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Want Medical Consultation/second Opinion Had Continuous Diarrhea For 10 Months

Posted on Fri, 13 Sep 2024

Question: Consultation wanted from Vietnam

I am an 81-year old XXXXXXX male living in Vietnam permanently. I have had continuous diarrhea for 10 months. In Vietnam, in this case, the Doctors treat the symptoms not the disease. I have had many tests. I want to send all of the tests and other information to a Doctor for diagnosis and then proper treatment. Do you have a Gastroenterologist listed as a specialty; if not, what do you recommend? I am, of course, willing to pay for the medical consultation/second opinion. Will you take my case?

Answered by Dr. Ramesh Kumar (5 hours later)

Brief Answer:
Need few more details.

Detailed Answer:
Hello,
Have seen the photos attached by you,
Can you please send to me the prescription plus medicines( recommended) by gastroenterologist.
From how long are you taking those medicines( recommended by gastro).
In what doses.
You could attach his prescription and reports for a professional reply.
Regards ,
Waiting.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (20 hours later)

It is difficult to upload all records; I believe I have uploaded all medications. I have other records and exams. If you gave me an e-mail I could attatch them and send you all the information. If this is what you need then please go from there. XXXXXXX

Answered by Dr. Ramesh Kumar (14 hours later)

Brief Answer:
Follow up.

Detailed Answer:

Waiting.
Please do intimate here after sending mail.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (3 days later)

I sent two e-mails to you two days ago with the medications and some more reports. I am waiting for your reply and diagnosis and then proper treatment. Thank you. XXXXXXX

Answered by Dr. Ramesh Kumar (4 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Tha k you for intimation.
I would go through them and would revert back to you.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (3 days later)

Please reply with your diagnosis and then proper treatment to this site. Or you can reply to me direct I prefer you reply direct to my e-mail. I do not understand your last two responses and cannot locate your medical opinion which is what I need now.

Answered by Dr. Ramesh Kumar (36 hours later)

Brief Answer:
Diabetic gastroparesis.

Detailed Answer:
Hi again and sorry for a bit delayed reply,
I don't know why gastroenterologist is not telling you about gastroparesis.
Sir your HBA1C is above 10.
Your diabetes is out of control.
Loose motions are not related to any infection or polyp rather it's due to your uncontrolled diabetes.

Diabetes destroys the nerve supplying a particular area.
As the nerves get destroyed neither does proper absorbtion of water takes places from digested good neither is food digested properly.
Strong suggestion to keep your HBA1C at less then 6.1
You need to increase doses of insulin with proper monitoring to keep your fasting at the most below 126mg/do and post prandial less then 140mg/do....

Unfortunately gastroparesis is irreversible but atleast proper control of blood sugar would delay further gastroparesis.

Follow ups are welcome.
Reagrds!

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar