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On TPN Due To Short Gut Syndrome. Developed Pain And Swelling On Elbow And Ankle. Any Ideas?

Posted on Tue, 28 May 2013

Question: I have been on TPN for six years mainly due to short gut syndrome. have developed pain in elbows and now fingers very swollen and feet and ankles why is this

Answered by Dr. Rajiv K Khandelwal (2 hours later)

Hi,

Thank you for your query.

I can understand your concern. TPN requires regular monitoring which you must be happening. I suggest that you take these swellings seriously and get necessary investigations done to rule out:
1. Electrolyte imbalance.
2. Infection.
3. Levels of serum albumin.
If the investigations are normal then only you should consider going over for your grandson's graduation.

In all probability the doctors would like to re-structure your TPN to reduce the fluid till the swelling subsides and may increase the protein content if the blood reports suggest.

I hope I have answered your query to your satisfaction. Please revert back in case you need any clarifications or would like to share more facts.

Wishing you an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rajiv K Khandelwal (3 hours later)

thank u doctor am going to the hospital this afternoon. The swelling and pain is severe this morning. If necessary will contact you again.

Answered by Dr. Rajiv K Khandelwal (10 minutes later)

Hi,

Thank you for your post.

You will appreciate the limitation of this forum and I am happy that I have been able to guide you. Do keep me updated.

Wishing you all the best.

Regards,

Rajiv

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar