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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Muscle Cramps, Swelling Of Body, High Fever, Have UTI And Kidney Stones With Kidney Infection, Low Potassium Level, High BP. Help

Ive had for years several health problems that doctors can't figure out. I have major muscle pains with cramping. Swelling of the entire body. I always keep a fever of 100.0 or higher. Im always having uti and kidney stones with kidney infection. My iron and potassium levels are low. I'm always dehydrated. I can't take a water pill because I become very dehydrated. My body breaks out in massive cramps that can't be controlled. I have high blood pressure. I also have a enlarged spleen. That is painful. I'm now seeing specialist. They haven't figured it out yet. Its been over a year. I've had these problems for 6 yrs now.
Fri, 11 Oct 2013
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General & Family Physician 's  Response
Hello,
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
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Muscle Cramps, Swelling Of Body, High Fever, Have UTI And Kidney Stones With Kidney Infection, Low Potassium Level, High BP. Help

Hello, 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