instruction: hello doctor my mother is having lower hip side pain for almost a week now she is taking maintenance medicines for high blood pressure approvel and 24 units of insulin everyday what could be causing the pain and can I give her pain reliever
output: hi looking into mother problem you have got both hypertension and diabetic under insulin with hip pain first of all we need to understand what is the association between the current problem and existing diseases once we understand why it is happening and try to find its link then it is easy to understand the diseases to diagnosis and help long term treatment preparation uncontrolled diabetes can affect the muscles and skeleton leading to joint pain nerve damage there is a link between diabetes arthritis and joint pain both rheumatoid arthritis ra and type diabetes are autoimmune disorders in both cases the immune system is attacking an otherwise healthy part of the body according to arthritis foundation guidelines losing 15 pounds can significantly improve the level of hip pain in a person with osteoarthritis so I would recommend to do radiography of hip joint ap lateral view to assess oa changes ra rheumatoid factor cop to assess condition of active joint inflammation and destruction I will follow up with the report