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



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