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Swelling in the eyes for a diabetic patient - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hello
User :   i wanted to ask concerning my fathers problem
Doctor :   Please proceed with your query.
User :   he is diabetic...nd his eyes get swelled at times
Doctor :   Ok
User :   askd doctors but they say that this is not because of increasing sugar
Doctor :   Yes, this is not a indicator of the sugar levels.
User :   then?
Doctor :   To understand the problem better, may I know since when are you noticing these symptoms?
User :   since 8th feb 2010
Doctor :   Are they progressing since then?
User :   yes...
Doctor :   Do you find any factors that aggravates these symptoms or relieves these symptoms?
Doctor :   May I know his age?
User :   he's 52
User :   i thought that this ws because of diabetes
Doctor :   Do you find any factors that are aggravating these symptoms?
Doctor :   Or relieving them?
User :   during the swelling in his eyes he applies neospirin-h ...
Doctor :   Ok
User :   it may be because of dust or tension
Doctor :   Is the swelling involving the eyes or the eyelids?
User :   actually the whole area around eyes
Doctor :   Is the eyes also involved?
User :   yes
Doctor :   Does he have watering of the eyes?
Doctor :   Do you notice redness of the eyes?
User :   not exactly.....but he have itching in that portion
User :   sumtimes
Doctor :   Ok
Doctor :   For how long do these episodes last?
User :   not less than a week
Doctor :   Does he have hypertension/kidney problems?
Doctor :   Does he consume alcohol?
User :   yes occasionally
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Since I cannot perform a physical examination on your dad, I am unable to pinpoint the exact cause these symptoms, however,
Doctor :   I shall provide you with the necessary information.
Doctor :   Swelling of eyes and around the eyes can occur due to a local eye problem such as allergic causes,
Doctor :   however, in view of his past illness of diabetes, other systemic causes for such swelling of the eyes need to be looked for.
Doctor :   Systemic causes such as renal problems and cardiac problems may have to be ruled out.'
Doctor :   This is possible only by a physical examination and by investigations.
User :   and yes he used to eat tobacco...
User :   but now he don't....
Doctor :   Diabetes and alcoholism with tobacco can induce cardiac and renal problems, hence my sugestion is to consult a physician for physical examination and the necessary investigations.
User :   but the intake of tobacco was excess....5 or 6 packets a day...
User :   ok.
Doctor :   In the mean time, reduce the fluid and water intake during those episodes.
User :   what is renal and cardiac problem
Doctor :   The other necessary measures would be decided following the evaluation.
Doctor :   Swelling of the eyelids and around the eyes are known symptoms of highoutput conditions as seen in renal or cardiac failure.
Doctor :   They are inturn caused by various risk factors such as diabetes, tobacco, alcoholism.
User :   ok.
Doctor :   Apart from this the other most common causes are the local eye factors as mentioned to you earlier.
Doctor :   Hence I suggest you to consult a physician for the evaluation of those systemic conditions if any.
Doctor :   Have you followed what I have suggested?
User :   so anything which he should not include in his diet
User :   yes doctor...
Doctor :   Follow a strict diabetic diet as suggested by your doctor now,
Doctor :   the other dietary restriction can only be determined
Doctor :   after determining the exact cause.
Doctor :   Alcohol restriction and tobacco restriction is a must.
User :   ok

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