Dear friend, welcome to HCM.
I am quite worried over this.
the ascitis looks to be secondary to renal (kidney)failure due to long standing daibetic nephropathy.
we need to look into see if she has associated heart failure
related pericardial effusion
(fluid around the heart) etc, by thorough evaluation.
i hope it would have been done.
what are T3, T4 levels now? and the protein levels?
also a serious condition myxoedema crisis can occur.
is the only definitive treatment here for hypothyroid status.
in crisis, we use a steroid and ,if available , intravenous T4 hormone.
thsi happened due to very long standing disease and now decompensation.
but an endocrinologist
is a better judge for this.
kindly consult your specialist on these points.
you can also load your reports, images on this website.
would be glad to assist you accordingly.
I hope to have answered your query satisfactorily.
Take care and please keep me informed of your progress.
Good Luck !
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