WEEK 1 INITIAL POST
Malabsorption syndromes have a genetic foundation, making them inherited disorders attributed to endocrine, systemic dysfunctionality, and central nervous system processes. Typically, diagnostic testing for protein insufficiency is not undertaken until the patient is an adult since most people exhibit no symptoms. In the case of progressive malabsorption disorders, genetics play a role due to their influence on food preferences since the patient is elderly (Andreas & Chicaiza, 2021). Notably, edema is the initial indication of protein deficit. The patient’s abdomen and limbs are swollen due to fluid loss induced by low serum albumin levels. Due to their history of malabsorption syndrome and poor dentures, malnutrition may have contributed to the patient’s current clinical symptoms.
Besides, hunger-related protein deficit results from a complex range of physiologic responses stimulated in the case. Aging is often accompanied by a loss of appetite and denture, triggering a food consumption decline. Age-related decrease in appetite makes it difficult for the elderly patient to consume enough food to meet their dietary demands. Further, malabsorption syndrome is characterized by a buildup of fluid in the body’s tissues and, consequently, a lower food intake (Kaur et al., 2019). Edema persists as the fluids cannot be contained within the typical limitations of capillary blood vessel walls. Fluid retention inside the vasculature is primarily governed by albumin concentration, influencing oncotic pressure.
The endothelial cells are essential for salt and water retention as they regulate the amount of fluid movement from blood vessels to the surrounding tissues. This volume loss or hypovolemia induces an incline in antidiuretic hormone (ADH) (Handler & Orloff, 2021). In conjunction with the plasma renin’s aggressive response, it exacerbates the edema brought on by the cells’ excessive salt retention. Moreover, there is a need to note the viable variation in response since other characteristics like gender or age can influence malabsorption. For instance, women are bound to seize their menstruation processes, whereas the height in younger children may not develop normally. Also, there is a chance that their weight gain level is much lower than the norm for children of the same gender or age.
Andreas, S., & Chicaiza, H. (2021). Abdominal distension and lower extremity edema. Journal of the American College of Emergency Physicians Open, 2(6), e12599.
Handler, J. S., & Orloff, J. (2021). Antidiuretic hormone. Annual Review of Physiology, 43(1), 611-624.
Kaur, D., Rasane, P., Singh, J., Kaur, S., Kumar, V., Mahato, D. K., … & Kumar, S. (2019). Nutritional interventions for elderly and considerations for the development of geriatric foods. Current Aging Science, 12(1), 15-27.