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Protein-Calorie Malnutrition

In our focused center GastroDoxs the health professionals perform nutritional diagnosis and treatment of protein-calorie malnutrition among community members in order to offer safe and caring nutritional support and specialized therapy to restore health and well-being in the community of Katy and the extending areas, providing a complex treatment near the community.

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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) happens when your body does not get the sufficient protein or calories to be able to sustain normal functioning. When left unmanaged, it may lead to excessive dehydration and weight loss, muscle wasting, weakness and delayed wound healing.

Common Symptoms

PCM can be observed with some minor signs. Later on you will feel:

  • Loss of weight which is not explained or sudden
  • Persistent fatigue or low energy
  • Weakness in muscle or observable muscle loss
  • Swelling (edema) in legs, ankles, or feet
  • Very often infected or sick
  • Slow-healing cuts, sores, or surgical wounds

Causes

PCM may occur due to many reasons among which include:

  • Lack of food or lost meals
  • Chronic illnesses such as cancer, heart failure, or COPD
  • GIT disorders that hamper the intake of nutrients
  • Recent surgery, injury, or trauma increasing metabolic demands
  • Poor dietary consumption of over two weeks (possible hospice condition)
Treatment

Treatment Options for Protein-Calorie Malnutrition in Katy

Therapy consists of nutrition and medical services:

  • Meal planning with a registered dietitian: Develop individual high-protein and high-calorie meal plans to gain the weight and muscle bulk again.
  • High-calorie shakes and protein drinks: Provide easy-to-consume supplements to boost daily nutrient intake between meals.
  • Appetite-stimulating medications: Medications that promote eating and boost calorious intake should be prescribed.
  • Enteral or parenteral nutrition: Use feeding tubes or IV nutrition in severe cases to ensure adequate protein and calorie delivery.
  • Lab monitoring: Periodically, get blood tests done to monitor a protein level, electrolytes, and indicators of nutritional restoration.
  • Follow-up visits: Have regular meetings with our PCM specialists to revise treatment plans and control the progress.

Why Choose GastroDoxs?

Dedicated to a patient-centered approach and holistic nutrition-related support of the Protein-Calorie Malnutrition, GastroDoxs in Katy will provide quality diagnostics, individualized meal plan, and advanced treatments provided by a team of gastroenterologists and registered dietitians. Our mission is to ensure you recover strength, fasten recuperation, and render your lifestyle better. Book the appointment and start your recovery process.

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 refers to protein-calorie malnutrition, unspecified, and it is applied when a researcher is not able to define the severity of this malnutrition (moderate or severe).

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. Most people recover fully when their condition is found early enough and proper nutrition and medication are administered.

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

No referral is required. After authorizing or not with an insurance, you may directly book an appointment with our team of gastroenterologists and dietitians in Katy.

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