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Diabetic with hypertension having fever and diziness. Diagnosed with UTI and extremely low sodium level with high creatanin. Advise?

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My mother-in-law ,75, a diabetic for 40 years with hypertension was admitted in hospital,with high fever and severe dizzines. she was diagnosed with UTI and extremely low sodium level with high creatanin. With treatment she improved and was discharged,had good appetite. The next day her abdomen,feet,hands and face was swollen up, difficulty in breathing,stool was leaking out,she felt symptoms of hypogleacemia ,heart palpitations but she walked to the car and then to hospital. They put her in the ICU, told us she was having heart failure ,ejection fraction 25% and almost gave her nothing to eat for 3 days, she became very weak. She was shifted to a room 3 days back after they said all was stable, but is having constant burping, nausea, vomiting any food she is having, motions are smelly and 8/9 times per day,extremely weak ,in diapers ,unable to get up without help,only bones no muscle. She is under nephrology although it is a cardiac problem. How can a person able to walk become so sick after a hospital stay? Is there something wrong with the treatment/diagnosis, is it at all a cardiac failure .There has been no test for ejection fraction after she came into the room. The doctor told she might die suddenly, in six months or a year or two because heart is failing. Please advice , also let us know is this the end , a matter of days or is the nephrologist correct?
Posted Fri, 6 Sep 2013 in Hypertension and Heart Disease
Answered by Dr. Anil Grover 11 hours later
Welcome to the health care magic
I read your mail with diligence
As your mother in law having multiple problems like renal failure and congestive heart failure , both of which will have multiple effect s on the gastrointestinal system which can cause fullness of stomach and dyspepsia and indigestion and liver disease also.
And as she also has some age related problems .
She needs good nursing care and a hospital with both cardiologist and a nephrologist care.
And coming to the heart function which as you said it is EF25% means there is a high chance of getting repeated breathlessness and survival depends on the how she responding to medication and how complaint in taking medicines.
But as your descriptions her overall condotion is poor.
So join her in a nursing home with good nursing care and with both good cardiac and renal care.
Thank you.
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