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What Causes Decreased Appetite, Lethargy, Hoarseness And Weight Loss?

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Posted on Mon, 24 Oct 2016
Question: Husband is experiencing tiredness , voice becomes almost inaudible when tired,in last six weeks or so has gone from one of two bowel moments a week to two or more a day, slight weight loss and less of appetite. Had a physical approx two months ago and everything checked out or their than showing anemia shich he has had several years and creative levels were high which they have been for several and is being seen by a nephrologist every six months, husband is 74 years old and generally had good health
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Recommendations

Detailed Answer:
Hello Mrs. XXXX,

In reading through the history your provide here, I think it is important for your husband to go back in for further evaluation, and promptly. I understand he had a physical 2 months ago. Are the symptoms he is experiencing now new or increased since that physical?

Given his history of elevated creatinine (which could cause the decreased appetite and lethargy), and anemia (which could cause fatigue), he should have the following tests

BUN and Creatinine (to see if further elevated)
CBC with differential (to check the anemia, and also look for signs of infection)
Urinalysis (to see if there is a UTI)
TSH, thyroxine (abnormal thyroid levels can cause these symptoms too)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Causes Decreased Appetite, Lethargy, Hoarseness And Weight Loss?

Brief Answer: Recommendations Detailed Answer: Hello Mrs. XXXX, In reading through the history your provide here, I think it is important for your husband to go back in for further evaluation, and promptly. I understand he had a physical 2 months ago. Are the symptoms he is experiencing now new or increased since that physical? Given his history of elevated creatinine (which could cause the decreased appetite and lethargy), and anemia (which could cause fatigue), he should have the following tests BUN and Creatinine (to see if further elevated) CBC with differential (to check the anemia, and also look for signs of infection) Urinalysis (to see if there is a UTI) TSH, thyroxine (abnormal thyroid levels can cause these symptoms too)