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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why A Diabetic Patient Is Having Difficulty In Controlling Bowel Movement And Urine?

My dad is diabetes type 2 patients and his blood sugar level is around 160. Recently we notice his have difficulty ability in controlling his bowel movement (urine and faeces) and his stool is black colour. Please give some advise on why this is happening, is this normal and what do we need to do?
Thu, 20 Feb 2014
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM
As your dad is diabetic,the symptoms of urinary and fecal incontinence in a patient with diabetes suggests most probably Diabetic autonomic neuropathy.
This condition is common in diabetic patients because it can gradually cause nerve damage throughout the body.
As your dad's blood sugar level is 160,its not under good control.This might be the reason he has developed Diabetic autonomic neuropathy because the patients with poor control of sugars will be at increased risk of developing nerve damage.
So,i would suggest you to control your dad's blood sugar to keep it as close to normal as possible.
It will help to stop autonomic neuropathy from progressing.
Urinary symptoms can be decreased by retraining your bladder and also you can take this medications like tolterodine or oxybutynin after consulting your doctor. Your diet sholud be modified by increasing the amount of fiber you eat and fluids you drink.
Hope i have answered you queries.
Thank you.
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Why A Diabetic Patient Is Having Difficulty In Controlling Bowel Movement And Urine?

Hello, Welcome to HCM As your dad is diabetic,the symptoms of urinary and fecal incontinence in a patient with diabetes suggests most probably Diabetic autonomic neuropathy. This condition is common in diabetic patients because it can gradually cause nerve damage throughout the body. As your dad s blood sugar level is 160,its not under good control.This might be the reason he has developed Diabetic autonomic neuropathy because the patients with poor control of sugars will be at increased risk of developing nerve damage. So,i would suggest you to control your dad s blood sugar to keep it as close to normal as possible. It will help to stop autonomic neuropathy from progressing. Urinary symptoms can be decreased by retraining your bladder and also you can take this medications like tolterodine or oxybutynin after consulting your doctor. Your diet sholud be modified by increasing the amount of fiber you eat and fluids you drink. Hope i have answered you queries. Thank you.