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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting, Leg Numbness And Loss Of Balance In A Diabetic?

i know this guy that has had 10 heart attacks he has diabetes and all that nasty stuff his sugar is usually high but we tested it yesterday and it was 118 well for the past 3 days hes been vomiting and says his right leg is numb he broke his foot last year and its healing slowly do you think that would have anything to do with his leg being numb he also walks like his legs are rubber they shake he looses his balanc we have to stand beside him when he walks so he dont fall
Mon, 27 Oct 2014
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Diabetologist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. He has developed extensive peripheral neuropathy leading onto numbness and loss of balance.
2. Due to reduced gastric emptying due to diabetes affecting the autonomic nervous system, he has developed gastritis and increased gastro-esophageal sphincter weakness is causing vomiting.
3. He needs to walk with support as his legs are unable to assess change in position and can lead to loss of balance and hence fall. He can take proton pump inhibitors along with domperidone to reduce acid production and also vomiting.
Hope it helps.
Any further queries, happy to help again.
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What Causes Vomiting, Leg Numbness And Loss Of Balance In A Diabetic?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. He has developed extensive peripheral neuropathy leading onto numbness and loss of balance. 2. Due to reduced gastric emptying due to diabetes affecting the autonomic nervous system, he has developed gastritis and increased gastro-esophageal sphincter weakness is causing vomiting. 3. He needs to walk with support as his legs are unable to assess change in position and can lead to loss of balance and hence fall. He can take proton pump inhibitors along with domperidone to reduce acid production and also vomiting. Hope it helps. Any further queries, happy to help again.