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Dr. Robert
Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6680
Experience:  M.B.B.S, Experienced Family Physician
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I have ibs, gerd, copd, and barretts. I am very under weight,muscle

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I have ibs, gerd, copd, and barrett's. I am very under weight,muscle loss, no energy. What can I do?
Welcome to and thank you for your question.
I'm so sorry to hear of your discomfort. I will do whatever I can to help answer your questions .First I need a little more information-

What is your height and weight?
Are you taking any medications?
Have you undergone any medical investigations?
For how long you have these problems?

Kind Regards,
Dr. Robert

Customer: replied 3 years ago.

I'm 6'2, 127lbs. I take..Dicyclomine 10MG 4x a day, Omeprazole 20MG 1x a day, Doxepin 25MG 1x a day, ProAir HFA,& Symbicort 160/4.5. I had surgery to repair the gerd, and hianel hernia 6yrs ago (forgive my spelling) Just had a scope 2 wks ago and they took 3 biopses. That's when most digestive things were confirmed. Acid reflux I've had for over 25yrs

Dear XXXXX, Thanks for providing quick additional information.
I'm so sorry to hear of your discomfort.

Well, considering your height and weight BMI comes to be 16.3.
You are considered severely underweight.

Body mass index (BMI) is a measure of body fat based on height and weight. The normal range for BMI is-
Underweight = <18.5
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = BMI of 30 or greater.

Your BMI indicates that you are severely underweight.

I would like to rule out diabetes and hyperthyroidism.Both these condition causes weight loss and digestive problems. So, you should get blood work done.
-Thyroid hormone test
-Complete blood count to check for Anemia
-Fasting blood sugar test.
Also hormone testing should be done.

Digestive disorders, may cause unintentional weight loss and need to be corrected. Anxiety and depressive disorders may also cause your symptoms. Practice yoga and meditation for relaxation, Deep breathing exercises will help you. Sessions from Counselor would be helpful.

Dietary changes have also be done to increase body weight.
You should make meals with starchy carbohydrates, such as wholemeal pasta, brown rice, potatoes or lentils, as a base.
You can Choose lean protein from meat, fish, beans and pulses.
For breakfast, porridge with chopped fruit or raisins sprinkled on top, or eggs on toast would be helpful.
Yogurts and milky puddings, such as rice puddings are very good.
For lunch a jacket potato with baked beans or tuna on top, which contains energy-giving carbohydrate and protein would be helpful.

You should plan a diet chat with a dietitian.
Please discuss this issue with your doctor and make necessary blood work done.
Further line of treatment has to be advised accordingly.

Please let me know how I can be of further assistance.
My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

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