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Q. Based on my 58-year-old mother's reports, please suggest a diet plan.

Answered by
Dr. Subharanjini Ramesh
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Aug 29, 2020 and last reviewed on: Apr 30, 2021

Hello doctor,

My mother is aged 58 years, and at present, her physical activity is very, very less as she is unable to walk with herself, and all activities like going for rest toom, bathing, etc., are performed with the help of my father. She takes one to two roti with vegetables in the morning around 11:30 AM. After that, she takes the same meals in the evening around 7:00 PM. The latest blood reports are attached herewith. Please advice a diet plan for her.

#

Hi,

Welcome to icliniq.com.

I think you have not attached all the files. The reports are not complete. Please attach the remaining pages of the report.

Thank you doctor,

I have attached the remaining pages. There are 23 pages separately.

#

Hi,

Welcome back to icliniq.com.

I went through the reports(attachment removed to protect the patient's identity). I need to know the following details:

  • Why is your mom eating very little? Is she not able to eat, or are there any other problems providing food on time?
  • I presume that you have taken all the blood tests on your own. Have you consulted with a doctor?
  • Is she having the problem from this month, or is she suffering for a long time?
  • Why is she not able to walk? Have you shown her to an orthopedician?
  • If consulted, what did the doctors say?

From the reports, she does not have diabetes. She needs to take multivitamin tablets for 30 days to correct her nutritional deficiency. Her Vitamin D levels are a little low. Let her sit in the sunlight in the morning hours between 8 to 10 AM for half an hour.

  1. Start her day early in the morning by 6 to 7 AM with a cup of tea. Between 9 to 10 AM, let her eat two rotis with vegetables as breakfast.
  2. Give her any protein supplement drink by 11:30 AM.
  3. Lunch should be around 1:30 to 2 PM with a cup of dal, vegetables, two to three rotis, curd, or buttermilk.
  4. Evening by 5 PM again tea with biscuits.
  5. Night dinner by 7 to 8 PM, same as lunch.
  6. Please make her eat properly by motivating her. I can see more nutritional deficiencies as her intake is very less.
  7. If you can walk her around the house, it will be beneficial for her.

I presume no proper diagnosis has been made by a doctor. Please get back with all details so that I can guide you properly.

Hi doctor,

Thank you for the advice. The problem of not walking on her own is for around three to four years. She is not taking meals on her own. She is becoming moody nowadays. Earlier she was taking meals thrice in the whole day and milk at night.

#

Hi,

Welcome back to icliniq.com.

  • It would help if you motivated her a lot to eat food. Else, she will become fragile.
  • If the intake is very less, then doctors will advice for tube feeding. The person who is taking care of her will have more problems.
  • Try out with liquid foods initially. Soups, juices, porridges are a good start.
  • You can take the help of a psychologist to motivate her. If you make her walk around with a walker, it will be helpful to you also.
  • The whole process has to be done as a family. Otherwise, it will be really a problem.

Also kindly tell me the following details:

  1. Did your mother meet an accident?
  2. Why is she not able to walk?

Please do get back with all the details of your mom's health issues for further management.

Thank you doctor,

Her ability to walk decreased gradually due to weakness.

#

Hi,

Welcome back to icliniq.com.

  • Your mom’s blood report is totally normal except for few readings. Her blood picture shows little abnormality because she is eating less. Her BUN (blood urea nitrogen) and creatinine are also low because of her eating problem. These abnormalities will be fine if she starts eating normally. But her motivation level is deficient.
  • Her main problem is she is not able to walk. Not walking is due to either physiological or psychological issues. Please consult a neurologist as early as possible to rule out any neurological problems. Because in the blood report, there is a little abnormality in minerals. Go for more advanced treatment options. If you have done all these steps, then you can try alternative medicines like Ayurveda also.
  • Unless she finds any improvement in her health, it won't be easy to make her eat. Start giving her multivitamin tablets and Iron tablets first.
  • The metal abnormality can be due to your locality also, which is an industrial area. Please do analyze the problem from that angle also. However, a visit to a neurologist is essential.

Please do follow up after a visit to the neurologist.


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