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What Are The Symptoms Of Lupus?

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Posted on Tue, 3 Jun 2014
Question: My health has been deteriorating for the past 10 years. I have supraventricular tachycardia, fatty liver disease, bladder incontinence, severe asthma, allergies, obstructive breathing disease, rashes, itching skin on hands and lower legs, peripheral edema, pedal edema, shortness of breath, chest pain, a collapsed lung recently, degenerative disc disease, chronic bronchitis for 10 winters in a row, orthopedic issues, osteoarthritis in knees, an enlarged right ventricle and was told recently by my doctor that I have liver disease which could progress into cirrhosis and liver failure. I have severe bladder incontinence at night and with all of these symptoms, my doctor checks my GFR or creatinine levels and I am wondering if all the symptoms imply lupus, congestive heart failure or cor pulmonare or kidney failure. My level for creatinine or GFR was 57 and it changes at times from stage 2 to stage 3 and I am worried that my symptoms or health has become so bad already. I am 52 years old and this has become very debilitating. What tests could confirm findings for my medical conditions?I also have hypothyroidism and am wondering if all of the symptoms are from my thyroid or from kidney failure? Or from congestive heart failure because I have an enlarged right ventricle and I also have an enlarged liver. My abdomen or XXXXXXX has increased and fight it difficult to lose weight. I am also on Liva A Tox and wonder if I don't have a systemtic infection going on?
doctor
Answered by Dr. Chakravarthy Mazumdar (6 hours later)
Brief Answer:
Multidisciplinary approach by specialists

Detailed Answer:
Hi,

You have myriad of medical conditions that can equally and potentially contribute to your present health status.

To simply say, it is very difficult for me to comment in full about Lupus, CHF, Cor pulmonale (right heart failure because of reduce lung function) and kidney failure. But there is a chance for these complications to occur if you have uncontrolled and untreated multiple conditions mentioned above.

It looks like your kidney function is compromised with eGFR at 57 and your doctor was right saying it to be Grade 3.

You should be treated by multiple specialists from Internal Medicine, Nephrologist, Cardiologist, Dermatologist and Endocrinologist to an Orthopedic Surgeon. So you should actually visit only a hospital which has all these departments under one roof. This helps better co ordination amongst the attending consultants.

Hope this helps.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (31 hours later)
What is my true diagnosis? I am not happy with your response due to the fact that I have seen many specialists.
doctor
Answered by Dr. Chakravarthy Mazumdar (14 hours later)
Brief Answer:
Claim a refund

Detailed Answer:
Hi,

It seems you are looking for a true diagnosis and we cannot make online diagnosis. Over this you have multitude of medical problems and you can understand an online doctor's difficulty when physical specialists you met could not arrive at one.

I suggest you to write to YYYY@YYYY for the refund of the money you paid for this online forum.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
Answered by
Dr.
Dr. Chakravarthy Mazumdar

General & Family Physician

Practicing since :2004

Answered : 2242 Questions

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What Are The Symptoms Of Lupus?

Brief Answer: Multidisciplinary approach by specialists Detailed Answer: Hi, You have myriad of medical conditions that can equally and potentially contribute to your present health status. To simply say, it is very difficult for me to comment in full about Lupus, CHF, Cor pulmonale (right heart failure because of reduce lung function) and kidney failure. But there is a chance for these complications to occur if you have uncontrolled and untreated multiple conditions mentioned above. It looks like your kidney function is compromised with eGFR at 57 and your doctor was right saying it to be Grade 3. You should be treated by multiple specialists from Internal Medicine, Nephrologist, Cardiologist, Dermatologist and Endocrinologist to an Orthopedic Surgeon. So you should actually visit only a hospital which has all these departments under one roof. This helps better co ordination amongst the attending consultants. Hope this helps.