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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Pain, Loss Of Appetite And Vomiting?

Respected Sir

This is to inform you that patient Mrs. mnk,mee from Jamshedpur (Membership no.- 1mjmlkm89) who was seen at Dr.Mol,lns Diabetes Specialities Centre in Chennai on 23 march 2011 for diabetes problem is suffering from some symptoms(problems) after coming back from there. Dr. M.Ramu prescribed her medicines. The blood sugar level is within 200-356.
The symptoms are:-
1. Stomach pain
2. No desire to eat
3. Non clear latrine(3-4 times a day)
4. Vomiting
Kindly give some suggestions as soon as possible. Thank you in anticipation.

Phone no.- 0000, 0000

Mon, 8 Dec 2014
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General Surgeon,  's  Response
Hi.
Your are a known patient of diabetes.
The level should be around 150 of the blood sugar.
Unless Diabetes is well controlled, no disease can come under control in spite of the treatment you may be taking.
SO Get the Blood sugar monitoring done, consult a local Diabetologist or ME, Medicine to get adjustment of the dosages...

Your symptoms of stomach pain, no desire to eat, no clear latrine and vomiting is suggestive of a complication of Doabetes in the form of :
Gastroparesis- meaning slowing of the movement of your intestines as a whole;
added on some sort of an infection of the GI tract in sub-clinical form.
Get a 5-day course of an antibiotic, metronidazole, probiotic and Domperidone.
I hope you will be fine.
If no response, you need further investigations under the cover of your Doctor to get more appropriate diagnosis and treatment accordingly.
It is possible that you may need to be started on Injection Insulin till you get alright.
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What Causes Stomach Pain, Loss Of Appetite And Vomiting?

Hi. Your are a known patient of diabetes. The level should be around 150 of the blood sugar. Unless Diabetes is well controlled, no disease can come under control in spite of the treatment you may be taking. SO Get the Blood sugar monitoring done, consult a local Diabetologist or ME, Medicine to get adjustment of the dosages... Your symptoms of stomach pain, no desire to eat, no clear latrine and vomiting is suggestive of a complication of Doabetes in the form of : Gastroparesis- meaning slowing of the movement of your intestines as a whole; added on some sort of an infection of the GI tract in sub-clinical form. Get a 5-day course of an antibiotic, metronidazole, probiotic and Domperidone. I hope you will be fine. If no response, you need further investigations under the cover of your Doctor to get more appropriate diagnosis and treatment accordingly. It is possible that you may need to be started on Injection Insulin till you get alright.