Restoring Health: Nutritional Strategies for Aging Vegetarians

Q: Restoring Health: Nutritional Strategies for Aging Vegetarians

Hello： If there is a significant weight loss in a short period, gastrointestinal diseases are the most likely cause, but other issues such as tumors should also be considered. <br>If a balanced vegetarian diet is maintained and nutrition is generally adequate, additional suppleme

How to adjust your constitution and restore your health?

Dear Doctor,
I would like to ask you two questions:
1.
My mother is 71 years old and has been a strict vegetarian for about 15 years.
Until recently, her health seemed fine, but over the past 2-3 months, her condition has deteriorated.
For example, she has been losing weight (currently around 40 kg), has a poor appetite, and usually only eats a bowl of porridge or rice per meal, with porridge being more common.
She says that eating rice causes indigestion and stomach pain (she has been diagnosed with chronic gastritis and is on medication), but porridge does not cause her discomfort.
Additionally, her side dishes have decreased significantly, and her intake of supplementary foods has become even less.
This vicious cycle is leading to a decline in her health; as she eats less, her body becomes weaker.
I would like to ask you, given my mother's poor health, are there any medicinal foods or dietary supplements that could help adjust her nutrition? What can be done to increase her appetite and restore her health?
2.
About 10 years ago, my mother underwent thyroid surgery.
I have heard that patients who have had thyroid surgery should not take ginseng for supplementation, as it may lead to a recurrence.
Is this true? If so, is there a time limit for this restriction?
I sincerely look forward to your opinions and responses.
Thank you very much, and I wish you good health and all the best.

Danxin Haipa de Ren, 40~49 year old female. Ask Date: 2005/02/07

Dr. Huang Zhongzhun reply Traditional Chinese Medicine

Hello: If there is a significant weight loss in a short period, gastrointestinal diseases are the most likely cause, but other issues such as tumors should also be considered.
If a balanced vegetarian diet is maintained and nutrition is generally adequate, additional supplementation with B vitamins may be beneficial.
If it is purely a gastrointestinal issue, ingredients like yam, poria, dried tangerine peel, shenqu, and codonopsis can be used to make soups for nourishment.
It is advisable for your mother to visit a hospital for a more thorough evaluation.
Regarding thyroid issues, ginseng is generally used sparingly, but it also depends on the patient's symptoms; it is not an absolute contraindication.
Wishing you peace and health.
Huang Zhongzhun

Reply Date: 2005/02/07

More Info

Restoring health in aging vegetarians, particularly those like your mother who have been following a strict vegetarian diet for many years, requires a multifaceted approach that addresses both nutritional needs and overall well-being. Given your mother's current health challenges, including weight loss, poor appetite, and chronic gastritis, it is essential to focus on strategies that can enhance her nutritional intake and improve her appetite.

Nutritional Strategies for Aging Vegetarians
1. Balanced Diet: Ensure that your mother’s diet is well-balanced and includes a variety of food groups. Since she is vegetarian, it is crucial to incorporate a wide range of plant-based foods to meet her nutritional needs. This includes:
- Proteins: Incorporate legumes (beans, lentils, chickpeas), tofu, tempeh, and dairy products (if she consumes them) to ensure adequate protein intake.

- Healthy Fats: Include sources of healthy fats such as avocados, nuts, seeds, and olive oil. These can help increase caloric intake without requiring large volumes of food.

- Whole Grains: Encourage the consumption of whole grains like quinoa, brown rice, and whole-grain bread, which provide essential nutrients and fiber.

2. Small, Frequent Meals: Since your mother has a reduced appetite, consider offering smaller, more frequent meals throughout the day rather than three large meals. This can help her consume more calories and nutrients without feeling overwhelmed.

3. Nutrient-Dense Foods: Focus on nutrient-dense foods that provide a high amount of vitamins and minerals relative to their calorie content. Foods such as smoothies made with fruits, vegetables, and protein powder can be an excellent way to pack in nutrients without requiring her to eat large portions.

4. Enhancing Flavor and Appeal: To stimulate her appetite, consider enhancing the flavor of her meals with herbs and spices. This can make food more appealing and enjoyable. Additionally, presenting food in a visually appealing way can also encourage her to eat more.

5. Hydration: Ensure she stays hydrated, as dehydration can also affect appetite. Offer her fluids in the form of herbal teas, broths, or smoothies, which can be easier to consume than plain water.

6. Addressing Digestive Issues: Since your mother experiences digestive discomfort, it may be beneficial to consult with a healthcare provider or a registered dietitian to explore dietary adjustments that can alleviate her symptoms. This may include avoiding certain foods that trigger her gastritis or incorporating probiotics to support gut health.

Herbal and Nutritional Supplements
Regarding your second question about the use of ginseng after thyroid surgery, it is essential to approach this with caution. Ginseng is known for its stimulating properties, and there is some concern that it may affect thyroid function. While there is no definitive evidence that ginseng will cause a recurrence of thyroid issues, it is advisable for individuals with a history of thyroid problems to consult with their healthcare provider before using ginseng or any other herbal supplements. This is particularly important if she is currently on medication for her thyroid condition.

Conclusion
In summary, restoring your mother's health involves a comprehensive approach that includes a balanced diet, small and frequent meals, nutrient-dense foods, and addressing her digestive issues. It is also crucial to consult with healthcare professionals regarding any supplements, especially considering her medical history. By focusing on these strategies, you can help improve her nutritional status and overall well-being. Remember, patience and gradual changes are key, as it may take time for her to regain her appetite and strength.

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