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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic On Medication For Years. Changed Medication. Bulge On The Neck Without Pain. Medication Side Effect?

I am a diabetic patient and taking madicine for last 15 years. Recently doctor changed the madicine gloconorm pg L1 in morning and gloconorm 500 in the night. Recently i have noticed a small bulging in the right side neck , but no pain, when touching on it is moving. Someone said that is due to the side effect of the medicine. Could you adv.
Mon, 4 Mar 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
With the available described symptoms, there appears to be possibility of engorged neck veins/ palpable carotid arteries.
Gluconorm PG L1 contains glimipride, metformin and pioglitazone and it is never associated with palpable bulging mass in neck.
You should consult with internal medicine specialist/ cardiologist and should go for through check up.
You should go for complete blood count, chest x ray, electrocardiography, renal function test and serum electrolytes.
You should also for colour doppler of both side common carotid arteries.
Meanwhile you should take low dose diuretics if you are feeling difficulty in respiration.
Take care,
Dr. Mayank Bhargava
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Diabetic On Medication For Years. Changed Medication. Bulge On The Neck Without Pain. Medication Side Effect?

Hi, Thanks for posting your query. With the available described symptoms, there appears to be possibility of engorged neck veins/ palpable carotid arteries. Gluconorm PG L1 contains glimipride, metformin and pioglitazone and it is never associated with palpable bulging mass in neck. You should consult with internal medicine specialist/ cardiologist and should go for through check up. You should go for complete blood count, chest x ray, electrocardiography, renal function test and serum electrolytes. You should also for colour doppler of both side common carotid arteries. Meanwhile you should take low dose diuretics if you are feeling difficulty in respiration. Take care, Dr. Mayank Bhargava