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Bulge and discomfort in the abdomen and diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   my fiance has been having pain in his left side middle abdomen for about a week to week in a half. he has some swelling (bulge), pain and discomfort that prevents him from sleeping properly, some change in breathing, nausea. he has diabetes, type 2, he has been out of his medicine for about 2 weeks now. he takes metformin, 1000 twice a day. is this cause for concern
Doctor :   Hello.
User :   hello
Doctor :   Give me age and gender of the patient ?
User :   male 28
Doctor :   Ok.
Doctor :   Since when is he suffering from diabetes?
User :   for about 4 to 5 years
Doctor :   Ok.
Doctor :   Is his blood glucose always under control?
User :   no, he hasn't been keeping track of it, he lost or broke his last meter. so he hasn't checked it in awhile
Doctor :   You have to get it checked.
User :   then what
Doctor :   Continue with the medications.
Doctor :   The following symptoms could be due to high blood sugar.
User :   he has an appointment aug. that was the earliest appointment he could get with the specialist
Doctor :   Is it possible to get the medication with previous prescription?
User :   he has some pills now he just got some bout 2 days ago
User :   but he only got bout 10
Doctor :   He can take those.
Doctor :   But get glucose test done.
User :   is this or could this turn serious, should he try to be seen sooner
Doctor :   It could turn in serious problem.
Doctor :   'to
User :   how long should he go before being seen
Doctor :   Symptoms may increase anytime.
Doctor :   You have to put him on medication.
Doctor :   See if there is any improvement.
Doctor :   Can you explain about the bulge?
Doctor :   like shape, size, any pain on tonch, etc?
Doctor :   'touch
User :   is the lump, bulge in his side a side affect or something that is being caused by this, he has trouble sleeping due to the discomfort and pain. touch doesn't hurt.
User :   not a huge bulge but there is one there
Doctor :   Is it soft or hard to touch.
User :   soft and bout size of his palm
Doctor :   Ok.
Doctor :   Does he have any disturbance in passing stools?
User :   no trouble in going, but he still has sensation of having to still go as if he isn't done
Doctor :   Ok.
Doctor :   Since when does he have problems with breathing?
User :   not all the time. hurts more and feels worse when goes to bed
Doctor :   Ok.
Doctor :   Does he have any past history allergies or asthma?
User :   no
Doctor :   Ok.
Doctor :   Since when does he have complaints of nausea? is it present all the time?
User :   no. today was present from bout 5 am till noon, he would burp from indegestion
Doctor :   Ok.
User :   he works as a sheet metal , he works in unfinished buildings in the heat. so most days he intakes atleast a gallon or more of water
Doctor :   Ok.
Doctor :   It is probably due to not taking his diabetes medications.
Doctor :   Put him back on the medication.
Doctor :   Try to get the refill as soon as possible.
User :   k
Doctor :   If the symptoms still persists.
Doctor :   You will have to get some investigation done.
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