A 50 year old male with a long history of heavy drinking has been referred to yo
ID: 161699 • Letter: A
Question
A 50 year old male with a long history of heavy drinking has been referred to your nutrition
clinic. Four months ago another physician told him he had an ulcer. He still has abdominal pain,
but now he also complains of a painful tongue, sore mouth, and trouble walking. He attributes
some of his weakness to all the diarrhea he is having. The patient's wife is impressed that her
cousin had the same symptoms when he was receiving chemotherapy for his lymphoma. Discuss
this case with reference to Folate absorption and malabsorption, Action in cancer, and Action
in antibacterial drugs.
Explanation / Answer
Alcohol consumption causes folate deficiency and malabsorption. Folate deficiency leads to swollen painful tongue, mouth sores, trouble walking, anemia, etc. Because folate is necessary for the synthesis of red blood cells and nerve health; deficiency of folate causes the problem with movement and anemia. The same symptoms appear with the people receiving chemotherapy.
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