Suggest treatment for anemia, loss of appetite and severe hair loss
Patient: my daugther has the following symptoms Anemia Loss of appetite Gluten intolerant Soy intolerant dairy intolerant Gastro paresis Acid Reflux Migraines Nausea Vomiting Hair shedding excessively when combing or even just washing Abdominal pain Joint pain Shortness of breath Pelvic pain Back pain Upper abdominal pain Chest Pain Fatigue Weakness Can t sleep, If I do sleep I don t sleep well Lightheaded Dizziness Usually cold especially in fingertips Sudden sleepiness Neck Stiffness Back stiffness Brown urine or dark urine What should we considering Doctor: HiAfter hearing your history i would advise you to treat anaemia with    iron supplements and making changes to your diet.If the underlying cause of iron deficiency is loss of blood — other than from menstruation — the source of the bleeding must be located and stopped. This may involve surgery. Treatment for folic acid and B-12 deficiency involves dietary supplements and increasing these nutrients in your diet.If your digestive system has trouble absorbing vitamin B-12 from the food you eat, you may need vitamin B-12 shots. At first, you may receive the shots every other day. Eventually, you'll need shots just once a month, which may continue for life, depending on your situation.For loss of appetite:you have to dothe following testan ultrasound of your abdomena complete blood counttests of your liver, thyroid, and kidney function (these usually require only a blood sample)an upper GI series, which includes X-rays that examine your esophagus, stomach, and small intestinea CT scan of your head, chest, abdomen, or pelvisIn some cases, you will be tested for pregnancy and HIV. Your urine may be tested for traces of drugs.If your decreased appetite has resulted in malnutrition, you may be given nutrients through an intravenous line.Your doctor may also prescribe oral medication to stimulate your appetite.Your doctor may refer to you to a mental health specialist or counselor if your loss of appetite is a result of depression, an eating disorder, or drug misuse.Loss of appetite caused by medications may be treated by changing your dosage or switching your prescription. Never change your medications without first consulting your doctor.If your decreased appetite is caused by a short-term condition, you’re likely to recover naturally without any long-term effects.However, if your decreased appetite is caused by a medical condition, the condition could worsen without treatment.If left untreated, your decreased appetite can also be accompanied with more severe symptoms, such as:extreme fatigueweight lossa rapid heart ratefeverirritabilitya general ill feeling, or malaiseIf your decreased appetite persists and you develop malnutrition or vitamin and electrolyte deficiencies, you can have life-threatening complications. Therefore, it’s important to seek medical attention if you have anorexia that does not resolve after an acute illness or that lasts longer than a few weeks.For your severe hair loss you ca treat it with Minoxidil (Rogaine) 5% is the only topical medication approved by the FDA for female-pattern hair loss. The once daily use foam treatment regrows hair in 81% of the women who try it. Liquid options of 2% and 5% solutions are available over the counter.RegardsDR DE