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

• 5 PHOSPHO-DIESTERASE INHIBITORS

• SEXUAL DYSFUNCTION IN FEMALES

• VAGINAL LUBRICANTS

• TREATMENT OF VAGINAL INFECTIONS

• SYSTEMIC / LOCAL ESTROGEN REPLACEMENT THERAPY