
Is An Unexplained Weight Loss A Cause For Concern?

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Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations.
1. Your friend had been treated for dehydration about 6 weeks ago and by now he should have made a complete recovery.
2. His nutrition is a concern and slowly he might be developing a nutritional deficiency state and this also explains the loss of weight over last few weeks.
3. It is nice to know that he will be consulting Dr.Miller on Monday which is three days from now. Till then you can help your friend and try to make sure he is having a regular intake of fluids and taking meal on time.
4. From the physical health point of view, he requires to take a complete physical examination keeping in mind his possible nutritional deficiency and ailments which are commonly seen in gentlemen of his age group. Even anemia and electrolyte imbalance might cause vague symptoms like fatigue and body aches.
Increased intake of potassium leads to a condition called hyperkalemia which itself causes weakness and fatigue.
It will be important to know if he is experiencing any physical condition which he has not disclosed till now and if that might be preventing him from taking eating well. This includes the suspected intake of over the counter pills for regular stomach pains (as told by his neighbor) and requires to be explored in detail.
5. His mental health is also important to be addressed. The passing away of a friend is a delicate matter and a possibility of his extended grief needs to be dealt with keeping him comfortable. This matter might also be discussed with Dr.Miller on Monday. If required, Dr.Miller might refer him to a mental health professional.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek

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