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A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16055
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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my legs..body..2 cysts on my liver one is the size..my upper abdomen

Resolved Question:

I have been told by a nutritionist that she believes I have adrenal fatique, I went to a neurologist & he thinks I might have fibro myalgia, & I have some nerve damage in my legs, earlier this year I had a colonoscopy done and an endoscope, have have no energy I have constant pain in my body, exercise puts me done for days, when the I had 2 ultrasounds done & was tole I have a 2 cysts on my liver one is the size of a softball weighing about 20 lbs the other is smaller weighing approx. 10 lbs. I have pressure in my upper abdomen, I was also diagnosed with a hyatel hernia, I have gained approx 45 lbs. in the last 3 years. and my eating habits have been diet instructions by the nutritionist she also felt I was gluten intolerant and took me off of most vegetables, and fruit. I stuck to this diet for 2 years with the same problems which have actually gotten worse, I have been on $1000.00s of dollars of Nothing has helped. Only worse. I quit all of it, can you give advice?
Submitted: 8 years ago.
Category: Health
Expert:  A. Schuyler, NP replied 8 years ago.

Hello, Linda

Welcome to Just Answer. I am confused about a number of things mentioned in your question. First of all, I wonder about why a nutritionist would be diagnosing a medical condition which is clearly way beyond their scope of practice, and why s/he would tell you to limit fruit and vegetables if you were gluten intolerant. Gluten is found only in certain cereal grains (barley, wheat, rye).

A healthy diet includes fresh fruits and vegetables, whole grains, lean protein and plenty of water within a number of calories that is equivalent to your body's exercise and metabolism expenditure. To lose weight, you must reduce the calorie intake and increase the exercise.

I would recommend you consult a gastroenterologist. First of all, you need to determine medically if you are gluten intolerant since that could affect your diet. A GI specialist is also the one to consult about the liver cysts. Cysts are ususally fluid filled sacs. Water weighs 8.4 lbs per gallon (2.1 lbs per quart) , so a 20-lb cyst would be the size of an 9-10 quart kettle, not a softball. Obviously someone has given you some very inaccurate information.

I hope all your medical treatment is being directed by your primary doctor who is ideally an internal medicine or general practitioner. They can help sort through and coordinate the information supplied by the specialists. If you have fibromyalgia, it can be treated. Likewise, adrenal fatigue can be treated. However, you need some coordinated care to determine what is wrong before any treatment can begin. Here are some general diet guidelines. Although they are specifically designed for diabetics, they are healthy plans that everyone can stick with for a lifetime.

http://walking.about.com/cs/calories/l/blcalcalc.htm

http://www.nlm.nih.gov/medlineplus/diabeticdiet.html

http://www.lifeclinic.com/focus/diabetes/diet.asp

http://www.diabetes-diabetic-diet.com/

http://www.endocrineweb.com/diabetes/treatment.html

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