Conversation: The conversation between human and AI assistant.
[|Human|] good morning sir ,my seself CM rana from cuttak odisha,my mother is suffering from dibetic from last4 year her weight about 89 kg age 62 year, she a psyciatic patient,and thyroid problem,she take medicine for thiroid, gilitar forte for dibetic medicine regularly but the problem was she feel foot swelling ,burn in foot and pain in knee ,difficult to walk, and dibetic was 150 /230mg.after take medicine she cant feel better , please
[|AI|]  Hi, Thanks for your question. Noted your concern. There might be following possibilities for Foot swelling in your mothers case - - Chat Doctor.  - Diabetic foot due to diabetic nephropathy, radiculopathy or infection. - Heart failure. - Kidney or Liver disease. - Knee joint osteoarthritis. - Thyroid derangement. She needs detailed clinical examination depending upon it further evaluation and treatment can be planned. In such condition I may advise - - Complete Blood Count. - T3, T4, TSH. - Renal function test. - Liver function test. - Urine examination including urine proteins. - Ultrasonography of abdomen and pelvis. - ECG and 2DEcho of heart. - Vitamin B12 & D3.- If required Lower limb Doppler. - X-ray of knee joint. Depending upon above test results she may require - Hospitalization. - Insulin treatment for better blood glucose control. - Blood pressure control depending upon baseline value. Hope this helps her, if so do vote as helpful.