Doctor insights on:
Management Of Marasmus
Severe: Marasmus is one tyoe of serious protein-energy malnutrition. Marasmus is a condition primarily caused by a deficiency in calories and energy. Marasmus results in not only high mortality (even for hospitalized children), without any improvement over the last 2 decades, and also results in morbidity, stunted linear growth, and compromised neurological development. ...Read more
FAILURE TO GAIN WT-: Then loss of weight until emaciation results, loss of skin turgor, wrinkled/loose skin as subcutaneous fat disappears, appearance becomes shrunken and wizened. Abdomen may be distended or flat with visible intestinal pattern. Muscle atrophy with resultant hypotonia, temperature- subnormal, slow pulse rate, low bmr. Listlessness, diminished appetite. Constipated or starvation diarrhea with mucous... ...Read more
Starvation diseases: They are both diseases that arise from an inadequate diet and starvation. Kids with marasmus have dry loose baggy skin. Kwashiokor children have malabsorption, diarrhea, edema and bloated abdomens. The findings in kwashiorkor are due to profound profound protein malnutrition while marasmus is from a total lack of nutrition in general ...Read more
Forget about sex, ethnicity, etc., merasmus is a form of severe malnutrition, often starting in children who are very young.
It has little to do with sex and ethnicity, etc.
Please read up about in on the web and, if this directly involves you, follow all of the information provided. ...Read more
See below: "marasmus is one of the 3 forms of serious protein-energy malnutrition (pem). The other 2 forms are kwashiorkor (kw) and marasmic kw. These forms represent a group of pathologic conditions associated with a nutritional and energy deficit occurring in young children from developing countries at the time of weaning. Marasmus is a condition caused by a deficiency in calories and energy" (medscape. Com. ...Read more
Marasmus has been thought to result from inadequate energy intake and is better described as nonedematous protein /energy malnutrition.
Treatment include initial phase of hydration & antibiotic treatment followed by continued antibiotic therapy and introduction of diet providing maintenance amount of protein and energy along with adequate electrolytes, trace minerals and vitamins (second phase). ...Read more
Not just that...: The way you have phrased this question itself is troubling. I can't call it without seeing you, but I hope you have access to a physician who can look at how you eat, and whether there is malabsorption / maldigestion / endocrine disease (addison's, simmonds') that may be putting your life in danger. I believe you know of the danger you are in; please get with your personal physician now. ...Read more
MARASMUS Is a form: Of protein energy malnutrition. Inadequate calorie intake due to insufficient diet, metabolic, congenital malformations are causes, resulting in emaciation. Immediate management of acute problems, e.g. Diarrhea, dehydration, sepsis, etc first. Then administration of adequate, concentrated balanced diet with micronutrients/vitamins supplementations. Amount be increased gradually as per tolerance. ...Read more
Is the loss of subcutaneous adipose tissue of the face in marasmus the first sign? And does the child with marasmus has hypothermia?
Weight loss of FTT: (Failure to Thrive) would be first signs of nutrition deprivation and in a child would be expected to be noted first in overall growth and especially loose skin on buttocks and thighs and arms, but may be easier to noticed on face. Eyes will get sunken quite quickly with dehydration, which may have a different cause. Fatigue, irritability are common. Hypothermia would not be a first sign. ...Read more
Please suggest the best OTC medicine (s) for sinus symptoms management (esp. The headache) and can be used regularly.
OTC meds for Sunuses:
Pseduephedrine (Sudafed) is the main decongestant sold OTC, but due to its potential for abuse, it is now stored behind the shelf and u need to ask for it. It can cause increased heart rate and insomnia.
