Question: Hi Dr. Christensen, I have idiopathic edema and a variety of other smaller symptoms. To date my doctor classifies me as an enigma. I have been trying to associate timing of occurances. The edema definately worsens during the three days preceding my menstrual cycle. In addition, my feet become incredibly painful to walk and even at rest during the same period. I also have a sensation of pressure in my neck (strangling sensation) during this period and throughout the duration of my cycle. Blood tests over the past year and a half show an infection is likely, although one has not been identified. Also significant decrease in levels associated with very heavy menstrual cycles. I am uninsured and need to make each appointment count. Do you have any recommendations on what type of specialist I should consider seeing?

I have had a chest x-ray and upper gi within the past 6 months and both are normal. I also have an incisional hernia.

Dr. Koregal, thank you fir your response. In regards to the exams, lasix nor hctz have helped at all, either in conjunction or apart. I have had major weight gains in conjunction with the edema. 28 pounds in thirty six hours once, but typically it averages. T w elve pound gain over a five day period

A 1200 calorie a day diet over the course of a month netted me thirteen pound gain. Thyroid, kidney and liver tests come back normal. Do you think gynecologicl could be the issue ? My doctor has recommended an appointment with an endo or gyno and again, being uninsured i need to make a choice and would appreciate a second opinion. Fyi, the edema is generalized..legs and trunk, pitting