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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Vomiting, Subsided With Medicine, Now Has Phlegm. Have Diabetes, Taking Insulin. What Is It?

Hi,
My mom is 72 and a diabetic patient for last 2 years. She takes insulin twice daily. Three days ago, she suddenly started vomiting whenever she was trying to eat and so, we showed to a doctor. Doctor prescribed medicine for vomiting and to cut down the gas/acidic elements in her body. Vomiting has reduced now to only once a day but we are noticing phlegm when she throw. We are very concern about confused!!!

Could you kindly explain what is going on and if there is anything to be worried?
Sat, 20 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
With the available describes details, there could be possibility of upper respiratory tract infection with vomiting could be due to involvement of gastrointestinal tract or a prodromal symptom of generalized systemic infection.
You should consult with internal medicine specialist/ ENT surgeon and should go for thorough check up.
You should also go for complete blood count, erythrocyte sedimentation rate and chest x ray.
Meanwhile, she should take complete antibiotic therapy, antiemetics, antipyretics and decongestants on written prescription.
Perform gargles three times in a day; a glass of lukewarm water with a pinch of salt.
Avoid cold drinks, oily food and curd.
Take care,
Dr. Mayank Bhargava
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General & Family Physician Dr. Bruce Kinney, DO's  Response
Hello, and welcome to HCM!

The symptoms that you are describing in your mother are most consistent with gastroenteritis. This term refers to an infection in the stomach and/or intestines. Most often, these infections are viral in nature (meaning there is no need for antibiotics). Symptoms frequently include nausea, vomiting, diarrhea, abdominal pain, fever, lethargy, general malaise. In the case of viral gastroenteritis, only time is needed to feel better. It is easy to become dehydrated, so these patients are recommended to drink lots and lots of fluids.

If her symptoms worsen or do not improve, it would be wise to return to the doctor for re-evaluation.


I wish you the best of health, and thanks for posting on HCM.
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Had Vomiting, Subsided With Medicine, Now Has Phlegm. Have Diabetes, Taking Insulin. What Is It?

Hi, Thanks for posting your query. Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications. Blood sugar both fasting and postprandial must be in controlled range. Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas. With the available describes details, there could be possibility of upper respiratory tract infection with vomiting could be due to involvement of gastrointestinal tract or a prodromal symptom of generalized systemic infection. You should consult with internal medicine specialist/ ENT surgeon and should go for thorough check up. You should also go for complete blood count, erythrocyte sedimentation rate and chest x ray. Meanwhile, she should take complete antibiotic therapy, antiemetics, antipyretics and decongestants on written prescription. Perform gargles three times in a day; a glass of lukewarm water with a pinch of salt. Avoid cold drinks, oily food and curd. Take care, Dr. Mayank Bhargava