Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Swollen Lower Legs And Shortness Of Breath In A Patient With Diabetes?
Question: 57 y/o man with type 2 diabetes, history of alcohol abuse, smoking and drug abuse, currently experiencing very swollen lower legs, shortness of breath at work, and having to prop up in bed to be able to breath.
I'm very thin, and have a hard time gaining weight
I'm very thin, and have a hard time gaining weight
Brief Answer:
Some further examinations needed;
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The symptoms you described are suggestive for cardiac or renal disease.
You need to do some blood tests and a cardiac ultrasound, except of a detailed clinical examination;
The blood tests needed;
-Full blood count
-D dimer
-Hba1c
-AST, ALT, GGT
-Total proteins and albumin in blood as well as in the urine.
-TSH
-BUN and creatinine
-Electrolites
-Amilase and lipase.
Kind regards,
Dr. Mirjeta Guni, Endocrinologist
Some further examinations needed;
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The symptoms you described are suggestive for cardiac or renal disease.
You need to do some blood tests and a cardiac ultrasound, except of a detailed clinical examination;
The blood tests needed;
-Full blood count
-D dimer
-Hba1c
-AST, ALT, GGT
-Total proteins and albumin in blood as well as in the urine.
-TSH
-BUN and creatinine
-Electrolites
-Amilase and lipase.
Kind regards,
Dr. Mirjeta Guni, Endocrinologist
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
