I am 48 years female with hashimoto Hypothyroidism since 12 years, hypertension and diabetes since 3 years. Taking Eltroxin 125 mcg as hormone replacement, Arkamin for BP and Metformin SR 1 g each morning and evening. Now, recently I had a bulging in stomach. I doubted an infection so got all blood work done for Hepatitis panel which came negative. I got ultrasound of abdomen/pelvis done which shows mild hepatomegaly and diffuse fatty liver. Now, since yesterday, I am not able to urinate by itself naturally. So, I took Lasix 40 once in morning as it is a diuretic and I am urinating but not like normally I do. Now, what might be the reason for this? What should I do?

Dr. Col V C GoyalGeneral Physician41yrs exp

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Since have high BP and diabetes you get blood cbc, latest blood sugar f/pp, and hba1c, LFT, KFT, lipid profile, latest TSH, urine RE/ME and report do 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice. Less salt 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water- proper hydration. 10. Laugh for 2 mts.  

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