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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Legs And Ankles Swelling With Stomach Discoloration?

Hi, my mother-in-law, 73 yrs old, Hep C diagnosis due to blood transplant back in 70ies. Cirrosis diagnosed, since 3 years also diabetes, since a year if not a bit more now Insulin 3times a day. Last 2 months her legs (especially ankles) are swollen and blue and her belly also, she does not sleep well, does not have energy. She has some good and some rather bad days where she mixes diff. insulin measures etc. What can we expect next?
Mon, 3 Nov 2014
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Internal Medicine Specialist,  's  Response
Hi thanks for using Healthcaremagic
Here we have two problems ,one is cirrhosis of liver and next is Diabetes.Cirrhosis of liver can lead to hypo-albuminemia(protein) in the serum which can eventually lead to water retention and edema.Cirrhosis also causes a condition called portal hypertension which can lead to decreased platelet in the blood.Bluish discolouration may be due to low platelet count and deranged prothrombin time.
please check s.protein and albumin
platelet count ,PT/INR
proper correction of the abnormalities can relieve the symptoms
Liver is the storage house of glycogen(glucose).Cirrhosis patients blood sugar will be fluctuating and some of the oral drugs are not advisable during cirrhosis.Hence short acting analogue insulin is better ..
hope the discussion helped you..thank u..
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What Causes Legs And Ankles Swelling With Stomach Discoloration?

Hi thanks for using Healthcaremagic Here we have two problems ,one is cirrhosis of liver and next is Diabetes.Cirrhosis of liver can lead to hypo-albuminemia(protein) in the serum which can eventually lead to water retention and edema.Cirrhosis also causes a condition called portal hypertension which can lead to decreased platelet in the blood.Bluish discolouration may be due to low platelet count and deranged prothrombin time. please check s.protein and albumin platelet count ,PT/INR proper correction of the abnormalities can relieve the symptoms Liver is the storage house of glycogen(glucose).Cirrhosis patients blood sugar will be fluctuating and some of the oral drugs are not advisable during cirrhosis.Hence short acting analogue insulin is better .. hope the discussion helped you..thank u..