If this were a House episode, it would definitely be a tumor on his pituitary gland, or even lung cancer.
Sounds like lymphedema. Tell him to go to a massage therapist or a physical therapist who specializes in lymphedema treatment. They can help to mobilize the lymphatic fluid trapped in the tissues so that his body can get rid of it.
Mrs AV
The “massive water retention” can be a few things - but it still take calories to keep that weight on - 275-300 lbs before the problem may be a big part of the problem.
Good thread.
Well a 300 pound tumor would be easily ascertained
Contrary to popular wisdom here
Endocrine disorders can’t put on over 25-30% at most
I know this having graves and empty sella in my 30s
Weight is 85% what you take in versus what u burn in activity
For most that’s 2500-3000 calories a day maintenance intake
That level of obesity has psychological roots usually
Id start there
There are meds can help but 500 lbs sounds like it needs intervention
Water retention can def add 70 pounds or so
I’ve seen folks on lasix drip bag drop huge water in 4-5 days on a lasix
Congestive heart failure is a common culprit on fluid retention
Do they also have an incessant cough?
Not being snarky at all, can they get on Ozempic for weight loss? It shrinks your stomach down to 1/3 it’s size, so you can’t scarf half a pizza, your gut will not let you. Unless you want it coming right back up on you. I could go 3 or 4 days without eating if I didn’t have reminders. I’ve lost 30 lbs this year. That’s Yuge for me!