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Suggest Remedy For Stomach Cramps In An Insulin Dependent Person

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Posted on Tue, 2 Feb 2016
Question: my wife have wbc count 13000 and T.RBC 4.07 and PCV 31.1 and Haemoglobin 10.4 gm/dl and differential count polymorphs is 88% and lymphocytes 08% rest are with in limit . And electrolytes sodium 129 mmol/L and potasium 4.9 mmol/L and chloride 86 mmol/L . My wife is asthama patient and insulin dependent . The issue is she is getting frequent tummy cramps. please advice
doctor
Answered by Dr. Prasanna Heijebu (3 hours later)
Brief Answer:
Possible kidney or Gall bladder infection? Need abdominal imaging.

Detailed Answer:
Hello, Sir.

I can certainly understand your concerns.

As per the lab reports, there is elevated white blood cell count and Neutrophil count.

This could suggest an intraabdominal infection.

A thorough screen for kidney and gall bladder disease have to be made.

Hence, I advise you to get an Ultrasound abdomen at the earliest .

Further management if any is based on the test results.

Meanwhile, I prescribe Oral pills of Antispasmodic drugs like Buscopan for 3 days.

Please check with your physician if he shares my view and if can prescribe them to you.

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Prasanna Heijebu (13 hours later)
thanks for your initial advice

very great

we done ultrasound of gladder in London and as well as Hyd and we did used cather to take excess urine in bladder. right now she is useing Dytorplus 10 mg so it may be reason for infection ...? she is geting little bit infection ie blood when she going to urine .. is that is indication of infection ...? she is with this medication right now

assurans
cardarone ( tachyra )
pan it 40 mg
rivaroxaban ( xareto )
januvia
Metformin ( three tablets a day )
monteklawst
dytorplus
insulin humlog mix 25
iron calcium
myotop 150
evion lc

are wanted me to use Buscopan ..? what is frequency i need to use .

please suggest
doctor
Answered by Dr. Prasanna Heijebu (11 hours later)
Brief Answer:
Buscopan is used thrice a day

Detailed Answer:
Hello, Madam

I can certainly understand your concerns.

I apologize for the delayed response owing to my work schedule.

As per the symptom profile she possibly seem to have Cather related urinary tract infection.

This can manifest as blood in urine.

It can also lead to stone formation.

None of her current medications including Dytor plus 10mg are responsible for this infection.

It is advisable to get a complete urine examination along with culture and sensitivity at the earliest to document the infection and its extent.

Based on the results, a fresh renal Ultrasound may become mandatory.

Buscopan 10mg is given thrice a day.

Post your further queries if any.
Thank you

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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Suggest Remedy For Stomach Cramps In An Insulin Dependent Person

Brief Answer: Possible kidney or Gall bladder infection? Need abdominal imaging. Detailed Answer: Hello, Sir. I can certainly understand your concerns. As per the lab reports, there is elevated white blood cell count and Neutrophil count. This could suggest an intraabdominal infection. A thorough screen for kidney and gall bladder disease have to be made. Hence, I advise you to get an Ultrasound abdomen at the earliest . Further management if any is based on the test results. Meanwhile, I prescribe Oral pills of Antispasmodic drugs like Buscopan for 3 days. Please check with your physician if he shares my view and if can prescribe them to you. Post your further queries if any. Thank you.