Concluded Case

legs pain with swelling with recurrent abdominal Gas

A 75 year old woman suffering of pain and swelling in the legs and also having suffering much more gas in the abdomen . What is the best treatment of choice given below report ?

2 Likes

LikeAnswersShare
Concluded answer

Diabetes with gastroparesis Adv Proton pump inhibitor with GI motility agent - example ESoz D 40 mg once daily before breakfast Strict control of diabetes - Metformin with Sitagliptin as initial medicine of choice For leg swelling - look for causes of edema feet such as hypoproteinemia caused by cirrhosis of liver, or renal failure, look for heart failure as cause of bilateral edema feet - it can be treated with T. Lasilactone one tablet daily

All Answers

GERIATRIC CASE WITH.. ANEMIA .. ELEVATED .. HBA1C.. LEG SWELLING WITH PAIN.. MANAGEMENT.. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION .. ETEROCOXIB 60 MG OD .. PPI.. PROBIOTICS.. HEMATINIC'S.. LEGS .. ELEVATION.. INVESTIGATE WITH..SOS.. ECG STUDY.. USG STUDY ABDOMEN PELVIC..

Tnx Dr Dinesh Gupta
0

Diabetes with gastroparesis Adv Proton pump inhibitor with GI motility agent - example ESoz D 40 mg once daily before breakfast Strict control of diabetes - Metformin with Sitagliptin as initial medicine of choice For leg swelling - look for causes of edema feet such as hypoproteinemia caused by cirrhosis of liver, or renal failure, look for heart failure as cause of bilateral edema feet - it can be treated with T. Lasilactone one tablet daily

Consider various causes of edema like hypothyroidism hypoproteinemia Anemia Etc

Thank you doctor
0

Stasis oedema Hypoproteinemia Renal disorder Cardiac disease Liver disease Further evaluation is required for diagnosis HbA 1 c is little high R/O Diabetes

Thank you doctor
0

Uncontrolled T2DM with associated Diabetic Gastroparesis with ?Vit D deficiency Advise - PPI + Prokinetic Tab Rifagut 200mg TDS Tab Pankreoflat BD Rule out metformin intolerance too Is swelling pitting or non pitting? Investigations - TFT, Serum 25(OH)D Add vit d 60k weekly for 4 weeks

Thank you doctor
0

Age 75yrs Anaemic Increases hb1ac Investigate for Rft USG abdomen Diabetologia opinion for d neuropathy

Thank you doctor
0

Rx abhyadi qwath BD galo ghan tab 1bd Panchsakar powder HS for 3 to 4 weeks then, Galo ghan tab 1bd Ashwgandha tab 2bd rasnadj guggul 2bd SH tab 1bd with milk bonny oil for local application

Thank you doctor
0

SINCE THERE. IS ABDOMINAL. ..DISORDER. .ALSO SO NEEDS U S G. / C T. SCAN.... THORAX. AND. WHOLE. .ABDOMEN

Thank you doctor
0

Neuropathic pain with newly detected DM Rx Tab glycomet 500 sr bd Tab unienzyme bd Tab gabapin nt od *1 month Tab flexon SOS Tab pan 40 mg bd*10 days Soft diet

Thank you doctor
0

Control diabetes and give PPI

Thank you doctor
0
Load more answers

Cases that would interest you