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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant with diabetic. Had ketones, itching and skin tore around vagina. Is it due to stress?

Good Day, I’m currently 28 weeks pregnant and diabetic since 13. Whenever I had Ketones I had the normal symptoms, itchy burning when urinating, but since a month ago it got very bad. Due to summer I sweat between my legs and my skin tore around my virgina, and I think I got Ketones after that so the cuts in not healing and the itching is extremely bad. I cannot stand for very long it feels like my vigina is carrying a ton. I also thought it could be that baby is a bit too big and creating all this, she is 1.2 kg. I used Preperation H for Hemorrhoids as I thought I had that. I drink about 1.5l of water and my sugar is mostly controlled, I get n high about twice a week, I think is stress or hormones.
Mon, 10 Dec 2012
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM
You are diabetic and pregnant 28 weeks,it seems that you may be having Urinary Tract Infection and if there is any cut or ulcer which is not healing may be you also have a fungal infection and ketone should not come in urine as it comes in high blood sugar or starvation.
A infection can also derrange your blood sugar so go to your Gynecologist for check up and urine R&M alon with Urine culture.
Proper antibiotics systemic and local hygine along with local application of antifungal and antibiotics as prescribed by your doctor will heal this in few days to week time,just keep the area dry.
Keep track of blood sugar level an dtak eadequate dose of insulin as advised.
For hemorrhoids please avoid constipation,take water and fibre in sufficient quantity,
Good Luck
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