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Diabetic. Having anemia, swelling of face, legs, cotical cyst on kidney. Treatment?

SIR my mother is diabetes patient , recently she was admitted in a hospital in kolkata with the symptoms of anemia and swelling on her face and legs , the doctors get a small cotical cyst (2.6 cm) in her right kidny and also her liver get fatty liver , i belongs to a lower middle class family , sir how can my mother get best treatment
Asked On : Mon, 25 Mar 2013
Answers:  1 Views:  61
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Pulmonologist 's  Response
Your diabetic mother developing anemia , edema ( swelling of face and legs) can indicate that she is having chronic (long standing ) kidney disease.
Patients with diabetes develop kidney disease and they get it early if their diabetes was not controlled.
It can be detected by checking urine for presence of albumin.
Is she also having high blood pressure ? In that case the edema could be due to congestive cardiac failure ( weakness of heart leading to inability to pump adequate blood.) Some drugs for Blood Pressure also can cause edema.
Do get an ECG and echocardiogram done.
The cortical cyst in kidney may be unrelated to disease.
The fatty liver may indicate poor control of diabetes. Also check fasting lipid profile.

To get the best treatment
Keep her blood sugar controlled ( before and after food)
Keep blood pressure controlled.
Improve hemoglobin level by
> drugs for worm infestation
>iron supplements
>blood transfusion if Hemoglobin
>erythropoietin injection if chronic kidney disease confirmed
Improve heart function by reducing fluid volume and improving heart muscle action
4th generation calcium channel blockers also may be helpful

Consult a nephrologist
Answered: Mon, 25 Mar 2013
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