Question

Three years ago, Alan Stratton, a 37-year-old financial planner, sought medical help when he began feeling run-down and developed a painful white fungal infection over his mouth and tongue. The presence of thrush, recent weight loss, and anemia alerted Mr. Stratton’s physician to the possibility of an HIV infection. When Mr. Stratton tested positive for HIV, he and his family and friends were devastated by the news, but those close to him have remained supportive. During the three years since Mr. Stratton began antiretroviral drug therapy, he has maintained his weight but has also developed lipodystrophy and hypertriglyceridemia. Mr. Stratton is 6 feet tall and currently weighs 185 pounds. He occasionally develops diarrhea and sometimes anorexia.

5. Describe lipodystrophy, and discuss its typical pattern in people who have an HIV infection. What adjustments in treatment and lifestyle may be helpful for Mr. Stratton?

6. Describe an appropriate diet for Mr. Stratton. What strategies may improve his problems with diarrhea and anorexia? Suggest reasons why diarrhea and anorexia may develop in people with HIV infections.

7. Explain why an HIV infection can lead to wasting as the disease progresses to the later stages. What recommendations may be helpful for maintaining weight and health if wasting becomes a problem?

Answer 1

05 Describe lipodystrophy, and discuss its typical pattern in people who have an HIV infection. what adjustments in treatment and life style may be helpful for at tt Mo Stratton? Aus 5 Lipodystrophy & Abnormal distribution of fat in the body. This can refer both to fat loss (Lipoalsophy) and Abnormal accumulation of fat tissue. The disease may be inherited genetically (For example Familial partial lipodystrophy and Acquised. If Inherited- it may be present at Birth (congenital) Anti Retori sal treatment is the risk factor for developing Lipodystrophy and patient with HIV has Acquered lipodystrophy. T h e → A typical pattern of lipodystrophy is seen in HIV patients is "Abnoomal central fat accumulation (Lipong pestsophy in central part) and Localized loss of tat tissues (Lipoatrophy). > Teatment and Lifestyle may be helpful for Mr Statten: These are ways to manage Lipodystrophy. Lifestyle changes - making dietary changes and getting regular exercise may help to Bulld. muscle and reduce Abdontinal fat. Liposuction (Surgical Removal of fat anda Insectable Facial Filless are used sometimes to beat Lipodystrophy.

26 Describe an appropsiale diet for My stoallon. What stategies may impone his problems with diasshea and Anose kia? Suggest reasons why deasshea and Anorexia may develop in people with HIV infections? + Appropriate alet foo Mo Stralton ( HIV palient)e- The most important is that we have to maintain hygeine condition while preparing diet for an HIV patient as in HIV pattent's their immunety is how to fight aggainst pathogens. → High use of Green vegetables, foults, whole goalers and legumes. Toy to choose, low- fat sources of protein because weeght is alseady increased in HIV paltant due to lipodystrophy. Toto Hy Limiting Soft drinks and Foods with added sugar y Go for lean proteing Body uses it to build muscle and strong immune system. For example - lean beef, poultry, fish, eggs nuts and Beans, # Possible reasons cord causes of diasshea in HIV patient o Side Effects of medication & Loss of healthy bacteriat, due to the use of Antibiotics ③ Tositable Bruce Syndrom, Inflammatory bowel - diseases, such as ulcerative colitis and wohn's disease (4 Lactose intolesance, or an inability to in fals MR, I stess and Anxiety

97 Explain why an HIV infection can lead to wasting as the disease progresses to the later stages, what &comendations may be helpful for maintalning weight and health if wasting becomes a problem? Hasting Syndrome is a common problem among HIV infected people. Wasting Syndsome 18 defined as unintended and progressive weight loss aften accompained by weakness, fever, mulsitional deficiencies and diasshea. Kasting Syndrome is defined as a weight loss of at least 10% in the poesence of dianshee hence oneen Reagon of wasting in HIV patients are "Diashea and Andreia”. → Good Nutrition is very important for people - with HIV How to medutain weight and possible solutions ase & 6 More calosies & smaller meals and Frequent weals. Avoid anything spicy ande acidic like citous fruits. Aroid Alcohols and catteine. 6 Eat more Fiber Also help in diasha) Doink lots of water and fluid diet I should be increased A make food attractive it will oncrease Interest to eat the food. (8) Take medication on time for its proper effect o Do Exercise Daily to Good company help you eat mose

WASTING SYNDROME