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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Nausea, Diarrhea. Diabetic, Insulin Dependent. CT Scan Shows Enlarged Spleen And Liver

Hello I have been having abdominal pain for 3 wks, I have nausea, had diarreah and distension in my belly. I had an us and the us revelead enlarged spleen and liver. my liver enzymes are a little high not much. my gums bleed, i get night sweats, head aches,pain all over my body, fatigue, headaches ringing in my ears and I am a diabetic insulin dep and resistant. Oh and within a wks time after the abd us I had a ct done and the spleen had enlarged and so did the liver. Never having fever.
Fri, 25 Oct 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

From the information provided by you, it is most likely Malaria or Tuberculosis. But the history of bleeding gums mandate additional investigations for dengue, bleeding abnormalities and some other hematological conditions, which I would not like to name here.

Pending investigations, an empirical course of anti-malarial drugs would be justified.

Kindly consult your treating doctor and discuss the entire matter with him. He knows what would be best for you.

Dr. Rakesh Karanwal

You have not mentioned your place of residence,
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Abdominal Pain, Nausea, Diarrhea. Diabetic, Insulin Dependent. CT Scan Shows Enlarged Spleen And Liver

Hi there, Thanks for your query. From the information provided by you, it is most likely Malaria or Tuberculosis. But the history of bleeding gums mandate additional investigations for dengue, bleeding abnormalities and some other hematological conditions, which I would not like to name here. Pending investigations, an empirical course of anti-malarial drugs would be justified. Kindly consult your treating doctor and discuss the entire matter with him. He knows what would be best for you. Dr. Rakesh Karanwal You have not mentioned your place of residence,