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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Collapse, Vomitting, Urine Retention. Have Learning Disability, Diabetes, Epilepsy. All Tests Normal. Suggestions?

64 year old with learning disability, diabetes and epilepsy-both well controlled. Normally mobile, chatty, cheerful.
Sudden rise in blood sugar to 33. Hospitalized and now on insulin and again well controlled. Suffering collapse, vomiting (bile/acidic and green/yellow in colour) and urine retention. At these times cannot eat or drink and is sleeping up to 14 hours (in 24). Hospialized 5 times over last 3 months. All blood tests, urine tests, ECG, brain and abdominal scans are normal
Sat, 27 Apr 2013
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Internal Medicine Specialist 's  Response
greetings my friend, your collapse is likely due to volume depletion or dehydration low blood sugars and or low blood pressures, likely from vomiting. Her vomiting could be caused by low blood sugars or by infection or by many other things. I think it is very important that you check the blood sugars about 5 times per day and monitor for symptoms of lightheadedness, so that we do not end up suffering collapse and in the hospital again. Diabetes can be very difficult to control, especially if you are not in good control of your diet. Hope this is helpful and I think you're having troubles because of frequent hypoglycemia as the most likely cause of your hospitalizations and collapses. This helps. Have a good day.
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Collapse, Vomitting, Urine Retention. Have Learning Disability, Diabetes, Epilepsy. All Tests Normal. Suggestions?

greetings my friend, your collapse is likely due to volume depletion or dehydration low blood sugars and or low blood pressures, likely from vomiting. Her vomiting could be caused by low blood sugars or by infection or by many other things. I think it is very important that you check the blood sugars about 5 times per day and monitor for symptoms of lightheadedness, so that we do not end up suffering collapse and in the hospital again. Diabetes can be very difficult to control, especially if you are not in good control of your diet. Hope this is helpful and I think you re having troubles because of frequent hypoglycemia as the most likely cause of your hospitalizations and collapses. This helps. Have a good day.