Thanks for posting your query.
What are her other symptoms?
Pain in left arm with cardiomegaly
and edema suggest some cardiac etiology behind all symptoms.
Has she undergone ECG and 2 D echo for cardiac status evaluation? What was their reports?
She is getting tired and fatigue because of low cardiac output
If renal stones
is the cause of edema then she must have deranged renal function (her creatinine
is normal so not applicable in her case).
You should consult with physician & cardiologist and should go for cardiac evaluation.
You should also go for serum proteins, serum albumin
& globulin, urine analysis, serum electrolytes.
She should also take diuretics for rapid relief of her symptoms.
Dr. Mayank Bhargava