31 May, 2013

JUSTIFIED?


One small question to all of you.. All of us follow western  guidelines for treatment of Indian patients. Will western guidelines match the profile of Indian patients? Why we don't have guidelines for many diseases in India. What is preventing us from developing our own guidelines?

What's your opinion?

Note- I am not against guideline from another country. It's my humble opinion that blindly following guidelines will not be appropriate. Docs tend to do so.. guidelines should match our population, eating patterns, BMI, climatic conditions etc etc....

29 May, 2013

GASTRO & URINARY SYMPTOMS IN DIABETES


Long standing Type 1 & Type 2 Diabetes affects the motility of gastrointestinal and genito-urinary tracts. Patients may present with symptoms like

Gastrointestinal

Delayed emptying of stomach



  • Anorexia
  • Nausea
  • Vomiting
  • Early satiety
  • Abdominal bloating






Altered small & large bowel motility



  • Constipation
  • Diarrhoea




Genitourinary symptoms

Cystopathy



  • Inability to sense full bladder
  • Failure to void completely
  • Incontinence
  • Recurrent urinary tract infection





Erectile dysfunction



  • Failure to sustain erection
  • Reterograde ejaculation



Female sexual dysfunction



  • Reduced sexual desire
  • Dyspareunia
  • Reduced vaginal lubrication




TREATMENT



  • CONTROL BLOOD SUGARS
  • SMALLER FREQUENT MEALS
  • DRUGS TO INCREASE MOTILITY OF INTESTINE (CONSULT YOUR DOCTOR)
  • DIABETIC DIARRHOEA CAN BE MANAGED BASED ON THE ETIOLOGY
  • CYSTOPATHY
  • TIMED VOIDING
  • SELF CATHETERISATION
  • ERECTILE DYSFUNCTION
  • SEXUAL DYSFUNCTION IN FEMALES
  • VAGINAL LUBRICANTS
  • TREATMENT OF VAGINAL INFECTIONS
  • SYSTEMIC / LOCAL ESTROGEN REPLACEMENT THERAPY



05 May, 2013

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