Brief Answer:
she needs thorough check-up and a few investigations to optimize her current medications for betterment

Detailed Answer:
Hello Mr XXXXXXX Welcome back to HCM,

I've gone through your query and understand your concern for your wife..

Let me get to them one by one..

1. You've read rightly, as this not likely the rash associated with lupus, moreover, lupus has several other features which cannot remain undetected for so long, so no , it's not likely related to lupus.. however a detailed look at it by her doctor is needed to rule out any blood coagulation disorder and/ infection..

2. Yes, you can give her whey, no harm there.. however I'd suggest a consultation with a dietitian for preparation of a comprehensive diet chart according to her BMI, daily requirement of calories etc..

3. The first and foremost thing to improve appetite is physical activity, change of place and surrounding, encouragement to eat, providing her likable foods(as much as possible), keeping varieties of food items so that can provide interest to her.. I can see that she's been through a lot already, so please encourage her to move around with assistance at least three to four times a day for few minutes..

4. I'd suggest you to schedule an appointment with her doctor, as with less eating and so many co-morbid conditions, a few follow-up investigations needed(eg. CBC, Chest X-ray, fresh EKG, 2D-Echocardiography, Liver function and renal function tests etc.) and based on their results, optimization of her water pill as well as cardiac medication..

Now please try to understand that all these are chronic medical ailments and there's only control of symptoms possible along with periodic adjustments of medications as per the overall response of the body to them..

Please let me know if there's any further queries, I'll be glad to clarify..

Take Care
Kind Regards

---

Brief Answer:
ask me as many as you want, i remain at your disposal for cure and guidance

Detailed Answer:
Dear Mr XXXXXXX Welcome back,
Please give my best regards to your wife,
I believe these queries are regarding you this time..

Yes there are few possibilities, but it's not pertaining to heart attack though..

The first and foremost possibility is Diabetes, if you've already checked for it then okay but if not i'd strongly suggest you to get investigated for it (FBS, PPBS, HbA1C, Urine Routine microscopy)..even though everything is fine, but these are salient features thus need to get evaluated in details..

It can also be due muscle spasm or due to electrolyte imbalance (calcium and magnesium most noticeably) or at times, even nerve entrapment and/ vascular spasms associated problems..to get the exact diagnosis a thorough clinical examination by any experienced physician along with few relevant investigations needed as I've stated above..

Analgesics and pain killers may provide the symptomatic relief for the time being, but a proper diagnosis is required in order to get a proper management..

Let me know if there's any further queries, i'll be glad to clarify..

Take Care
Kind Regards

---