What Causes Lack Of Appetite, Weight Loss And Stress In An Elderly Person?
I also have muscle crapms at nite, legs
Txs
Consultation
Detailed Answer:
Hello, and thanks for your question.
I'm sorry you're going through so much right now. I think I can help. Here are my thoughts.
What you are describing is concerning for a diagnosis or "complicated grief" or possibly even major depression. Have you been feeling down or depressed in the last couple of weeks?
If so, you would benefit from an appetite-stimulating antidepressant such as Mirtazapine. This would also help with sleep, so it is a medication I highly recommend for you. I would reach out to a psychiatrist or therapist to consider this medication for you given your current situation.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
I was really looking for direction about eating etc, perhaps I need to see a nutritionist. I guess you are knowledgable in that arena. I'm not resistant to psychiatry, just don't see it as the direction I need
Followup
Detailed Answer:
In terms of medication, the best thing to help with insomnia and also increase appetite is mirtazapine, which was developed as an antidepressant but is now used primarily as an anti-insomnia and pro-appetite medication.
If you are seeking help about nutrition to gain weight, I would suggest increasing protein and fat intake, and eating several small meals throughout the day rather than few large meals. This is a good strategy to gain weight.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers