[30F] With edema, fatigue, and unexplainable weight gain post-miscarriage

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Edema, Fatigue, and Unexplainable Weight Gain

1. Post-Miscarriage Complications:

   • Rationale: After a miscarriage, it's possible to experience hormonal imbalances and fluid retention, which can lead to swelling (edema), fatigue, and weight gain. The spotting and episodes of heavier bleeding you mentioned could be related to incomplete miscarriage or retained tissue.
   • Typical Treatments/Testing: An ultrasound and blood tests (including hCG levels) can help determine if there is any retained tissue. Treatment may involve medication or a minor surgical procedure called dilation and curettage (D&C).

2. Kidney Issues:

   • Rationale: Darker urine and swelling in the abdomen and legs can be signs of kidney problems, such as nephrotic syndrome or acute kidney injury.
   • Typical Treatments/Testing: Blood tests (including kidney function tests), urine tests, and possibly imaging studies like an ultrasound of the kidneys can help diagnose kidney issues. Treatment depends on the underlying cause but may include medications and dietary changes.

3. Heart Failure:

   • Rationale: Although you have no history of heart conditions, sudden onset of edema, fatigue, and shortness of breath can be signs of heart failure.
   • Typical Treatments/Testing: A physical exam, blood tests (including BNP or NT-proBNP), an electrocardiogram (ECG), and an echocardiogram can help diagnose heart failure. Treatment may include medications, lifestyle changes, and monitoring.

What you can do

Edema and Weight Gain

• See a Doctor: Given the sudden onset and severity of your symptoms, it's important to see a healthcare provider as soon as possible. They can perform the necessary tests to determine the cause of your symptoms.
• Elevate Your Legs: When resting, try to keep your legs elevated to help reduce swelling.
• Limit Salt Intake: Reducing your salt intake can help manage fluid retention.
• Wear Compression Stockings: These can help reduce swelling in your legs.

Fatigue

• Rest: Ensure you are getting enough rest and not overexerting yourself.
• Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing fluid retention.
• Balanced Diet: Eat a balanced diet rich in fruits, vegetables, and lean proteins to help maintain your energy levels.

Post-Miscarriage Care

• Follow-Up Appointment: Schedule a follow-up appointment with your healthcare provider to ensure there are no complications from the miscarriage.
• Monitor Bleeding: Keep track of your bleeding patterns and report any significant changes to your doctor.

What you should look out for

Given the severity of your symptoms and the possibility of serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Shortness of Breath: If you experience severe shortness of breath, seek emergency medical attention.
• Severe Abdominal Pain: If you develop severe abdominal pain, it could be a sign of a serious condition.
• Fever or Signs of Infection: If you develop a fever or notice any signs of infection, such as foul-smelling discharge, seek medical attention promptly.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.