Talk to Internal Medicine on Loose Motion
Asking For Mother, Female 72, karachi
my mother is a diabetic patient since 9 years, high blood prasure almost from 30 years, also hyper thyroiditis . she takes her medicine regularly . she face a problem loose motion with out any diet changing . kuch medicine sa control ho jata ha . phir kuch din bad achanak start hota . she take insulin 2 times s a day. her weight over 100 kg.
Dr. Abdul Baqi - Internal Medicine Specialist
MBBS, Diploma in Internal Medicine | Peshawar
1 Positive Reviews
First of all check her TSH to make sure that she is not over taking thyroxine. If TSH is normal then she need to check HBA1C as uncontrolled diabetes can lead to autonomic neuropathy and it can cause diarrhea. I think see a medical specialist if not improved with time.
I can help and guide you all
Dr. Shehla Arshad Khan - General Physician
MBBS, MRCP – UK, ARDMS, Diploma Aesthetic medicine (Canada), Certified in FamMed essentials | Karachi
24 Positive Reviews
She is over weight insulin resistance develop as weight increase .Gastric neuropathy is common in diabetes
Book an appointment to manage effectively
weight control
diabetes control are keys
the we can move on to other aspects and thorough evaluation
Dr. Shehla Arshad Khan - General Physician
MBBS, MRCP – UK, ARDMS, Diploma Aesthetic medicine (Canada), Certified in FamMed essentials | Karachi
24 Positive Reviews
Thyoid issue also needs to be looked into share reports for best advice and book an appointment asap. Losing water and electrolytes could be serious
Dr. Saad Shah - Internal Medicine Specialist
MBBS, MRCP, FRCP, FRCP Edinburgh | Mansehra
152 Positive Reviews
Uncontrolled Diabetes can lead to loose stools and altered bowels . Please get Hba1c and sugar levels checked and stools culture and sensitivity and exam.for cysts done from a reliable lab and book online appointment for further discussion.
Dr. Tahir Angez Khan - Medical Specialist
MBBS, FCPS( Medicine) | Haripur
with hyperthyroidism and recurrent loose motions, the common possibilities include:
Diabetic autonomic neuropathy
– Can cause intermittent diarrhea, especially long-standing diabetes.
Hyperthyroidismwith hyperthyroidism and recurrent loose motions, the common possibilities include:
Diabetic autonomic neuropathy
– Can cause intermittent diarrhea, especially long-standing diabetes.
Hyperthyroidism
– Increases gut motility → frequent loose stools.
Drug-related causes
– Especially metformin (if she is taking it along with insulin).
– Other medicines may also contribute.
Recurrent gut infection / IBS-like symptoms
– Common in elderly patients.
What should be done:
Basic investigations:
• Stool R/E, culture
• CBC
• Thyroid profile (TSH, FT4)
• HbA1c
• Electrolytes
Review medications (especially metformin or antibiotics).
Ensure adequate hydration and ORS.
Diet advice:
• Avoid oily, spicy food
• Take soft diet (khichdi, yogurt, banana)
• Small frequent meals
If no infection:
• Consider antidiarrheal (like loperamide) cautiously
• Probiotics may help
Red flag signs (need urgent evaluation):
Blood in stool
Weight loss
Fever
Severe dehydration
– Increases gut motility → frequent loose stools.
Drug-related causes
– Especially metformin (if she is taking it along with insulin).
– Other medicines may also contribute.
Recurrent gut infection / IBS-like symptoms
– Common in elderly patients.
What should be done:
Basic investigations:
• Stool R/E, culture
• CBC
• Thyroid profile (TSH, FT4)
• HbA1c
• Electrolytes
Review medications (especially metformin or antibiotics).
Ensure adequate hydration and ORS.
Diet advice:
• Avoid oily, spicy food
• Take soft diet (khichdi, yogurt, banana)
• Small frequent meals
If no infection:
• Consider antidiarrheal (like loperamide) cautiously
• Probiotics may help
Red flag signs (need urgent evaluation):
Blood in stool
Weight loss
Fever
Severe dehydration
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Patient
Post Owner
ok Jazak Allah , I will share her recently reports
2 months ago
Patient
Post Owner
I attached medical reports here . kindly see it
2 months ago