Assessment of weight loss and treatment

Assessment of weight loss and treatment

1. Indications of assessment .
2. Following are the indication for assessment of weight loss . When the patient has
3. 5% weight loss in one month
4. 10% weight loss in six months
5. Body mass index <21
6. Change in fit of clothing
7. Change in appetite, smell, or taste
8. Abdominal pain, nausea, vomiting, diarrhea, constipation, dysphagia

Assessment of people with weight loss.
Those with significant weight loss usually manifest , four cardinal manifestation.They are given below
Loss of appetite,
Loss of muscle mass
Cachexia (combines weight loss, loss of muscle and adipose tissue,loss of appetite, and weakness),
Dehydration.
Detailed history and physical examination  including dental evaluation is very important .Other things to be done as part of assessment are
Cancer screening, Mini-Mental State Examination, Mini-Nutritional Assessment, ,Assessment Questionnaire, Observation of eating,  Activities of daily living , Instrumental activities of daily
Living.
Almost all patients with malignancy and more than 90% of those with weight loss due to a reason will have atleast one laboratory abnormality.

Tests to be done are
Laboratory tests

1. Complete blood count
2. Comprehensive electrolyte and metabolic panel,
3. including liver and kidney  function tests
4. Thyroid function tests
5. Erythrocyte sedimentation rate
6. C-reactive protein
7. Ferritin
8. HIV testing, if indicated in high risk persons
9. Radiology
10. Chest x-ray
11. Abdominal ultrasound (USG)

Treatment
1.First thing tobe done is to identification and treatment of  the underlying cause.
2.Certain causes are treatable which include metabolic, psychiatric, infectious, or other systemic disorders .That will help to restore the weight.
3.Drugs causing nausea and loss of appetite should be changed.
4.Nutritional supplementation , high-energy drinks,supplements should be taken between meals
5.In some patients  antidepressant mirtazapine results in a significant increase in body weight,

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Assessment of weight loss and treatment Indications of assessment .

Assessment of weight loss and treatment

Indications of assessment .

1. Following are the indication for assessment of weight loss . When the patient has 
2. 5% weight loss in one month
3. 10% weight loss in six months
4. Body mass index < 21
5. Change in fit of clothing
6. Change in appetite, smell, or taste
7. Abdominal pain, nausea, vomiting, diarrhea, constipation, dysphagia

Assessment of people with weight loss.

Those with significant weight loss usually manifest , four cardinal manifestation.They are given below

1. Loss of appetite
2. Loss of muscle mass Cachexia (combines weight loss, loss of muscle and adipose tissue,loss of appetite, and weakness)
3. Dehydration.
4. Detailed history and physical examination  including dental evaluation is very important .

Other things to be done as part of assessment are

1. Cancer screening
2. Mini-Mental State Examination
3. Mini-Nutritional Assessment
4. Assessment Questionnaire
5. Observation of eating
6. Activities of daily living
7. Instrumental activities of daily
8. Living

Almost all patients with malignancy and more than 90% of those with weight loss due to a reason will have at least one laboratory abnormality.Tests to be done are

Laboratory tests

Complete blood count
Comprehensive electrolyte and metabolic panel,including liver and kidney  function tests

Thyroid function tests

Erythrocyte sedimentation rate

C-reactive protein

Ferritin

HIV testing, if indicated in high risk persons

Radiology

Chest x-ray

Abdominal ultrasound (USG)

Treatment

1. First thing to be done is to identification and treatment of  the underlying cause.
2. Certain causes are treatable which include metabolic, psychiatric, infectious, or other systemic disorders .That will help to restore the weight.
3. Drugs causing nausea and loss of appetite should be changed.
4. Nutritional supplementation , high-energy drinks,supplements should be taken between meals
5. In some patients  antidepressant mirtazapine results in a significant increase in body weight.

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Significance of involuntary weight loss and its causes.

Significance of involuntary weight loss and its causes.
Weight loss may be voluntary or involuntary. Voluntary weight loss occur due to dieting,exercise and starvation or decreased intake in older people. But the weight loss is involuntary particular attention cshould be given since it may be  an indicator of underlying serious disease.Weight loss can be identified from the hospital or general practice weight record.In some patients weight loss occur without  an underlying cause ,which is regained and stabilise  over time.

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Bittergourd juice for weightloss

Overweight is a pre runner of many disease, so everyone want to reduce body weight and desire is to achieve a slim and fit body.Many people wont get enough time to spend for weight reduction because of their busy schedule, this home made remedy for weight reduction does not need too much time.It is an healthy way to become slim and fit.It works from within your body.

Bittergourd

It is a green vegetable which is also called as bitter melon.This is first cultivated in Amazon rain forest by the tribes, later in Asia, Southamerica, South Africa.This is used as food and has medicinal effect.

How bittergourd juice help to reduce weight?

1.Bittergourd help to reduce blood glucose.

2.Prevent extra sugar absorption.

3.Bittergourd has high fiber content that reduces the absorption of fat and sugar.

4.It has low carbohydrate and calorie content.

How to make bittergourd juice? 

Here are 2 recepies  

1.Take a bittergourd, peel off it with knife, thoroughly wash it under the running water.

2.Slice it into 2 pieces at its center,scoop out the seeds and white flesh.

3.Cut it into small pieces and soak it in a bowl full of water for half an hour.

4.Add half teaspoon lemon juice or salt into the bowl.

5.Put bittergourd pieces into the juicer, and take the juice

6.To overcome bitter taste you can use the following

    Lemon juice

    Apple juice 

    Honey and black pepper

7.With a strainer filter out the  vegetable pieces.

8.Refrigerate the juice for 1 or 2 hour. 

This healthy juice will help to remove some calories from your body and and help you to get slim and fit body.

Mixed vegetable and fruit juice containing bitter gourd

You need the following

1.Bitter gourd

2.Sticks of celery

3.Cucumber

4.2-3 apples

5.1 peeled lemon

Prepare bittergourd as mentioned above,then add all the vegetables and fruits.

You can add any vegetables and fruits of your choice.

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