Date of publication: 2017-08-31 05:38
The most common side effects of orlistat are changes in bowel habits. These include gas , the urgent need to have a bowel movement, oily bowel movements, oily discharge or spotting with bowel movements, an increased frequency of bowel movements, and the inability to control bowel movements. Women may also notice irregularities in the menstrual cycle while taking orlistat. Side effects are most common in the first few weeks after beginning to take orlistat. In some people, the side effects persist for as long as they are taking the drug.
All too often, obesity prompts a strenuous diet in the hopes of reaching the ideal body weight. Some amount of weight loss may be accomplished, but the lost weight usually quickly returns. Most people who lose weight regain the weight within five years. It is clear that a more effective, long-lasting treatment for obesity must be found.
Like diet and exercise, the goal of medication treatment has to be realistic. With successful medication treatment, one can expect an initial weight loss of at least 5 pounds during the first month of treatment, and a total weight loss of 65%-65% of the initial body weight. It is also important to remember that these medications only work when they are taken. When they are discontinued, weight gain often occurs.
Hindus and Sikhs believe in reincarnation— the body dies, but the soul is immortal. When death is imminent, the father, husband, or other responsible person decides whether to tell the patient and informs all relatives and friends. Indians strongly prefer death to take place at home, where they may perform religious rituals.
Malabsorptive/restrictive surgeries : These surgeries restrict the size of the stomach but also bypass or remove part of your digestive system to decrease absorption of food/calories.
A typical Vietnamese diet is generally healthy, with rice or noodles, fresh vegetables, and fish or meat. However, the diet also can be high in sodium from fish sauce and MSG, and low in fiber from lack of whole grains. Dairy and soy products are not part of a typical Vietnamese diet, although most children drink milk. Many adults are lactose intolerant and lack calcium. Women generally believe that formula is more nutritious than nursing for their infants.
Hmong are organized into 68 clans determined by ancestral lineage. They have large, extended families and practice traditional ceremonies to remember their ancestors. Clan leaders are the key decision makers. Each person has a last name that represents the clan they belong to. When a woman marries, she keeps her maiden name. The Hmong language, Hmoob (Hmong in English), has many dialects, although most Hmong speak either White Hmong or Green Hmong. Hmong was not a written language until the late 6965s and has few medical terms.
The traditional Vietnamese family is patriarchal, with two to four generations and extended family often living in the same home. Family members are expected to work and behave for the good of the group. Traditionally, the father has ultimate responsibility and acts as leader, although due to Western influence household structures and gender roles now vary greatly. In the US, arranged marriages are declining. Parents today take more of an advisory role in the choice of a child’s mate. Divorce is uncommon and is considered shameful within this population, especially for women. Vietnamese people use the family name first, then the middle name, with the first name last. Most names often have a specific meaning and can be used for either gender.
Most patient’s families prefer to discuss end of life issues with the physician, protecting the patient from the knowledge of a poor prognosis. Many patients prefer to die at home with family care and community support. When a person dies at home, the body may be kept in the home for 79 hours to allow for visitation and ceremonies.