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Swelling in the feet after gall bladder removal - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 550 Questions
User :   My mom had her gall bladder remover after Christmas. Following that she got C difficile. She was quite sick for several weeks and was put on antibiotics. She just finished the antibiotics yesterday however about 4 days ago her feet and legs began to swell quite a bit. While having blood work done a few weeks ago the doctor mentioned something about her kidney function, She saw her family doctor yesterday and he was making some appointments for next week. I am concerned however that this could be serious. If it makes any difference my mom is 77 but has previously been in very good shape. Any thoughts would be appreciated.
Doctor :   Let me read the query
Doctor :   Give me a couple of minutes
Doctor :   Surgery is a stress ( a form of stress)
Doctor :   and certain underlying ailments can be manifested
Doctor :   during such stress
User :   so what do you mean?
Doctor :   So, a new kidney problem is thus detected during such stress
User :   so what should she do?
Doctor :   Now do say whether it is serious or not, I require more information
Doctor :   liek the values of kidney function tests
User :   I have no idea but please give me some scenarios if the levels are not too bad or if they are bad
Doctor :   Serum Creatinine, Blood Urea
User :   if the levels are bad what does it mean? if they are not so bad what does it mean?
Doctor :   Age 77 yrs is risky
Doctor :   If the levels are bad, they can do dialysis ( artificial removal of waste in the body), the function of kidneys
Doctor :   If the levels are good, they manage it at home symptomatically
Doctor :   with weekly follow up
Doctor :   So my point is you need to see a Nephrologist
Doctor :   and take his opinion, if the levels are bad, the follow up would be frequent
Doctor :   If the levels are just slightly above normal, the follow up would be not often
User :   Do you think that waiting until next week would be okay?
Doctor :   It is not too serious to be worried though
User :   What do you mean age 77 is risky?
Doctor :   But yes it needs attention ASAP
Doctor :   At this age, the recovery is very slow and the other systems do not co operate as in young below 55 yrs of age
User :   Any other thoughts?
Doctor :   Good amount of fluids
User :   should she go to emergency at the hospital?
Doctor :   Limit the amount of protein, phosphorus and sodium in the diet
Doctor :   Whether she needs to go to emergency or not can be determined based on the values
Doctor :   of kidney function
Doctor :   But I suggest to go to ER, since she is old and just recovery from surgery
User :   I will find the levels, what number are concerning?
Doctor :   S. Creatinine more than 3mg/dl
Doctor :   Potassium more than 6mMol
User :   Unless there is anything else Thank you so much for your time.
Doctor :   Pleasure to assist you here
Doctor :   Bye for now
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