75 years male pt having generalised abdominal pains & hyper acidity, belching. What's your opinions?

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This is a case of uncontrolled Type 2 DM with mild prostatomegaly, with cholelithiasis or sludge in the gall bladder and ??cystitis. Treatment is Control diabetes meticulously with insulin . Oral antibiotics Symptomatic treatment of pain and hyperacidity with antispamodics and PPI . Laparoscopic cholecystectomy is the treatment of choice in patients with sludge in gall bladder in diabetes if the patient is fit for surgery at this age.

A case of cholelithiasis with B.HP Grade 2-3 with significant residual urine and Type 2 Diabetes Mellitus. Cholecystectomy advised. Tab Dutasteride +Tamsulosin 0.4mg mg O.D, Tab metformin 500mg O.D and diet control. After 3 months, a review scan for prostate. .T.U.RP may be considered

Thanks sir
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Symptoms are of Giardiasis.and associated colitis Rx-1.Tab cefixime+Ornidazole for 5 days followed by tab . cefuroxime 250 mg B.D for 5 days. 2.Cap Rabeprazole +Levosulpiride 75 mg 0.D for 10 days

I am sorry, earlier reports were not attached and i responded for abdominal pain without usg and BS (f) report. Again apologise
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cholelithiasis with borderline dm .try with diet control. OHA. ppi . ursodeoxycholic acid and systemic antibiotics. If. ..symptoms persists. USG rpt. gtt, inj

add. .inj insulin &lap cholecystectomy
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IBS, avoid stress, Rabeprazole 20 mg od & Mosapride 5 mg od for six weeks, avoid spicy & oily diet.

HbA1c level would confirm DM since RBS/FBS is high-normal. Belching and gastritis-like features can be explained by DM associated gastroparesis. Symptomatic improvement should be seen by strict control of blood sugars and avoiding fat in diet (which further delays gastric emptying) and taking small frequent meals. Patient also requires a Urology consult for BPH. If he is diabetic, BPH further increases risk of UTI.

USG is showing BPH with residual urine So give him veltum F .4 mg HS,tb levoflox 500 mg OD Tb meftal spas And DDR 6 mg OD Do PSA levels,ask him to avoid smoking if smoker

FIRST POSSIBILITY CHOLELITHIASIS CHOLECYSTITIS ALONG WITH DIABETIC GASTROPARASIS

FBS confirms that pt is diabetic.Do PPBS. Rule out MI do ECG.If ECG normal consult surgeon and urologist in the mean time can start antibiotics, semi solid diet, ursodeoxycholic acid. If urinary problem add tamsulosin send blood for PSA.

Borderline DM with Gall stones.. Diet changes.Ppi with Levosulfiride..Bsl pp and assessment for need of oral hypoglycemic..

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