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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling Of Whole Body And Sudden Gaining And Losing Of Weight?

my husband has been for the last night swelling all over his body mainly at night. His belly is patruding as if he is 9 months pregnant and no he doesnt drink. His feet stay swollin as well as his hands to where he cant even sometimes make a fist. His toenails have gotten verry brittle and flaky along with his toes and bottoms of his feet. He looses weight and then in a matter of days gains it back on and off and its a 20 to 30 lb increase and decrease at a time. he thinks nothing is wrong, i am afraid its either his heart, diabeties or his kidneys please help...
Tue, 20 Sep 2016
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Endocrinologist,  's  Response
Hello,
I do appreciate your concern regarding to your husband's health.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average).
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Calcium
ECG and a cardiac ultrasound.

None of these tests require any fasting and can be done at any time of the day.
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What Causes Swelling Of Whole Body And Sudden Gaining And Losing Of Weight?

Hello, I do appreciate your concern regarding to your husband s health. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months glucose average). Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Calcium ECG and a cardiac ultrasound. None of these tests require any fasting and can be done at any time of the day.