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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swelling On Face And Feet And Skin Rashes

Hi doctor. I am a 27 year old lady, ht 5,1", wt. 56 kgs. . My menstrual periods are normal. Last menstrual period however lasted only for 2 days, whereas my usual duration is 4 days. Recently I have been noticing swelling of my face and both feet especially in the morning. There is also a reddish rash on my skin, which is not very itchy. The rash is not raised from the skin surface. I have been taking an anti allergic (levocetrizine) for the last three days. Please help.
Thu, 16 Apr 2020
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Pediatrician,  's  Response
Hi,

Is the swelling around face and feet pitting type (which can be indented on pressing)? Any change in color / amount / frequency of urine (suggesting renal causes of swelling)? If the swelling is non pitting, and no urine changes mentioned above, this is likely allergic, especially so because of the associated itchy rash.

In such cases, I also used to give antihistamines for 5-7 days. Here I prefer older antihistamines like hydroxyzine over levocetirizine, as they have more potent ant-allergic action although a bit sedating. If not responding in 3 days, after ruling out any precipitating factor like infection, I used to give a short course of oral steroids like prednisolone. Kindly discuss with your doctor.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam TK, Pediatrician
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Suggest Treatment For Swelling On Face And Feet And Skin Rashes

Hi, Is the swelling around face and feet pitting type (which can be indented on pressing)? Any change in color / amount / frequency of urine (suggesting renal causes of swelling)? If the swelling is non pitting, and no urine changes mentioned above, this is likely allergic, especially so because of the associated itchy rash. In such cases, I also used to give antihistamines for 5-7 days. Here I prefer older antihistamines like hydroxyzine over levocetirizine, as they have more potent ant-allergic action although a bit sedating. If not responding in 3 days, after ruling out any precipitating factor like infection, I used to give a short course of oral steroids like prednisolone. Kindly discuss with your doctor. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician