Leg and arm cramps. Have liver disease, diabetes. Any suggestions?
Patient: my husband who is 56 yrs young is suffering most nights with leg cramps and arm cramps they are so bad that sometimes he cant even walk. He legs are also purple. He is in end stage liver disease and is a diabetic. But his sugars have been good. They only happen at night. We have tried everything from magsisum, tonic water, posseuim more calium ( dont know the spelling of the vitamins ) exercise and so on. He just suffers so bad from these cramps. Any suggestion Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).Cramps in cirrhosis may be due to Magnesium, Calcium, Zinc, Vitamin E and Potassium deficiency. Get these levels in serum and see if there is any deficiency then supplement it. Especially zincIf these levels are normal then the other cause is reduction of effective circulating volume and transfusion of injection albumin once in a week may also helpI hope he is not smoker, if he is please ask him to avoid smoking.Also see for the peripheral pulses or may be get colour doppler to see arterial and venous flow in blood vessels of legs as they are purpleI hope I have answered your query and this will help you. Remain in touch and get-well soon.