Talk to General Practitioner on Diabetes And Blood Pressure
Asking for Mother, Female, 71 years old, Sialkot
My mother is suffering from diabetes for over 20 years, she is on insulin and take precautions advised by doctor. Recently, she has developed svere abdominal pain, most of the times on right side and sometimes on left side, which starts from back and goes all the way to belly. We have been getting her checked regularly but she isnt getting better unfortunately. I have few recent test reports to share asked by doctor to perform. Will be looking to see doctors in hospital around sialkot, lahore and waiting for suggestion. Kind Regards Umar
usg kraen sb se phly
I can help and guide you
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did you discuss the reports with your doctor?
this patient needs to be seen in person, proper further workup, then plan.
Dr. Attia - General Practitioner
MBBS, FCPS 1 MEDICINE AND ALLIED PG DIPLOMA IN RADIOLOGY, | Sialkot
12 Positive Reviews
you need to consult a nephrologist
Dr. Ayesha Naveed - General Practitioner
MBBS, MCPS Family Medicine, Post Graduation Certificate in management of Respiratory Diseases (AKU) | Lahore
8 Positive Reviews
Thank you for your question. Based on your CT scan, the adrenal lesion with 78% washout is most likely a benign adrenal adenoma, which usually does not require surgery. However, it's important to rule out any hormonal activity. I recommend getting some blood tests to check this:
Overnight dexamethasone suppression test (to rule out excess cortisol)
Plasma metanephrines (to rule out pheochromocytoma)
Aldosterone/renin ratio (if there's high blood pressure or low potassium)
Follow up with your doctor with the results. She needs to consult a proper endocrinologist
Kindly tell us full history, any episodes of: Palpitations, high BP, headache, sweating attacks, any bruising, or facial puffiness. History of fall, injury, or osteoporosis? Pain worsens with movement, rest, or at night? Any numbness, tingling, or weakness in legs? Any nausea, vomiting, change in bowel habits, jaundice? Any burning micturition, frequency, or hematuria? Kindly share recent HbA1c if available. After full history we may suggest further test to evaluate this problem.
Dr. Bushra Suhail - General Practitioner
MBBS, MPhil Pharmacology and Therapeutics, CHPE | Lahore
Ct scan shows adrenal adenoma. It requires referral to endocrinologist required for proper further work up.
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