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Protein-Calorie Malnutrition

At GastroDoxs, our dedicated specialists diagnose and treat protein-calorie malnutrition in the community, providing compassionate, personalized nutritional support and specialized therapy to restore health and well-being for residents of Katy and surrounding areas, ensuring comprehensive care close to home.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Protein-Calorie Malnutrition?

Protein-Calorie Malnutrition (PCM) occurs when your body doesn't receive enough protein or calories to maintain normal function. Left untreated, it can cause significant weight loss, muscle wasting, weakness, and delayed wound healing.

Common Symptoms

Early signs of PCM may be subtle. As it progresses, you may experience:

  • Unexplained or rapid weight loss
  • Persistent fatigue or low energy
  • Muscle weakness or noticeable muscle loss
  • Swelling (edema) in legs, ankles, or feet
  • Frequent infections or illnesses
  • Slow-healing cuts, sores, or surgical wounds

Causes

PCM can develop for a variety of reasons, including:

  • Insufficient food intake or skipped meals
  • Chronic illnesses such as cancer, heart failure, or COPD
  • Gastrointestinal disorders that impair nutrient absorption
  • Recent surgery, injury, or trauma increasing metabolic demands
  • Inadequate nutrition intake for more than two weeks (potential hospice criterion)
Treatment

Treatment Options for Protein-Calorie Malnutrition in Katy

Treatment includes nutritional support and medical care:

  • Meal planning with a registered dietitian: Create personalized high-protein, high-calorie menus to restore weight and muscle mass.
  • High-calorie shakes and protein drinks: Provide easy-to-consume supplements to boost daily nutrient intake between meals.
  • Appetite-stimulating medications: Prescribe drugs that enhance hunger and help meet increased caloric needs.
  • Enteral or parenteral nutrition: Use feeding tubes or IV nutrition in severe cases to ensure adequate protein and calorie delivery.
  • Lab monitoring: Conduct regular blood tests to track protein levels, electrolytes, and markers of nutritional recovery.
  • Follow-up visits: Schedule ongoing consultations with our PCM specialists to adjust treatment plans and monitor progress.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive nutritional support for Protein-Calorie Malnutrition, GastroDoxs in Katy offers expert diagnostics, personalized meal planning, and advanced therapies delivered by our team of gastroenterologists and registered dietitians. We're committed to helping you rebuild strength, speed recovery, and improve your quality of life. Book your appointment today to start your journey back to health.

1K

Patients Treated

We've successfully treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How is Protein-Calorie Malnutrition (PCM) diagnosed?

PCM is diagnosed through a combination of weight checks, laboratory tests (such as albumin or prealbumin levels), dietary intake reviews, physical exams, and the use of ICD-10 codes like E44.0 (moderate PCM) or E43 (severe PCM).

What is the ICD-10 code for moderate PCM?

The ICD-10 code for moderate protein-calorie malnutrition is E44.0.

What are the hospice guidelines for PCM?

Hospice criteria for PCM include less than 50% of normal food intake for 7-14 days, significant unintentional weight loss, and loss of function or strength.

Can children develop Protein-Calorie Malnutrition?

Yes. Children with inadequate diets, chronic illnesses, or absorption problems can develop PCM and require early nutritional intervention.

How long does it take to recover from PCM?

Recovery depends on severity: mild cases may improve within weeks with proper nutrition, while severe cases often require months of tailored support and monitoring.

Are high-calorie drinks and supplements alone enough to treat PCM?

For mild to moderate PCM, oral supplements and shakes may suffice. Severe cases, however, often need enteral (feeding tube) or parenteral (IV) nutrition to meet increased needs.

What does ICD-10 code E46 mean?

E46 denotes "unspecified" protein-calorie malnutrition, used when the exact severity (moderate versus severe) cannot be clearly defined.

Can I exercise if I have PCM?

Light or supervised activity may be safe once you start regaining strength and protein stores. Always consult your gastroenterologist or dietitian before beginning any exercise.

Is PCM reversible?

Yes. When identified and treated early with adequate calories, protein, and medical support, most individuals make a full recovery.

Do I need a referral to see a PCM specialist at GastroDoxs?

No referral is required. You can book an appointment directly with our team of gastroenterologists and dietitians in Katy, with or without insurance authorization.

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