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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For Diabetic Having Swollen Feet Till Knees, Loose Motions Or No Stools, Less Appetite, Vomiting?

Hi Doc,

I am too much concerned about my dad these days. He is 54 years old, diabetic with high TSH. Symptoms which are being observed are as follows:

1. Swollen feet till knees.

2. Either continuous loose motions or no stool for 2-3 days.

3. Less appetite for food.

4. Vomiting at times.

5. weak knees, i mean to say if he sits on ground he can's stand by himself.



His CBC reports are: Heomoglobin 11; PCV 33.1; RBC Count 33.1; others are ok.

His TSH is 5.81 where as T3 and T4 are normal.

His KFT test reports are: Blood Urea 42.43; Serum Creatinine 1.937; Serum Uric Acid 8.17; Serum Phosphorus 4.52; others are ok.

Blood Sugar: 112 fasting ( Type 2 diabetes)





We are consulting Endocrinologist from past 3 months. Please advise what to do? Is this case going to be severe? If so, should we also consult with Nephrologist/Renal Doc? Can this Kidney problem be solved at this stage.



Please advise. Thanks in advance!
Mon, 27 Jan 2014
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Pathologist and Microbiologist 's  Response
Hello,

Your father has hypothyroidism. All the symptoms are due to it.
He needs to be on hormone thyroxine for life and it needs to be adjusted based on the TSH value and clinical symptoms.
So keep regular appointment with the Endocrinology for hypothyroidism and diabetes.
Secondly his renal parameters are on the upper limit of normal. So urine microalbumin should be tested for. A nephrologist consultation and regular monitoring is needed. Medical intervention may not be needed now.
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Any Suggestion For Diabetic Having Swollen Feet Till Knees, Loose Motions Or No Stools, Less Appetite, Vomiting?

Hello, Your father has hypothyroidism. All the symptoms are due to it. He needs to be on hormone thyroxine for life and it needs to be adjusted based on the TSH value and clinical symptoms. So keep regular appointment with the Endocrinology for hypothyroidism and diabetes. Secondly his renal parameters are on the upper limit of normal. So urine microalbumin should be tested for. A nephrologist consultation and regular monitoring is needed. Medical intervention may not be needed now.