Diabetes mellitus (DM) is a chronic metabolic disorder where the blood sugar levels are high for a prolonged period. The three main types of DM are type 1 diabetes, type 2 diabetes, and gestational diabetes. The classic symptoms are weight loss, increased urination, increased thirst, and increased hunger.
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Why does my brother's daughter urinate frequently?
Query: Hi doctor, My brother's younger daughter is 6 years old. Her weight is 52.9 pounds and height is 4 feet. She always rushes to the bathroom to urinate. In a day, she rushes 20 to 25 times to urinate. We have done her urine RE, and it shows everything as normal. She becomes thirsty to drink water. She... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concerns. Increased frequency of urination in a 6 year old child can be due to UTI (Urinary Tract Infection), renal stones or diabetes mellitus. Since, in this case, increased thirst is also present there is a probability of diabetes mellitus. Althou... Read Full »
What does watery and foul-smelling vaginal discharge signify?
Query: Hi doctor, My aunt is 31 years old and had her uterus removed 11 years ago. From then she never had the periods nor any discharge. It was all alright until a month ago. She had suddenly started experiencing waterlike vaginal discharge which is little smelly, and it hurts in stomach sometimes. When s... Read Full »
Answer: Hi, Welcome to icliniq.com. If there were few more facts about your aunt regarding the indication for uterus removal, any follow-ups, diabetic status, her sexual life, etc., would have been helpful. At the age of 31 years, the most probable cause is an infection. I put forth the possibilities and t... Read Full »
Are mesenteric vascular thrombosis, septic shock, and ARF complications of diabetes?
Query: Hi doctor, I have diabetes mellitus with a myeloproliferative disorder, massive upper gastrointestinal bleeding, mesenteric vascular thrombosis, and septic shock with ARF. How do I get this? Read Full »
Answer: Hi, Welcome to icliniq.com. The main cause of your problem is diabetes mellitus. Diabetes is a prothrombotic condition creating a clot that blocks the mesenteric veins draining the intestine. Blockage of these vital veins causes decreased blood flow to the intestines causing ischemia and infarctio... Read Full »
What is the reason for very little semen ejaculation?
Query: Hello doctor, I am a 58-year-old man. It has been six months I did not notice any semen after I had sex. If I have sex after 10 or 15 days, then I get two to three drops of semen. On the other hand, if I have sex every day, then there is no semen ejaculation at all. I am taking medications for hepat... Read Full »
Answer: Hello, Welcome to iclinq.com. I have gone through your query and understand your concern. I would like to know a few more details to answer your query better. Do you have any difficulty in erections or any difficulty in attaining orgasm? Have you noticed any cloudiness in the urine after you h... Read Full »
Vitamin B12 level is high in a diabetic patient. Please help.
Query: Hello doctor, I am 60, weight is 44 kg, height is 5.6, diabetes for past 25 years, on low carbohydrate diet for 80 days, taking no medicine for diabetes now. Sugar levels are under control, checking every day. The problem from past 50 days is that there are feet and ankle swelling that disappears i... Read Full »
Answer: Hi, Welcome to icliniq.com. High vitamin B12 can result from multiple causes. Since your liver function test, kidney function test, peripheral blood smear, etc., are normal (attachment removed to protect patient identity), we can rule out these as the cause. Other causes like diabetes (which you h... Read Full »
How serious is my mother's chest pain?
Query: Hi doctor, My mother, who is 62 years old, has been hospitalized for two days due to sudden sweating, chest pain and left hand pain. When she was admitted her BP was 190/110 mmHg. She is also a diabetic (150/270) and undergoing tremendous stress due to sudden personal loss. She underwent ECG and 2D ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through her reports (attachment removed to protect patient identity). It can be unstable angina or MI (myocardial infarction). Please let me know the troponin I value. If it is negative repeatedly, then stress test is advisable. If positive, then st... Read Full »
Do I need to take Adava tablet to reduce cholesterol?
Query: Hi doctor, My doctor has advised taking Adava stat F tablet to reduce cholesterol. I have type 2 diabetes and my cholesterol 175.6, triglycerides 297, and HDL 24.5. So, do I need to take this and how long I need to take? The doctor said only three months or lifelong. Read Full »
Answer: Hi, Welcome to icliniq.com. We can say you have mix dyslipidemia with your results. This means you have a lipid disorder but at this point, you do not need medication. Medication for an increase in triglycerides should be taken when greater than 450 to 600 mg/dL or cholesterol LDL is greater than 13... Read Full »
What does it mean to have a sudden onset of slurred speech?
Query: Hi doctor, My 70 year old father has developed slurred speech from two days. He has diabetes, benign prostate hypertrophy, and history of vascular dementia. He does not have weakness, paralysis, or numbness. He does not have hypertension or any cardiac disease. He refused to do a CT scan in the ER.... Read Full »
Answer: Hello, Welcome to icliniq.com. In a patient, having risk factors, like diabetes mellitus and acute onset slurring of speech, it raises the possibility of developing an acute stroke. Though there may be other causes too. I would suggest undergoing the following tests: MRI of the brain or N... Read Full »
Query: Hi doctor, I am a 30 year old male. My height is 168 cm and weight is 65 kg. I was diagnosed as diabetic one year ago with HbA1c 7.8 and fasting sugar 163. Then I took Kombiglyze XR 1000 mg one tablet a day four months. Then the test revealed HbA1c of 6.6 and fasting sugar 108. Then my doctor reduc... Read Full »
Answer: Hi, Welcome to icliniq.com. Instead of Kombiglyze (combination of Saxagliptin and Metformin hydrochloride extended release) take tablet Tenepride (Teneligliptin) and also take Metformin (Exermet or Glyciphage) extended release 1000 mg in the afternoon. Get an x-ray of the pain region and ... Read Full »
What healthy food items can help me control my diabetes after being on Metformin for three months and having a stable blood sugar level and BMI?
Query: Hello doctor, Three months back I was diagnosed with diabetes. The tablet Metformin is now keeping my blood sugar levels stable. My BMI is likewise acceptable. However, I also want to learn how to control my blood sugar levels through nutrition. Please suggest me some healthy food items to manage my... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Please continue with your medication and regularly check your blood sugar levels to make sure it is under control. 1. Go for a walk, do yoga, exercise as health permits, and start gradually. It will help. 2. I suggest ... Read Full »