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Kwash

Kwashiorkor is a form of acute protein-energy malnutrition that occurs when a child is abruptly weaned from breastfeeding, usually due to the birth of another child. This sudden deprivation of nutrient-rich breastmilk causes the child to be switched to a starchy, protein-poor cereal diet. As a result, the child develops edema, a fatty liver, and bulging belly due to a lack of protein. Common triggers include illnesses like measles that interfere with nutrient absorption.

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Rizzy Ugay
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20 views1 page

Kwash

Kwashiorkor is a form of acute protein-energy malnutrition that occurs when a child is abruptly weaned from breastfeeding, usually due to the birth of another child. This sudden deprivation of nutrient-rich breastmilk causes the child to be switched to a starchy, protein-poor cereal diet. As a result, the child develops edema, a fatty liver, and bulging belly due to a lack of protein. Common triggers include illnesses like measles that interfere with nutrient absorption.

Uploaded by

Rizzy Ugay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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KWASHIORKOR

 Reflects a sudden and recent deprivation of food


 This is classified as Acute PEM
 It sets in between 18 mons to 2 years
 It is usually occurring when the mother suddenly weans the baby from breastfeeding due
to the presence of the next baby to nurse.
 So, the first child now will be switched from Nutrient dense, protein-rich breastmilk to a
starchy, protein poor cereal.
 this is commonly precipitated by an illness such as measles or dysentery (infxn of the
digestive tract result to diarrhea
 The child has bulging belly w/ a fatty liver (due to lack of protein carriers that transport
fat out of the liver)
 With edema on face and limbs due to lack of protein and hormones that maintains fluid
balance. So, fluid now will leak to the interstitial spaces. (a distinguishing feature

PREVENTION AND INTERVENTION


1. LIFESTYLE MODIFICATION – diet, exercise/increase physical activity
2. PHARMACOTHERAPY

 A. Orlistat (xenical)
- inhibit absorption of fat-soluble vitamins for 30 BMI
- 120 mg PO TID w/ meals
 B. Reductil
- it suppresses appetite
3. SURGERY

- Bariatric surgery for morbidly obese


- surgically reduces the reservoir capacity of the stomach by closing off a part of it.

 Gastroplasty – reduces the size of the stomach leaving only a small opening into the distal
stomach

 Gastric bypass – reducing the stomach by the stapling procedure, connecting a small opening in
the upper portion of the stomach to the small intestine by means of intestinal loop. Capacity =
20-30 ml

 Liposuction/ Lipo sculpture = aspiration of fat deposits

 this is a cosmetic surgery not a wt reduction technique bec only 5lb of fat can be remove at
a time.

 Complications = death, severe infectious cellulitis and hemorrhage

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