[26F] Experiencing severe fatigue, leg swelling, and shortness of breath

Patient Description

A 26-year-old female presents with severe fatigue, swelling in both legs from the thighs down, and shortness of breath. The leg swelling is firm and leaves a dent when pressed. The patient reports that the swelling worsens with increased water intake. She has gained 20 pounds recently and urinates less frequently, about 3 to 4 times a day, with dark yellow urine. The symptoms began suddenly, and she has a history of obesity. There is no family history of heart or kidney disease, and she is not currently taking any medications. The patient is allergic to penicillin, which causes a mild rash. No recent travel or lifestyle changes have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Fluid Retention and Heart Function: The combination of leg swelling, shortness of breath, and weight gain could suggest fluid retention, which is sometimes related to heart function. Conditions like heart failure can cause fluid to build up in the body, leading to swelling (edema) and shortness of breath. This is especially concerning given the sudden onset and the fact that the swelling worsens with increased fluid intake.

  2. Kidney Function: Your symptoms could also be related to kidney function. The kidneys play a crucial role in fluid balance, and if they are not working properly, it can lead to fluid retention and changes in urine output and color.

  3. Venous Insufficiency: This condition occurs when the veins in your legs have trouble sending blood back to your heart, which can cause swelling and discomfort in the legs.

Typical treatments or testing for these conditions might include blood tests, urine tests, imaging studies like an echocardiogram or ultrasound, and possibly a referral to a specialist such as a cardiologist or nephrologist.

What you can do

Leg Swelling and Shortness of Breath:

  • Seek Medical Attention: It's important to see a healthcare provider as soon as possible to evaluate these symptoms, as they could indicate a serious underlying condition. They may perform tests to assess your heart and kidney function.
  • Elevate Your Legs: When sitting or lying down, try to keep your legs elevated above the level of your heart to help reduce swelling.
  • Monitor Fluid Intake: While it's important to stay hydrated, you might need to monitor your fluid intake until you can see a healthcare provider.

Fatigue:

  • Rest and Monitor: Ensure you are getting adequate rest and monitor your energy levels. Keep track of any activities that seem to worsen your fatigue.
  • Healthy Diet: Maintain a balanced diet rich in fruits, vegetables, and lean proteins to support your overall health.

Consider using MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Given the potential seriousness of your symptoms, you should seek medical care promptly. Reasons to seek more urgent care include:

  • Worsening shortness of breath, especially if it occurs at rest or wakes you up at night.
  • Significant increase in leg swelling or if it spreads to other parts of your body.
  • Any new symptoms such as chest pain, dizziness, or fainting.

Remember, while I can provide information and guidance, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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22 d ago


People Also Ask


What could be causing the sudden swelling in my legs and weight gain?

Sudden leg swelling and weight gain can be caused by fluid retention, which may be related to heart or kidney function issues. Conditions like heart failure or kidney dysfunction can lead to these symptoms.


Why am I experiencing shortness of breath along with leg swelling?

Shortness of breath along with leg swelling can indicate fluid retention affecting the lungs, possibly due to heart issues such as heart failure. It's important to get evaluated by a healthcare provider to determine the cause.


How can kidney function affect fluid retention and urine output?

The kidneys help regulate fluid balance in the body. If they are not functioning properly, it can lead to fluid retention, reduced urine output, and changes in urine color, as they are unable to filter and excrete fluids effectively.


What steps should I take if I notice worsening symptoms like increased shortness of breath or chest pain?

If you experience worsening symptoms like increased shortness of breath or chest pain, it's crucial to seek medical attention immediately, as these could indicate a serious condition requiring urgent care.

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