Suggest Treatment For Ascites And Painful Swelling Of Legs And Feet
Further investigation required
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Sir,
Swelling of legs in your condition is likely to be due to
1. Hypoproteinemia: Low Serum Protein level
2. Ascitis: Ascitis if massive could press on inferior venecava reducing venous return and causing swelling of both legs
3. Dur to Diabetic Neuropathy especially Autonomic Neuropathy
Exact cause and diagnosis is possible after clinical examination and further assessment. i would suggest you to consult your Physician for further assessment.
You will require the following investigation
1. CBC
2. Liver function test including Serum Total Protein and albumin level
3. Urine Examination
4. Ultrasound of Abdomen
5. Venous doppler examination
6. Fasting blood sugar/Post prandial blood sugar
7. Renal function test
8. Glycosylated Hemoglobin (HbA1C)
Do keep me updated about development and progress.
Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCh
Low Vitamin D level
Detailed Answer:
Dear Sir
All your reports are normal except for reduced Vitamin D level. It is likely to be age related. Ultrasound shows no evidence of Ascitis.
Taking Vitamin D supplement ( Tablet Shelcal D 500 ) once a day will be beneficial. Also Tab Neurobio forte will be helpful.
Take Care
Best REgards
Dr Deepak