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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Cause Chills And Pain In Stomach Area And Lower Back Area?

My elderly mother (92) is having chills and pain in her stomach area and lower back, including pain in her shoulder blades. She is diabetic and has just taken her sugar reading, which is above 200 - rare for her, since she's been on Glipizide. She has had surgery for gall stones and is living with a stent, (Her gall bladder has been removed but she still has had gall stones after that (14 of them). She is refusing to go to the doctor. Can you give me some kind of objective reading for her so I can convince her to pay her doc a visit, please?
Thank you in advance.
Sue B
YYYY@YYYY
Sat, 19 Jul 2014
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Psychiatrist 's  Response
HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.
AS PER THE CLINICAL HISTORY YOU MENTIONED IN THIS CASE, THERE IS HIGH RISK OF YOUR MOTHER GOING INTO "EMPHYSEMATOUS CHOLECYSTITIS".THIS IS A VERY SEVERE FORM OF INFECTION.PARTICULARLY MORE COMMON IN DIABETICS WITH HISTORY OF GALL STONES . THE GALL BLADDER MIGHT HAVE BEEN REMOVED DUE TO THIS CAUSE. NOW AS PER HISTORY OF RETAINED STONES OF 14 IN NO;THERE IS A LIKELY POSSIBILITY OF SHE DEVELOPING "GALL STONE ILEUS" OR NECROTIC PERICHOLANGITIS AND HEPATITIS.I SUGGEST AN IMMEDIATE REFERRAL TO SURGEON IN VIEW IF HER PAIN ABDOMEN TO PREVENT ANY GUT PERFORATION BY EARLY MEDICAL ATTENTION.HER BLOOD GLUCOSE LEVELS SHOULD BE NORMALIZED BY INSULIN.PROPHYLACTIC ANTIBIOTICS SHOULD BE USED.BY ALL MEANS PERITONEAL INFECTION HAS TO BE PREVENTED.CONSULT YOUR SURGEON AT THE EARLIEST.
THANK YOU .
TAKE CARE.
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What Cause Chills And Pain In Stomach Area And Lower Back Area?

HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC. AS PER THE CLINICAL HISTORY YOU MENTIONED IN THIS CASE, THERE IS HIGH RISK OF YOUR MOTHER GOING INTO EMPHYSEMATOUS CHOLECYSTITIS .THIS IS A VERY SEVERE FORM OF INFECTION.PARTICULARLY MORE COMMON IN DIABETICS WITH HISTORY OF GALL STONES . THE GALL BLADDER MIGHT HAVE BEEN REMOVED DUE TO THIS CAUSE. NOW AS PER HISTORY OF RETAINED STONES OF 14 IN NO;THERE IS A LIKELY POSSIBILITY OF SHE DEVELOPING GALL STONE ILEUS OR NECROTIC PERICHOLANGITIS AND HEPATITIS.I SUGGEST AN IMMEDIATE REFERRAL TO SURGEON IN VIEW IF HER PAIN ABDOMEN TO PREVENT ANY GUT PERFORATION BY EARLY MEDICAL ATTENTION.HER BLOOD GLUCOSE LEVELS SHOULD BE NORMALIZED BY INSULIN.PROPHYLACTIC ANTIBIOTICS SHOULD BE USED.BY ALL MEANS PERITONEAL INFECTION HAS TO BE PREVENTED.CONSULT YOUR SURGEON AT THE EARLIEST. THANK YOU . TAKE CARE.