Saturday, December 12, 2009

My husband is type2 diabetic hypertension born with 1 kidney amp; always vomitingAny idea y always vomiting? -

Last 2 months husband in hospital from vomiting amp; in ICU get blood pressure under control.Doctors don t know why vomiting starts out of nowhere.Type2 diabetic has hypertension amp; born with one kidney.When vomiting blood sugar amp; blood pressure skyrockets.Doctor perscribed phenigrin if vomiting starts but not working.Doctor also perscribed reglan for stomach.Doctors have said they are baffled about this vomiting.Did gastric emptying test amp; found out digestive system moves slow.He does not use alcahol or street drugs.As his wife I am desperate to find out anything.Have searched and searched the internet.Open to any ideas or suggestions

Your husband has the symptom of what we call DIABETIC GASTROPARESIS. Gastroparesis is a diabetic complication that occurs from neuropathy of the stomach nerve (called the quot;vagus nervequot;). This causes digestive difficulties as the food starts to move too slowly through the stomach. Gastroparesis is a disorder in which the stomach takes too long to empty its contents. Gastroparesis is most often a complication of type 1 diabetes. At least 20 percent of people with type 1 diabetes develop gastroparesis. It also occurs in people with type 2 diabetes, although less often. Gastroparesis happens when nerves to the stomach are damaged or stop working. The vagus nerve controls the movement of food through the digestive tract. If the vagus nerve is damaged, the muscles of the stomach and intestines do not work normally, and the movement of food is slowed or stopped. Diabetes can damage the vagus nerve if blood glucose (sugar) levels remain high over a long period of time. High blood glucose causes chemical changes in nerves and damages the blood vessels that carry oxygen and nutrients to the nerves. Note that Diabetic Gastroparesis symptoms usually refers to various symptoms known to a patient, but the phrase Diabetic Gastroparesis signs may refer to those signs only noticable by a doctor: * Mild early symptoms * Nausea - especially if for prolonged periods (i.e. days) * Vomiting * Belching * Feeling of fullness * Weight loss * Abdominal bloating * Abdominal discomfort * Appetite loss (fullness) * Difficulty controlling blood glucose * Diabetic hypo - Can cause hypoglycemic episodes (especially if soon after eating): the food is too slow to be digested, meaning you might get a hypo when you take medication such as insulin for a meal. Various tests are used in the diagnosis of Diabetic Gastroparesis. Some of these are listed below : * Stomach emptying test - a radioactive meal that is tracked through your digestive tract. * Barium x-ray * Barium beefsteak meal * Radioisotope gastric-emptying scan * Gastric manometry The list of treatments mentioned in various sources for Diabetic Gastroparesis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans. * Diabetic blood sugar control * Medications o Stomach contraction medications o Metoclopramide (Reglan) o Erythromycin - although an antibiotic, it also helps digestion o Domperidone o Antiemetics - to avoid vomiting * Diet changes o Smaller meals more often, liquid meals, low-fat diet, low-fiber diet * Endoscopic injections - for bezoars * Feeding tube (jejunostomy tube) - a tube directly into the intestine bypassing the stomach; severe cases only * Intravenous feeding (Parenteral nutrition) - severe cases only; often for temporary relief in hospitalization * Anti-nausea medication * Anti-heartburn medication * Emergency treatment - prolonged gastroparesis can cause you to be poorly fed or malnourished

Keep your insurance premiums paid

Ask docs if they ve checked him for: GI parasites pancreatitis or blocked pancreatic duct gallbladder blockage, sontes, or sludge vertigo, and/or low-grade meningities Gluten allergy; possible B-vitamin deficiency taking medson an empty stomach esophogeal polyps phytobezoars ileus (quot;paralyzedquot; part of GI tract) Best wishes!

Before i was diagnosed with type two diabetes I vomited too, since the sugar levels are lower I haven t had this problem, so I don t know what could be causing him to vomit...does his sugar normally run high? Plus if he has anxiety attacks this will make him nauseated as well, wish I could be of more help. Are their any doctors in your area that specialize in diabetes?

Sounds like maybe the diabetes has affected his nerves to the intestines/stomach? Possibly medication side effect? If your regular docs don t know, ask them who they respect, and see if you can get a refferal to them. No doctor knows everything, and somebody might be able to figure it out.

I am not a doctor ...but understand problem form first hand experience ...You may want to ask doctor about prylosec OTC and have him checked for hyaidal hernia.(sp)?....Best wishes good luck

His one kidney may not be working hard enough to keep the natural poisons out of his system. Have him get his kidney checked.

Has his gallbladder been checked?

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