A 50 year old Male with loss of appetite

January 02, 2022

A 50 year old Male with loss of appetite

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A 50 year old male patient construction worker by occupation came with complaints of

Loss of appetite since 25 days

Patient was apparently asymptommatic 2 years back when he went to the hospital with complaints of loss of appetite and was diagnosed to have renal failure and hypertension.

Patient had dialysis beginning from 2019 till 2020 in outside hospital

Then in 2021 he came to our hospital and had 2-3 dailysis after which dialysis was stopped and he was on conservative management and had regular follow ups.

He came with complaints of loss of appetite since 25 days and pain in bilateral loin region since 25 days

No history of decreased urine output, pedal edema, shortness of breath, chest pain, palpatations, cough.

History of usage of NSAID's (3-4/day) because of bilateral knee joint pains, pricking type which was aggravated with work and relieved by taking medication.

Hypertensive since 2 years on medication Tab. Amlong 2.5mg and Tab. Arkamin100mg

Non diabetic

No alcohol abuse

Non smoker

He takes mixed diet, loss of appetite, bowel and bladder movements are regular.

No history of tuberculosis, asthma, epilepsy.

On examination:

Vitals:

BP-140/90 mm hg

PR- 86 bpm

Temp- afebrile

RR- 20 cpm