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Suggest Remedy For Swelling On Feet And Ankles When Suffering From Kidney Failure

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Posted on Mon, 6 Apr 2015
Question: My husband has stage 4 kidney failure. Several days ago his feet and ankles began to well. He also has a rash on his abdomen. This morning one foot is bruised below his ankle bone. We will contact his nephologist on Monday, but should he go to Urgicare today to be checked?

We phoned the doctor's office on Thursday to ask about the swelling and rash. Called again on Friday. The nurse thought it might be his medication allopurinol for the swelling. Said the rash was a dermatology issue. Online check shows both rash and swelling could be med, but so could kindey failure. Now today he has the bruising. I am unsure as to whether this could be clot or some other issue that needs to be seen now.
doctor
Answered by Dr. Muhammad Ali Rauf (2 hours later)
Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes. I would be in a better position to guide you anything if you answer following questions please:

1. Please share a clear image of the area.
2. does he has diabetes?
3. does rash appear after going to bed or eating some food, etc?
4. any history of itching ?
5. enlist all current medications he is using.
6. any history of respiratory difficulty?
7. any family history of bleeding disorder?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ali Rauf (4 hours later)
He does not have diabetes.
The rash appeared 3 days ago and is always there.
The rash itches
No history of respiratory difficulty
No family history of bleeding disorder.
He takes40 MG of Crestor, 40 MG of Quinapril, 100 MG of Allopurinol, 5MG Amlodipine Besylate Oral Tablet
Have photos, but not sure how to attach them. I will try
doctor
Answered by Dr. Muhammad Ali Rauf (13 hours later)
Brief Answer:
Most probably Pruritis

Detailed Answer:
Hello

thank you for the answers and the images. I have gone through them and were of great help. He most probably is suffering from Pruritis. If i were his treating doctor then i would have advised following things:

- fexofenadine (antihistamine suitable in renal failure) one at night for 5 days
- topical steroid ointment: apply over the rash.

Hopefully improvement will occur in 2-3 days BUT if condition remains same or aggravates then visit hospital and get an appointment for a "Consultant Dermatologist" for further workup.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1312 Questions

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Suggest Remedy For Swelling On Feet And Ankles When Suffering From Kidney Failure

Brief Answer: need some details to guide you better Detailed Answer: Hello My name is Dr Muhammad Ali Rauf & i will look into your problem. I have gone through your query and would try to help you in the best possible way. There could be a number of causes. I would be in a better position to guide you anything if you answer following questions please: 1. Please share a clear image of the area. 2. does he has diabetes? 3. does rash appear after going to bed or eating some food, etc? 4. any history of itching ? 5. enlist all current medications he is using. 6. any history of respiratory difficulty? 7. any family history of bleeding disorder? I will be looking forward for the answers to conclude the discussion in the best interest of yours. Thank You