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What Causes Severe Bloating And Water Retention In A Diabetic Patient?
Question: I have major bloating in stomach area, water retention, I have gained 15 pounds in the last month. i am diabetic which is controlled with insulin and metformin. my physician does not seem concerned and simply advised I take 1/2 tablet more of my diretic which I have taken for years. I have done this for three weeks and all symptoms are escalating.
Brief Answer:
Check renal status
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The symptoms of the query are quite suggestive of a few possible causes.
1. a kidney disease. This is a common problem in diabetic patients. The fluid collects in the abdomen commonly.
Check urine for microalbumin and test kidney function test for the same .
Less common causes are
2. heart failure. Again common in the diabetes patients, it's easily controlled by diuretics and needs echocardiography for diagnosis.
3. a possible liver failure. A possible cause of the abdomen distension, this is confirmed by the liver function test.
4. a possible effects of the metformin. However , this commonly occurs when the medicine is just started. Don't think that it's the cause in this case.
5
uncontrolled sugars can cause the symptoms but you have already mentioned that the sugars are controlled.
I therefore suggest testing renal function test and urine for microalbumin.
Let us know the reports.
Best of luck.
Dr Mittal
Check renal status
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The symptoms of the query are quite suggestive of a few possible causes.
1. a kidney disease. This is a common problem in diabetic patients. The fluid collects in the abdomen commonly.
Check urine for microalbumin and test kidney function test for the same .
Less common causes are
2. heart failure. Again common in the diabetes patients, it's easily controlled by diuretics and needs echocardiography for diagnosis.
3. a possible liver failure. A possible cause of the abdomen distension, this is confirmed by the liver function test.
4. a possible effects of the metformin. However , this commonly occurs when the medicine is just started. Don't think that it's the cause in this case.
5
uncontrolled sugars can cause the symptoms but you have already mentioned that the sugars are controlled.
I therefore suggest testing renal function test and urine for microalbumin.
Let us know the reports.
Best of luck.
Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Answered by
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