A hallmark warning sign of cancer is unexplained weight loss. Malnutrition has long been recognized in surgery as being related to an increased risk of infection, with difficulties in perioperative electrolyte and fluid management, and with difficulties in wound healing postoperatively. A large National Veterans Affairs Surgical Risk Study identified the preopera-tive serum albumin level as the single most important predictor of 30-day mortality.50 Cancer cachexia is a syndrome of malnutrition with muscle wasting, protein malnutrition with myopathy, incomplete nutrient utilization, glucose intolerance, and anemia with decreased nutrient absorption. Its causes are multifactorial. Cancer, or its treatment, can cause alterations in taste, stomatitis, dysphagia, anorexia, nausea and vomiting, alterations in intestinal tract absorptive surface area, gastroparesis, constipation, pancreatic insufficiency, or pain, fatigue, and depression, which in turn can lead to impaired oral intake. Gastrointestinal tumor with associated obstruction or head and neck tumors can interfere with, or prohibit, oral intake. In addition, tumor- or treatment-associated diarrhea, fistulas, or nephrotic syndrome can lead to increased nutrient loss. An assessment of nutritional status can be done by assessing for a recent weight loss of 10% or more from prediagnosis weight, current caloric intake, or by measuring albumin, prealbumin serum transferrin, or cutaneous testing for anergy.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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