u can use nasal sprays to decongest while avoiding the insomnia caused by oral decongestants. Anti allergy meds
can be used if they are adding to the congestion otherwise u can skip these ...Read more
Rate control: Initially, controlling heart rate and symptoms are essential. Once chronicity and risk of thromboembolism is considered, then anticoagulation and after that attempts at restoration of rhythm can be made. ...Read more
Organophosphate: This causes a build up of acetylcholine due to enzyme inhibition. Symptoms may be mild eg. Gi to severe such as come, respiratory arrest etc... So treatment needs to be done in a hospital. An evlauation needs to be done first. - effects are independent of exposure amount. Atropine and pralidoxime are used for treatment along with supportive care. ...Read more
Reinforcement: In applied behavioral analysis it is the arranging of contingencies in order to produce a specified behavior. As a treatment for mental disorders or substance abuse, behaviors are rewarded (or sometimes punished). If a reward (or + reinforcer) is given, it is in response to (or contingent upon) a desirable target behavior. ...Read more
Awareness and action: Self-management entails monitoring blood glucose, understanding contribution of diet, exercise and illness, administering appropriate medications to keep blood sugars within well-defined boundaries, recognizing complications, knowing when to call for help. Your doctor may see you for only a few minutes out of every month so the vast majority of management of diabetes must be done by you at home. ...Read more
Money: Case management is insurers trying to save money;disease management is trying to improve outcomes days, weeks, and years down the road by applying "best, evidence-based practices" to our current treatments. It is not an easy balancing act. We have been surprised more than once in the quest for the "right" treatment for a disease process. ...Read more
Low glycemic diet: The healthiest diet is a low glycemic diet. There is also evidence that adequate sleep, vitamin d and the proper probiotics contribute to maintaining normal weight. Exercise is important, and you can start slow; just take a walk every day. Keep stress low as stress hormones can contribute to being overweight. Drink enough water; sometimes the body confuses hunger with thirst. ...Read more
Don't age but also: It is a x-ray term used to described normal aging process of the spine. It may not cause any symptoms. However, smoking and being overweight can accelerate rate of it occurring which can then lead to symptoms which are best managed by smoking cessation, weight control and regular exercise including core strengthening, flexibility and cardiovascular routines. ...Read more
Case managers: Usually case managers are social workers or nurses by training. ...Read more
I don't understand?: Your question is not clear. What do you mean by piano management? ...Read more
Good Diet & Exercise: Diet and exercise are the keys to weight management programs. However, 95% of the program is selecting the correct diet. Low fat diets are only partially effective and for only about 30% of the population. Low carbohydrate diets are the most effective for long term weight loss and management. Adding an appropriate exercise routine including resistance and cardiovascular training is essential. ...Read more
To a certian degree,: Yes. The doc must have a license where the patient is, and the medical problems must be relatively straight forward. Know thius. It is a goodidea to see and establish a face to face relationship with a primary care doc. This isn't ment to replace that. We want to help, as much as we can. Your on-line doc will help you to understand what our limits are. All the best. ...Read more
Exercise and Weight: Generally speaking when trying to change your shape you should use exercise for two purposes. To increase metabolism and to maintain muscle mass. It is not wise to use exercise as a weight loss tool since you can eat many more calories than you can exercise away. Lower your carb intake, eat frequent small meals or snacks and drink plenty of water. Work to keep your heart rate between 100-120 bpm. ...Read more
Medication: Need to reduce size of prostate and improve flow. ...Read more
Home Stress Management
• Focus on “Breath Is Life”
• Keep saying until you run out of breath.
• Take another deep breath and repeat the same.
• Do it with 10 breaths
• Do not focus on other thoughts, they will pass away like clouds on mountain
• Visual Imagery of National parks or a Peaceful place you have visited
• Music Relaxation
• Tai Chi ...Read more
Weight issues are very common these days. One problem is decreased activity, but in my opinion it is mostly due to the food that we eat.
For most people, it would be best to eat a low carbohydrate, moderate fat, moderate protein diet, with 8 to 10 servings of non-starchy vegetables a day.
Some people have low thyroid function that contributes to weight problems. Get a medical checkup to know. ...Read more
Aerobic: Aerobic exercise- an activity that elevates your heart rate and you can continuously do that activity-ideally for a minimum of 20 minutes but working toward a goal of 60 min 5 days per week. Brisk walking, running, cycling, swimming, etc. Make sure you enjoy it and can have fun. Having a workout partner helps so you can motivate each other. ...Read more