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I Thought she was going to ER today.She's diabetic, hip replacement in Dec, on too many meds to list. Mind is pretty good, mobile with walker and capable of light cooking and house keeping. She drinks a large glass of water with meals And meds, maybe 48 oz per day or more. Diet could be better but not too bad for her age. I am long distance caregiver. Any ideas would be appreciated.

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I have found the walk-in places pretty good especially if the doctors are trained Urgent Care physicans.... if they feel your Mom needs to go to the ER, they will call an ambulance [I hear it frequently on my EMT scanner].
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I would call her doctor on Monday, explain what is going on and see what they recommend. They might say she's OK to wait for a regular appointment they might get her in that day, or suggest she go to the ER. They have her history and would be the most prepared to give her the best follow-up care (in my opinion).
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Windy, ER vs Urgent Care really depends on the respective facilities. If the urgent care you'd use is set up to run a blood chem panel & CBC on site, they're worth a try. If not, better to go direct to the ER.

Electrolyte imbalance came to mind as soon as I saw the headline. I've had bad cramps like that myself from drinking water only during heavy exercise in hot weather, which depleted my electrolytes. Has there been a recent change in amount of water consumed versus amount & type of food?
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For me, the issue of (a) whether or not the urgent care facilities could run an immediate blood panel and get results while you're waiting, and (b) if she's still having widespread camping would be the determining factors.

If no and yes, I'd go to the ER. Some of the urgent care facilities I this area are just regular doctor's offices that are open beyond the regular hours. They might be able to draw blood but would have to send it out for analysis.

If she's cramping and seizing and in a lot of pain, ER would be the choice.

I think a walk-in clinic tomorrow am would be a good choice, again assuming they can interpret a blood draw. That will give her a chance to get a hopefully restful sleep, rather than going to an ER this late and being up so late waiting for analyses. She's probably already tired.
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Pedialyte is a good source of electrolytes. The unflavored type tastes salty, so not so pleasant. The flavored would be better if it is sugar free. I don't know if it is or not, so be sure to check.

I am concerned that is could be impeded blood flow from vascular disease. This is something that urgent care wouldn't check. I would go to the regular doctor, instead. The doctor can have electrolyte panels run and check for blood flow in her limbs.
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I think the first thing is to have her electrolytes checked. Regardless of the cause, she needs a medical evaluation.
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IF you already know her kidneys are OK, you can try OTC magnesium supplements first. She might need a little more potassium too, and maybe even salt but be careful with that. Getting a BMP or CMP (basic or complete metabolic panel) would give you and her doc enough info to know if it is OK to do that much, and would make sure she isn't low on calcium which would be the one really dangerous cause of this symptom. Also think about vitamin D and get that measured. Many people run low, some shockingly so, and correcting that helps a lot of things feel better.
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Bananas high in potassium.
What are her pain meds, ck them for side effects.
With diabetes, peripheral neuropathy is more dangerous.
Finally, is she drinking diet colas, and so much she would not admit it to anyone?
Get the blood tests.
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Windy, how will your Mom get to the doctor's office... will your Dad attempt the drive?

Do you think this will be a wake-up call for them to think about downsizing to a nice continuing care complex? No? Didn't think so. The numerous ER visits with my Dad still haven't convinced either of my parents it is time to move :(
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WINDYRIDGE, (Not shouting), capitalization is so you won't miss this:
After hip replacement in Dec. A deep vein thrombosis is an emergency.
Myself, I take the nuclear option first in certain cases, certain symptoms, because I am not a doctor. After more research, considering you are a long distance care-giver, I would consider calling 911 (in her area), and sending paramedics to her.
IS SHE ALONE?
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