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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
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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
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