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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Loose Motion, Abdominal Pain After Increased Dose Of Insulin. Have Diabetes, Given Injections, Oral Medication

I am a diabetic patient , only came to know about it a couple of weeks back.Was on insulin(12 before breakfast and 8 before dinner for a week and then changed to 16 before breakfast and 10 before dinner).After the 2nd set of doses for 4days, I was on oral medication.
I am having loose motion and lower abdominal pain after almost every meal , after I started the 2nd couse of insulin and still continuing.
Suggestion pls
Thu, 18 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available described details, there appears to be possibility of acute gastroenteritis.
As such there appears to be no correlation between insulin and gastroenteritis.
You should consult with internal medicine specialist and should go for thorough check up.
You should also go for complete blood count, ultrasound imaging, and serum electrolytes.
You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, if needed.
You should maintain your hydration by taking potassium rich liquids.
Frequent loose diarrhea may cause loss of potassium with weakness and fatigue feeling.
Avoid milk and all milk related products.
Take care,
Dr. Mayank Bhargava
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General & Family Physician Dr. Michelle Gibson James's  Response
Hi, thanks for using healthcare magic

You stated that you are presently using oral medication with the insulin. If the oral hypoglycemic medication is metformin then it is quite possible that the abdominal pain and diarrhoea that you are experiencing is related to this medication.

Metformin is associated with gastrointestinal side effects such as pain, nausea, bloating, constipation or diarrhoea. These results can be reduced by starting the medication at a low dose and increasing it slowly to the optimal dose.

Insulin is not associated with gastrointestinal side effects such as diarrhoea or abdominal pain.

If you are using metformin then the pain and diarrhoea may be related to gastroenteritis or possibly intolerance to a particular food.
YOu may want to consider visiting your doctor for an evaluation.

I hope this helps
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
Injection insulin has nothing to do with your loose motions and pain abdomen.
Such symptoms suggest intestinal infection and the most likely cause could be amoebic colitis.
Talk to your doctor and take a course of METRONIDAZOLE OR TINIDAZOLE.
You should be all right with this.
Take precaution regarding food and water and avoid eating and drinking outside.
Keep taking your anti diabetic medications.
Thanks
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1 Doctor agrees with this answer


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Have Loose Motion, Abdominal Pain After Increased Dose Of Insulin. Have Diabetes, Given Injections, Oral Medication

Hi, Thanks for posting your query. With the available described details, there appears to be possibility of acute gastroenteritis. As such there appears to be no correlation between insulin and gastroenteritis. You should consult with internal medicine specialist and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, and serum electrolytes. You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, if needed. You should maintain your hydration by taking potassium rich liquids. Frequent loose diarrhea may cause loss of potassium with weakness and fatigue feeling. Avoid milk and all milk related products. Take care, Dr. Mayank Bhargava