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Swelling in the feet, kidney tests recommended - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
Doctor :   Hi
Doctor :   Dr here
User :   Hi
User :   ok
Doctor :   How may i help you?
User :   doctor my mom is in a severe problem right now
Doctor :   Please explain her problem
User :   she started with a swelling in her feet and pain over there but now pain has moved upto over thighs and vest
Doctor :   May i know her age?
User :   around 53 years
Doctor :   Since when is she having swelling?
User :   it has been more than 20 days now
Doctor :   Does she have any other symptom?
User :   and pain is endless
User :   nothing else she had a blood tests as well as Urine test
Doctor :   Has the swelling spread from the feet to thigh and legs?
Doctor :   What were the reports of the tests?
User :   not to thighs below thighs
Doctor :   What were the reports of the tests?
User :   they told about thyroid
User :   a bit sugar
Doctor :   Does she have high BP or Cholesterol?
User :   yes she has
Doctor :   Were the Kidney function tests done?
User :   also a sumptoms of phileria
User :   no till now not, doctors have asked for urine test
Doctor :   Has she been diagnosed with filaria?
User :   they have asked to take 24 hours urine
Doctor :   Ok
User :   no till now not but they are not confirmed about fileria
Doctor :   Is she on any medication?
Doctor :   If yes since when and what is she taking?
User :   yes she is taking BP tablets from 3-4 years
User :   and sometimes when cynus attacks
Doctor :   Has she been started on thyroid medications ?As thyroid also causes swelling and pain. If yes when has she been started.?
User :   since thyroid was identified a 15 days before, so she started taking thyroxine and anipur
User :   but no rellief
Doctor :   There are many reasons of Swelling on feet as Thyroid. Filariasis, Diabetes, BP. infection etc.
Doctor :   What were her blood sugar levels when detected?
User :   it was a bit high not very much high
Doctor :   Sometimes drastic increase in the sugar level also causes swelling.
User :   peripheral edema can be a cause
User :   ?
Doctor :   I will suggest you to get a Kidney function test done and get the sodium and potassium levels evaluated.
User :   ok
Doctor :   Continue thyroid medications.
Doctor :   1)Cut back on salt
User :   what could be the reason
User :   ?
User :   i mean why kidney test?
Doctor :   2)_ She can use support stockings for the swelling they help in promoting circulation
User :   support stockings means?
Doctor :   To check her electrolytes level as sodium increase and potassium decrease can cause swelling.
User :   we are refering XXXdoctors?
User :   is it ok
Doctor :   Also if she would be having diabetes since long that can also be a reason.
User :   whether it can lead to kidney failure?
Doctor :   Support stockings are a special kind of socks made to wear for swelling
User :   no diabetic also have been analysed 15 days before
Doctor :   No not kidney failure but to see the function of kidneys whether they are functioning properly or not.
User :   ok
Doctor :   You can get the support stockings at any chemist store.
User :   ok
Doctor :   I d not have any idea about BHU doctors as i am based in Bangalore
User :   one more thing when she lies her legs down to floor for long hours it causes more pain
Doctor :   3)Ask her to avoid long hours of sitting, take a break every 1 hour
User :   when she lies on bed she felt relief
Doctor :   4)Ask her to Lie on back, rest feet at least 12 inches above the level of your heart for 10 to 15 minutes, three or four times a day.
Doctor :   Also long standing hours are to be avoided.
User :   ok
User :   is this a severe issue or it can be handled?
Doctor :   4)Ask her to keep her feet under cold water for 10 to 15 minutes before resting, it will provide relief.
Doctor :   Not severe as it is a acute case and knowing the cause can be handled well.
User :   ok
Doctor :   5)Take Black Walnut oil and add 1 or 2 drops in a glass of water. Ask her to have it 2 times a day It will help in relieving swelling.
User :   ok
User :   can this cause be increase in uric acid?
Doctor :   It can be a reason but for confirmation the uric acid levels are to be detected, also it usually does not cause swelling in a particular area and can spread from ankle to other areas.
User :   but it has started from feets till ankle
Doctor :   Did she undergo any tests for filariasis?
Doctor :   Ok
User :   no yesterday she went to a BHU doctor he asked to store 24 hours urine for test thats it
Doctor :   Ok
Doctor :   Go for it and KFT also
User :   KFT stands for?
Doctor :   Kidney function tests.
User :   ok
User :   can I have your any contact please so that if i would like to contact I can do that directly
User :   ?
Doctor :   It may be because of Thyroid and will take few days for the swelling to subside.
User :   but thyroid will not give this much of pain
User :   right?
Doctor :   No i am only available online and available daily between 8 to 5 Mon to Friday.
User :   ok
Doctor :   You can ask for me in the chat.
User :   ok
Doctor :   The pain would be because of swelling and also altered hormone levels due to thyroid hormone dysfucction
User :   ok
Doctor :   And it takes time for it to normalize after the medication are started.
User :   ok
User :   her thyroid level is 21 the normal is 5
Doctor :   Its actually high.
Doctor :   Do not worry the medications will control it.
User :   so we can say thyroid is the cause (assumption)
User :   any suggestions on food in-take?
Doctor :   It can be one of the cause but since i am not observing and examining i cannot comment as such
Doctor :   Have a balanced diet with more of fruits and veggies.
Doctor :   Have lots of water and fluids.
User :   ok thanks doctor, I will contact to you tomorrow if needed
User :   may i knoe your qualifications if you dont mind?
User :   know*
Doctor :   Yes i am a General Physician
User :   ok
Doctor :   You can contact anytime.
Doctor :   Take care till then.
User :   ok thanks
User :   bye
Doctor :   Thanks for consulting me
Doctor :   Bye
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