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Weight loss and contraceptive advice - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Birth Control
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi
User :   How can I help you?
User :   hi
User :   am mamtha here
User :   I am Dr XXXXXXXX here.
User :   Please proceed with your query.
User :   am 20yr old
User :   and am very skinny
User :   can you suggest me how to put on some weight?
User :   May I know your present height and weight?
User :   Do you have any medical illness such as diabetes, thyroid problems?
User :   sm 5'3 and ma weight is 38
User :   no i dont have any illness
User :   Ok
User :   am healthy but my only problem is underweight
User :   Have you seen a doctor for the weight problem?
User :   yes i had, doc had suggested me a iron syrup which did not help me
User :   Ok
User :   Let me explain to you.
User :   A persons weight is dependent on genetic factors.
User :   But luckily,
User :   the action of the genes on weight can be modified by certain factors.
User :   ok
User :   The important factors that modify it are as follows
User :   1. Dietary factors
User :   2. Presence of medical illness
User :   3. An infection.
User :   since i dont have any illness, i think ill have to work on my dietary factors
User :   So you will need to discuss with your doctor, if you have any such illness or infection that is probably impairing weight gain.
User :   ok ill do that. thank you
User :   Few medical condition that you should be wary of are thyroid problems, anaemia, malabsorption syndrome and so on.
User :   If no such conditions are available, then the following holds good.
User :   To assist you with diet, can you brief me about your daily diet habits?
User :   * I mean your normal diet for a day?
User :   i have normal breakfasts with milk, proper lunch,also evening snacks,nite rice and aslo egg
User :   Ok
User :   What does your breakfast consist of?
User :   Can you specify them?
User :   Are you there?
User :   Are you there?
User :   s
User :   If you wish, I can guide you over phone.
User :   most of the time rice only
User :   If that is fine, please confirm your phone number?
User :   also chapathi
User :   Ok
User :   0000
User :   My dietician will call you.
User :   thank u
User :   hi
Doctor :   Hi
Doctor :   Are you back?
User :   iam serisha
Doctor :   Yes
Doctor :   Please go ahead
User :   i had a miscarraige in may 09
User :   at end of 5th month
User :   sorry may 2010
User :   its just 8 months over
Doctor :   ok
User :   i have put on weight due t this
User :   b4 pregnant i was 58 kg but nw iam 69 kg
User :   doctor said to take a break of 1 -1.6 months
Doctor :   Ok
User :   hw shud i reduce my weight fro planning pregnancy
User :   also wat all thngs i shud follow for preparing my health
User :   my doctor said will give some multivitamin also need to go blood test b4 planning
User :   i didnt do anythn still
Doctor :   When are you planning
User :   may b this year end
User :   as i have put on weight
Doctor :   Ok
Doctor :   So first thing I would suggest is to reduce the weight
User :   even my mind is not ready for the same
User :   wat all thngs is shud do pls suggest
Doctor :   Reducing weight with Diet and exercise
Doctor :   is most important
Doctor :   I shall arrange for a Diet consultation
User :   k
Doctor :   with a Dietitian who can counsel you on whaat to take and what to avoid
User :   k
Doctor :   Regular exercise is must
Doctor :   around 45 mintues for 5 days a week
User :   i usually go for a morning walk
User :   almost for 40 mins
Doctor :   That is good
Doctor :   continue on that
User :   but still no change
Doctor :   but along with it few dietary modifications are required
User :   like
Doctor :   As I told those will be explained by Dietitian
Doctor :   General measures, are low fat, high fibre and protein diet
User :   k
User :   how to connect to dietician
Doctor :   I shall arrange a consultation
User :   shall i directly connect from here
Doctor :   One of our customer care team calls you
User :   kk
Doctor :   Please confirm your phone number
User :   0000
Doctor :   Ok
Doctor :   I shall arrange a phone call
Doctor :   Now coming to the second query about planning pregnancy
Doctor :   After weight loss
User :   k
Doctor :   the next thing is Folic acid supplements started at least 3 months before you plan
User :   ok
Doctor :   That is if you are planning Dec 2011, you can start from Sep / Oct 2011
User :   kk
User :   any tests
Doctor :   A check up in Oct 2011 from a Gynecologist shall also help
Doctor :   Other than that there are no specific precautions to be followed
Doctor :   You do not need any tests now or before planning pregnancy
Doctor :   But once you are positive for pregnancy
Doctor :   there are a series of tests done
Doctor :   A pap smear test is done in Oct 2011 by your Gynecologist
User :   k
User :   also shud my husband shu undergo any test prior planning
Doctor :   Not necessary
User :   k
Doctor :   Do you have any other questions?
User :   last time the pregnancy was unplanned
User :   if i bcm pregnant with out any planning wat all shud be done immediately
User :   i suffered a lot last time
User :   so i want to be careful
Doctor :   Actually if you do not want to get pregnancy, it is always better to follow contraceptive method of choice
User :   kk
Doctor :   Condom, Pills
Doctor :   That is safe and recommended
User :   iam afraid of taking pills as it has lots of side effects
Doctor :   Unwanted pregnancy are common
User :   k
Doctor :   if these are not followed
Doctor :   you can use condoms as they have no side effects
User :   thank u so much fr guidance
Doctor :   Thank you
Doctor :   Bye for now
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