Question

My mother was admitted to neighbouring hospital after falling due to slippage on floor. She is 72 years old and type 2 diabetic with controlled diabetes 150/200 with glimestar 1 mg 2 pills per day for last 15 years. It was observed on MRI that a compression fracture on back bone and two small cracks on pelvic bone. During traction and physiotherapy she exhibited severe shortness of breath and doctor carried out sonography and found some abnormality of the sort enlargement of heart. Upon pulmonary angiography bilateral pulmonary embolism was observed. Suddenly the other treatments stopped and some blood thinning medication under critical observations for 5 days conducted. Later she was brought to ward and two days was in observations and discharged suggesting if possible to walk 10-20 steps and increase slowly wearing proper belt. Initially she was only able to stand with support and walk only 2-3 steps with great difficulty. Normal diabetes medicine and daily 1 tablet of warfarin was prescribed. The major problem after discharge observed was her reluctance to swallow sufficient food and water. With great difficulty only juices, milk with energy drink, dal rice smashed was accepted only in limited quantities with reason of tasteless in mouth and vomiting sensations. All the food given was not swallowed to full extent, instead kept in mouth and she use slowly split the same after some time. Standing on her feet was also not possible and she was reluctant even to her moving on bed itself for frequent change of position. Sugar level increased to 200/300 and the tablet increased to 2 mg. Meanwhile blood was observed in urine and upon test Warfarin was stopped for 10 days. Within next 2-3 days, urine turned to white and upon /urine test /infection was detected and antibiotics prescribed. But the very next day the infection became severe as she was observed very uneasy. Upon hospitalization once again, she is kept in intensive care with antibiotic treatment and signs of improvement observed but the problem of tasteless in mouth is concern. At present the food is being fed through pipe in nose. We are very much worried about the future as without proper food, there is no scope of survival. Can you please help how to come out of such dreadful situation?

M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar

Please go to insulin treatment .also blood thinners should be taken. Please take help of some good neurophysician and diabetologist.
Any guide you want I can help you.

Dr.S.K. Tandon · Accepted Answer

Please go to insulin treatment .also blood thinners should be taken. Please take help of some good neurophysician and diabetologist.
Any guide you want I can help you.

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