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What Causes Swelling On Face, Hands And Feet?

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Posted on Sat, 11 Jul 2015
Question: Hi. I recently had a very bad sinus/upper respiratory infection a week ago in which I was prescribed a Z-pack. I have also gained some weight over the past few years and I work on my feet a lot in my job. I recently started going to college at night three nights a week right after work (I work from 7:45 until 5pm and then school from 5:40pm until 10pm). I am not changing shoes or clothes and I do not get home until around 10:30pm. I noticed Tuesday night that my feet were very swollen and they hurt to walk on or put shoes on once they are swollen, I had some swelling in my face and hands. I feel tired all the day and have had bad headaches, Ive tried tyenol and motrin 800mg with no relief. Only sleep helps my headache. Last night while laying in bed I felt like it was harder to breath, but today I feel fine. The swelling in my feet, ankles have gone down a lot but still there my face swelling is gone and so are my hands . My urine seems normal and on Tuesday once I had burning to pee. I know I do not drink enough water. I have been home today and off of my feet.
doctor
Answered by Dr. Rakesh Madhyastha (7 hours later)
Brief Answer:
needs urgent evaluation

Detailed Answer:
Hello

Thanks for the query

The fact that you are having retention of water in the form of facial puffiness and pedal edema points towards a nephrotic syndrome most likely to be post streptococcal glomerulonephritis or IgA nephropathy.
Here is how you should go about it

1. Skip a day of work and go to a gp, get your blood pressure and urine routine done
2. You will need to take diuretics like tab lasix to reduce the swelling
3. keep a watch on your urine output, it should be above 750 ml. Also watch out for blood in urine
4. Please do not ignore this matter, it's of immediate concern
5. Please avoid Motrin until evaluation

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakesh Madhyastha (57 minutes later)
its Friday night here can I see the GP Monday?

is it possible that eating very badly with a lot of salt for 5-7 days to cause this swelling? The swelling has gone down by around 75%. I found no blood in urine and urine output has been really good. I have not been on my feet most of the day
doctor
Answered by Dr. Rakesh Madhyastha (20 hours later)
Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back, I am sorry for the short delay in my reply. I was on call at my hospital

Eatinf excess salt should not have caused this, if you do not have difficulty in breathing then you can wait till Monday.

One more thing, please get your thyroid function tested too, thyroid dysfunction can also lead to swelling

Regards
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
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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What Causes Swelling On Face, Hands And Feet?

Brief Answer: needs urgent evaluation Detailed Answer: Hello Thanks for the query The fact that you are having retention of water in the form of facial puffiness and pedal edema points towards a nephrotic syndrome most likely to be post streptococcal glomerulonephritis or IgA nephropathy. Here is how you should go about it 1. Skip a day of work and go to a gp, get your blood pressure and urine routine done 2. You will need to take diuretics like tab lasix to reduce the swelling 3. keep a watch on your urine output, it should be above 750 ml. Also watch out for blood in urine 4. Please do not ignore this matter, it's of immediate concern 5. Please avoid Motrin until evaluation I hope I was of help, if you have any further queries please get back to me Regards