[28F] Experiencing nausea, generalized swelling, and fast heart rate

Patient Description

A 28-year-old female presents with sudden onset of nausea, generalized swelling in the legs, knees, ankles, and hands, fatigue, and a fast heart rate. The swelling began two days ago and is described as tight and severe, particularly in the knees, with a severity of 7 out of 10. The swelling does not improve with elevation. The nausea is severe, with a sudden onset and accompanied by fatigue, dizziness, and a fast heart rate that occurs multiple times a day, even at rest, and has been persistent for months. The patient also experiences hot flashes, tiredness, and weakness. She has allergies to penicillin and amoxicillin but is not currently on any medications. No known pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information provided, possible conditions include:

  • Heart Failure: This condition occurs when your heart doesn't pump blood as well as it should. Symptoms can include swelling in your legs, ankles and feet, fatigue, and rapid or irregular heartbeat.

    • Treatment typically involves lifestyle changes, medications, and sometimes devices or surgical procedures.
  • Kidney Disease: Kidney disease can cause fluid retention leading to swelling in your legs, ankles, and feet. Other symptoms can include nausea, fatigue, and shortness of breath.

    • Treatment typically involves addressing the cause of the kidney disease, and can include lifestyle changes, medications, and in severe cases, dialysis or kidney transplant.
  • Liver Disease: Liver disease can cause fluid retention leading to swelling in your legs, ankles, and feet. Other symptoms can include nausea, fatigue, and irregular heartbeat.

    • Treatment typically involves addressing the cause of the liver disease, and can include lifestyle changes, medications, and in severe cases, liver transplant.
  • Thyroid Disease: An overactive thyroid (hyperthyroidism) can cause symptoms such as rapid heart rate, fatigue, and heat intolerance.

    • Treatment typically involves medications, radioactive iodine, or surgery.

What you can do

You should seek immediate medical attention given your symptoms. These could indicate a serious condition that needs to be addressed urgently. In the meantime, continue to monitor your symptoms and try to rest and stay hydrated.

What you should look out for

Seek immediate medical attention if you experience:

  • Chest pain or discomfort
  • Difficulty breathing or shortness of breath
  • Fainting or loss of consciousness
  • Severe or worsening swelling, especially if it is associated with pain or redness

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What could be causing the sudden swelling in my legs, knees, ankles, and hands?

Sudden swelling in the legs, knees, ankles, and hands can be caused by conditions such as heart failure, kidney disease, liver disease, or thyroid disease. These conditions can lead to fluid retention and require medical evaluation to determine the exact cause.


Why am I experiencing a fast heart rate even when at rest?

A fast heart rate at rest can be a symptom of several conditions, including hyperthyroidism, heart failure, or other cardiovascular issues. It is important to seek medical evaluation to determine the underlying cause.


What should I do if my symptoms worsen or I experience new symptoms?

If your symptoms worsen or you experience new symptoms such as chest pain, difficulty breathing, or fainting, you should seek immediate medical attention as these could indicate a serious condition.


Are there any lifestyle changes I can make to help manage these symptoms?

Lifestyle changes that may help manage symptoms include maintaining a healthy diet, staying hydrated, avoiding excessive salt intake, and monitoring your symptoms closely. However, it is crucial to consult with a healthcare provider for personalized advice and treatment options.


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