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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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My Mother Developed An Edema In Her Lower Extremities And Always Sleepy. She Had Lungs Problem

hi my mother has some problem in her lungs last month and took some medication to avoid infection. now she had to go to the doctor because she developed and edema in her lower extremities and always sleepy. she was suspecting it due to her kidney stone, which was diagnosed years back. had some lab test, ultrasound and yes, the stone is still in her kidney but lab results says her BUN and creatinine are normal and besides she has no pain whatsoever in her lower back. i m worried that her edema is due to cardiac temponade which is also related to her lung problem last month and not due to her kidney stone. please enlighten me about this. thank you in advance.
Mon, 19 Dec 2011
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  Anonymous's Response
's  Response

Hi...oedema in the lower extremities following medical drugs can occur secondary to renal toxicity of the drugs... But since the renal functions are normal this may not to be as it is thought of.. Hence other causes for  the swelling's have to be considered... It can occur due to secoday to liver effects or due to effects on th heart.. The heart dysfunction is not due to antibiotics but the lung dysfunctions. These to be evaluated to know the cause... Discuss with yout doctors..

General & Family Physician Dr. Prahlad S. Patki's  Response
Hi, thanks for this interesting question.
Lung diseases are known to be chronic- long standing diseases. They are also known to lead to cardiac complications which can manifest in the form of edema of lower limbs. Kidney stone obstruction can lead to back pressure on kidney and it can also lead to limb swellings. Now on e needs to find out the exact cause of edema. Your mother needs complete urological and cardiac evaluation to pinpoint the cause of limb swellind. Since BUN and creatinine are normal, there is no worry of kidney failure. Heart failure and Kidney stones needs to be investigated. Treatment will finally depends on the cause. Best luck.
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello.Welcome to HCM forum.The edema in lower limbs in your mother seems to be due cardiac failure and not due to the kidneys as creatinine and BUN is normal.This cardiac failure is of two types.Right sided or left sided.You must consult cardiologist for the proper investigations,diagnosis and treatment.Thanks and good luck.
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My Mother Developed An Edema In Her Lower Extremities And Always Sleepy. She Had Lungs Problem

Hi...oedema in the lower extremities following medical drugs can occur secondary to renal toxicity of the drugs... But since the renal functions are normal this may not to be as it is thought of.. Hence other causes for the swelling's have to be considered... It can occur due to secoday to liver effects or due to effects on th heart.. The heart dysfunction is not due to antibiotics but the lung dysfunctions. These to be evaluated to know the cause... Discuss with yout doctors..