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Doctor
Dear Dr. My name is anurajh Loganathan I am type 2...
Dear Dr. My name is anurajh Loganathan I am type 2 diabetic & Acidity patience. recently I got kidney stone pain I admitted to the hospital while discharged they have giving following medicine & I am already taken diabetic medicine (glucophage 1000 Mg)
1. Tamsulosin /0.4mg / film coated tablets (1 tablet daily)
2. Potassium Citrate/1080 Mg (twice daily)
3. Diclofenac potassium/50mg/powder (1 sachets when required)
My question
1. I have diabetic + acidity can I take those medicine above mentioned ?
2. I am already taken those medicine with my diabetic medicine is it safe ?
3. It’s showing me very much side effects like
muscle weakness
urination
Numbness
Stomach pain
Anoxity
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إجابة الخبير: الدكتور عبد الرحمن الشيخ
الدكتور عبد الرحمن الشيخ
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الأسئلة المجابة 4293 | نسبة الرضا 98%
Symptomes and management of kidney stones
Kidney stones are the main cause of colicky flank pain that when they pass in the urter causes the pain with every contraction of the ureter. its mainly formed due to progressive precepitation of crystals in the kidney pelvis and when formed they can pass in the urter if small or stay in the kidney if they are larger than 1 cm. The main hazard of kidney stone is the risk of recurrent infections and obstruction of the urter that can threat the kidney. Its treated by its size that when they are smaller than 1 cm a medical treatment of Tamsulosin /0.4mg once daily till the passage of the stone with urine is indicated. its an alpha blocker medication that help to releive contractions of the ureter and facilitate passage of the stone, its safe to use in diabetics and can cause hypotention so care should be taken when standing not to fall. Diclofenac is an analgesic medication used to releive pain and reduce ureter contractions that should not be used for a long term as it can cause kidney damage on the long term use. Metformin is an oral hypoglycemic agent to reduce blood glucose level that should not be used if you have kidney functions elevated or having lactic acidosis as it cause acidity. You should drink plenty of water to maintain hydration of the kidney and consult a urogolgist regarding the best option of stone removal
Required investigations
After proper physical exam, you should do cbc to detect infections, Kidney funtions tests (Urea, Cr ) to detect any rise in kidney functions. Na, Ka, Ca, Uric acdid , Urine analysis to detect UTI and an US to assess for signs of stone obstruction, a CTU is the gold standard investiagtion to assess for the stone site and size.
Causes
Our advice
Your are adviced to have a well balanced diet, drink plenty of water , avoid sun exposure and hot weather, control your diabetes levels and consult your treating urologist
download JawabAppKidney stones are the main cause of colicky flank pain that when they pass in the urter causes the pain with every contraction of the ureter. its mainly formed due to progressive precepitation of crystals in the kidney pelvis and when formed they can pass in the urter if small or stay in the kidney if they are larger than 1 cm. The main hazard of kidney stone is the risk of recurrent infections and obstruction of the urter that can threat the kidney. Its treated by its size that when they are smaller than 1 cm a medical treatment of Tamsulosin /0.4mg once daily till the passage of the stone with urine is indicated. its an alpha blocker medication that help to releive contractions of the ureter and facilitate passage of the stone, its safe to use in diabetics and can cause hypotention so care should be taken when standing not to fall. Diclofenac is an analgesic medication used to releive pain and reduce ureter contractions that should not be used for a long term as it can cause kidney damage on the long term use. Metformin is an oral hypoglycemic agent to reduce blood glucose level that should not be used if you have kidney functions elevated or having lactic acidosis as it cause acidity. You should drink plenty of water to maintain hydration of the kidney and consult a urogolgist regarding the best option of stone removal
Required investigations
After proper physical exam, you should do cbc to detect infections, Kidney funtions tests (Urea, Cr ) to detect any rise in kidney functions. Na, Ka, Ca, Uric acdid , Urine analysis to detect UTI and an US to assess for signs of stone obstruction, a CTU is the gold standard investiagtion to assess for the stone site and size.
Causes
- Recurrent infections
- Hypercalcemia, Hyper urecemia
- Medications like Thiazide diuretics
Our advice
Your are adviced to have a well balanced diet, drink plenty of water , avoid sun exposure and hot weather, control your diabetes levels and consult your treating urologist
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