Patient's Query
Hello doctor,
I am 40 years old. I weigh about 81 kg and my height is 5.1 feet. I am over obese with big belly and fat arms. I eat only a little and work more. I also have constipation. Please help.
Hello,
Welcome to icliniq.com.
I have gone through your query and will reply to you shortly.
Patient's Query
Thank you doctor,
Waiting for your reply.
Hello,
Welcome back to icliniq.com.
I have gone through your images (attachment removed to protect patient identity).
Yes, you are suffering from obesity. Are you breastfeeding?
The possible causes of weight gain and obesity are:
1. Metabolic syndrome.
2. Renal dysfunction.
3. Hypothyroidism.
4. Anemia.
5. Fatty liver disease, etc.
Do regular exercise, eat green leafy vegetables and fruits. Use tablet Pantoprazole before breakfast for one week.
Please get it done thyroid profile, complete hemoglobin status, serum creatinine, and ECG (electrocardiography).
Eat millet rice for weight reduction, use tablet Evion 400 mg twice daily for five days.
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Thank you doctor,
No breastfeeding. My second daughter is 8 years now. I do not take any junk food or fast food. I eat only a little bit homemade food. Due to obesity, I am very getting upset regularly. Kindly resolve my problem.
Hello,
Welcome back to icliniq.com.
I can understand your problem, but you have to get it done above investigations to know where the problem is. After seeing your kidney function, hemoglobin status and fat in your liver, I will advise a course of medication. Also, get it done ECG and serum creatinine also.
Review with reports. Until then, use tablet Evion 400 mg twice a day for two weeks.
Patient's Query
Thank you doctor,
I have sent you the report. Kindly tell me that what will do next.
Hello,
Welcome back to icliniq.com.
I have gone through your investigations (attachment removed to protect patient identity).
Everything is normal except serum cholesterol is a little elevated. So you may take tablet Orlistat 120 mg after food daily afternoon. It may cause weight loss in a period of six weeks. It may also cause loose stools in a few users. You may take a multivitamin tablet once a day one hour before or after the Orlistat tablet.
No need to take these tablet with fruits or vegetables. It will reduce the absorption of fats from your food. So your weight gets reduced. If your weight is not reduced or developed any loose stools, then you may message me.
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Answered byDr. Penchilaprasad Kandikattu
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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