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Talk to Internal Medicine on Hypoglycemia

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Asking For Self, Female 32, morekhunda

AVR surgery done 3 months before.... taking warfarin loprin spiromid... now suffering from hypoglycemia

Internal Medicine Specialist in Mardan - Prof. Dr. Amir Khan

Prof. Dr. Amir Khan - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Mardan

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82 Positive Reviews

Normally hypoglycaemia is very rare please check it again and send me the result then I will advise


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I am staff nurse and this is the sugar chart record of 1 week....
HBA1c was 5.7 then 5.2


Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

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18 Positive Reviews

It is a side effect of warfarin. Were you on any oral hypoglycemic agent before AVR?


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no mam and also with amenorrhea from 4 months

4 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan
Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore | Book Appointment


Any tests for anemia? Or iron panel done?

4 months ago

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hb 12 CBC is ok

4 months ago

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serum electrolytes
8am cortisol
TSH

4 months ago

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I am 32 and mother of two boys..
last cesarean section was 5years ago after that menstrual cycle was regular

4 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

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18 Positive Reviews

What are Cortisol and TSH results? Stress can cause amenorrhea, however there might be a possible cause in pituitary.


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normal hain sb mam

4 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

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18 Positive Reviews

So hydrocortisone was started when investigation for low BP was completed? This is the cause of both hypoglycemia and amenorrhea. In 1931 experiments on dogs had cured their diabetes by suppressing through cortisol .


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mam I was on steroids delta 4mg tds for almost 2 months and taper off..
4 months before

4 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan
Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore | Book Appointment


It takes 6 months for pituitary to recover and sometimes longer.

4 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

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18 Positive Reviews

Would you share your history that ended up in aortic valve replacement?


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yes sure mam

4 months ago

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I am ok alhamdulila after the surgery and the issues regarding aortic leaking was solved.. and have metallic valve

4 months ago

Internal Medicine Specialist in Chakwal - Dr. Azeem

Can you post your 2D echo and reason for avr ???


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ejection fraction was in 50s sever leaking of aortic valve and overlapping and mild to moderate mitral valve leaking

4 months ago

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transesophagial echo's result

4 months ago

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