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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Headaches,back Ache And Vomiting With A History Of Diabetes?

my daug has juevile diab. is 22 years old. A1c is 9.5. She was at emer. for flu like symptoms. chronic headache, backache, small ketones, nausea and vomitting here and there. All tests came back normal. They treated her for dehydration. 3 days latter she had endo. appt. /Test resutls, 300 cholest./ bp normal/ hemo glob. only 9. (it was 13.5 three days before) . Today she has a headache and has nausea again. We are going crazy at what might to wrong. I think it might be something with kidney. Her endo. dr. mentioned pancreatitis. I am grasping at straws. Other things going on are: put on synthroid for thyroid probs. weight gain and middle bloating. Cholestr. shot way up. Any Ideas.
Tue, 16 Dec 2014
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Internal Medicine Specialist,  's  Response
Hi thanks for using healthcaremagic
Type 1 DM can have ketosis even with mild infection.The treatment will be hydration,insulin and treat the infection.
fluid and insulin are the mainstay of treatment.Look for UTI.Usg-abdomen and S.Lipsae/Amylase can tell you whether Pancreatitis is there or not.
I think the problem creator is the ketones.Please hydrate her with IV fluids.Also look for any electrolyte imbalance.
Since she is having headache,pleas check for sinusitis also
thank you..
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What Causes Constant Headaches,back Ache And Vomiting With A History Of Diabetes?

Hi thanks for using healthcaremagic Type 1 DM can have ketosis even with mild infection.The treatment will be hydration,insulin and treat the infection. fluid and insulin are the mainstay of treatment.Look for UTI.Usg-abdomen and S.Lipsae/Amylase can tell you whether Pancreatitis is there or not. I think the problem creator is the ketones.Please hydrate her with IV fluids.Also look for any electrolyte imbalance. Since she is having headache,pleas check for sinusitis also thank you..