Thanks for the query to H.C.M. forum.
If I were your treating doctor for this case of generalized edema i.e. anasarca
I would come up with these possibilities , which includes.
1 Chronic renal failure
. Diagnosis can be confirmed by ultrasound
and M R I of both kidneys as you yourself mentioned that there is chronic renal infection
, renal stone , edema all these symptoms are an indication of chronic renal failure. Get in serum creatinine
level , urea level and consult an Urologist
and get his opinion and treatment .
2 Hypo proteinaemia as there is renal infection and edema , this leads to loss of protein hence depletion of protein from body. Diagnosis can be confirmed by examination protein level in blood with urine examination.
3 Anemia ,diagnosis can be confirmed by hemoglobin
level , iron level ( as you mentioned in your query ).Spleen enlargement is an indication of anemia .
As you stated that there is intense pain and cramps in muscles as this is due to potassium depletion for this you have to take potassium supplement .
In my opinion first of all consult an Urologist and get his opinion as all other symptoms are due to kidney problem.
Good luck. Dr. HET