14yr male pt come wth complaints of dysnea on exertion He is pt of sever obesity Weight 103kg

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Morbidly obese 14 years male adolescent with exertional dypnoea. There are so many factors to rule out. 1) Eating of high calorie foods like fast foods, junk foods, cool drinks, fruit juices and sweets. 2) Lack of exercise 3) Psychological factors like personal, parental and family stress. 4) Socioeconomic factors. 5) Familial obesity 6)Cushing syndrome 7)Hypothyroidism 8) Hormonal abnormalities. Complications of obesity are 1) Type 2 Diabetes mellitus 2) Hypertension 3) Hypercholesterolemia 4) Metabolic syndrome 5) Asthma 6) Bone fractures 7) Sleep disorders like obstructive sleep apnea. 8)NAFLD non alcoholic fatty liver disease. 9) Behavioral problems 10) Depression. Treatment is Personal and family counseling Life style modification. TLC Advice small frequent low calorie foods Motivate physical exercise Correct if there are any hormonal abnormalities Dypnoea because of obesity. Drugs like orlistat can be tried but results are not satisfactory . Bariatric or metabolic surgery is the lost option

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IN. OBESE./ OVERWEIGHT ..... ... CHILDREN... ...THERE. IS. METABOLIC. LOAD. ON GASEOUS. . TRANSPORT. SYSTEM... .......ALONG. WITH GASTROESOPHAGEAL. REFLUX .... UPON. EXERTION.....AND PULMONARY. FUNCTIONS. ARE. AFFECTED.. .. .THAT. RESULTS. IN .... ..EXERTIONAL. DYSPNEA....

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Obesity BMI about30 gets shortness of breath due to excess collection of adipose tissue around abdomen risk cardiac hypertension diabetes

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