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Swelling in the leg, Diabetes and Hypertension, Suggestion of CBC and Urine routine test - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   Good Evening Doc
User :   I am a diabetic and BP since 18 years
Doctor :   please proceed with your query
Doctor :   ok
User :   My medication are as follows
Doctor :   ok
User :   METAFORTE G-853 1 -0-1 TELESARTAN AM (40MG) 1 -0 -1 COLOSPRIN -100 1 -0 -0 ROSE DAY-20 MG 0 -0-1 PIOZ-MF 15 0- 1-0
Doctor :   ok
User :   These changed medicines are taking since one month
Doctor :   ok
User :   My problem is that now a days I have gastric problem, leg swelling etc and my weight is also not coming under with my stirct diat
Doctor :   ok
User :   Is that these medicines are causing to my problems
Doctor :   since when are you having these problems?
User :   More are less since 20-25 days
Doctor :   when was your last Bp recorded
User :   Two days back it was 130/80
Doctor :   ok , since when is the swelling
User :   My sugar also less than 200
Doctor :   less than 200 is the fasting or post prandial ?
User :   Post prandial and it will around 170-200
Doctor :   ok
Doctor :   the swelling of legs , is it during day time or after you get back from work
User :   Early morning no swelling, but during day time only swelling
User :   My nature of work also is more or less 8 hours sitting work
Doctor :   ok
Doctor :   does the swelling disappear on rest?
User :   yes
Doctor :   ok , is it upto ankle or beyond it as well
User :   it is only on the leg
Doctor :   ok
Doctor :   any complaints of shortness of breath , weakness, chest pain?
User :   No Dr my ECG and other test are normal
Doctor :   ok
Doctor :   was pioz started recently
Doctor :   or were you taking it from before
User :   Yes Dr it is one month back
Doctor :   ok , from the history
Doctor :   i can tell you these things
User :   I use have swelling even earlier also, but it use come and go
Doctor :   the medicines you have been on , will not be a cause of swelling
Doctor :   only pioz can cause swelling , but that is also seen only in less than 5 percent cases
Doctor :   may i know your age ?
User :   52
Doctor :   do you smoke or consume alcohol
User :   No Dr
Doctor :   ok , are your cholestrols under control?
User :   I am veg and non-smoker
User :   Yes Dr
Doctor :   ok , from reading the above i would suggest these things
Doctor :   since your a diabetic and hypertension and weight not under control
Doctor :   you have three risk factors in you
Doctor :   since there is leg swelling we cannot ignore the same
Doctor :   as i said , all the drugs your taking may not be the reason for this
Doctor :   only pioz , may be that too less than 5 percent is the chance
Doctor :   since gastritis also cannot be ignored , i feel you must undergo some test
Doctor :   generally an ECG in diabetes will not reveal any changes
Doctor :   in most of the diabetics, even with heart problems , ECG REMAINS NORMAL
Doctor :   I would advice you to go in for an examination
Doctor :   and then if agreed by physician , go in for a stress test / treadmill test
Doctor :   as well as a 2D echo
User :   yes Dr
Doctor :   apart from this , anemia can also be a reason for leg swelling
Doctor :   and kidney changes as well
Doctor :   so a complete work up is needed
Doctor :   please go in for
Doctor :   1. complete blood count with hemoglobin value which will show the anemia if present
Doctor :   2. urine routine and microscopy
Doctor :   these two tests will help a lot
Doctor :   to know any additional changes
Doctor :   apart from that , you could take a review on pioz from your doctor
Doctor :   remember with medicines you need to follow good diet and exercise as well
User :   Ok Dr
Doctor :   as fasting should be maintained with in 120
Doctor :   and post prandial must be with in 140
Doctor :   make sure sugars are in this range only
Doctor :   with all the medicines you take
Doctor :   and the Bp must be120/80 or 130/80 range only
Doctor :   continue all medicines
User :   Yes Dr
Doctor :   do not stop without doctor advice, not even pioz
Doctor :   they are very essential for your life
Doctor :   your on right medicines
User :   Ok Dr
Doctor :   diet with les salt also is very important
Doctor :   did you follow my suggestions?
User :   Yes Dr
Doctor :   so do all these tests and let us see the reason for leg swelling
Doctor :   do not ignore nay symptoms
Doctor :   any*
Doctor :   i hope i answered all your questions
User :   Ok Dr and thank you very much
Doctor :   are there any more questions to help you with?
User :   No DR and I come back with the test
Doctor :   sure , you can get back to us
User :   Thank Dr
Doctor :   pleasure here
Doctor :   thanks for consulting me
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