despite the water pill can be due to the fact that the renal system isn't able to secrete enough urine either as a response to fluid conservation or presence of obstruction.
Doctor:All your symptoms are slightly concerning me.
Doctor:Therefore I recommend that you visit the doctor and get those tests done at the earliest.
User:I have to have my Lipids tested next week and an echocardigram by my Cardiologisst
Doctor:I wouldn't advice you to wait for a week. Consult a physician or a general practitioner. He or she can order the necessary investigations. He can help you prepone the cardiology visit if needed.
User:Thank you very much I shall do rhat this week when I arrive back home
Doctor:Earlier, the better.
Doctor:Do you have any more questions to me now?
User:No that is it again thank yoi..bye
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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