Bloating & HIV
Jul 26, 2012
Bloatng and signifcant weight gain. I am male, age 47, 5'-11", 175lbs now up to 200lbs, bloating, distended abdomen, HIV Positive 1998, now on Complera, 12 years undetectible, 400-600 CD4, NEVER Aids. Test done: bloodwork OK, stool samples OK, NO h-pyloria, abdomen ultrasound (1 small gallstone in gallbladder), X-ray NO blockage, Pancreas blood OK, scheduled in Nucear Medician in AM for Gastric Emptying Test, scheduled Tuesday, Aug 31 with HIV practitioner. Weeks of testing. Frustrated. Bloated. All extra 25 lbs seems to be abdomen. Look like I'm a pregnant woman, or carrying a bowling ball under my shirt. Help.
Response from Dr. Henry
Might be worth getting an adbominal CT scan to assess amount and location of intraabdominal fat and to look for other pathology. Time with HIV, low CD4 counts, genetics, HIV medications, and life style can all contribute to increaed abdominal fat problems. Complera is perceived to be relatively fat friendly for most persons though moderate to long term data is completely lacking since rilpivirine is only recently available. Cant tell from your note whether addominal distention has been long standing and progressive and what your past HIV treatement history has been (some of older HIV drug more linked to abdominal fat gain). Hormone and nutrition/exericse/lifestyle assessment also recommended. KH
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