[31F] Experiencing persistent swelling and hormonal symptoms

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Edema: This is a medical term for swelling. It can be caused by a variety of conditions, including kidney disease, heart failure, and liver disease. Given that you were born with one kidney, it's possible that your kidney function could be contributing to your edema. However, edema is usually improved with elevation and rest, which you've mentioned doesn't help your swelling.

  • Treatment for edema often involves addressing the underlying cause. Diuretics, or water pills, can also be used to help your body get rid of excess fluid.

• Venous Insufficiency: This condition occurs when your leg veins don't allow blood to flow back up to your heart. Symptoms can include swelling in your legs and ankles, pain that gets worse when you stand and gets better when you raise your legs, and leg cramps. However, this condition typically doesn't cause swelling in the hands.

  • Treatment for venous insufficiency can include compression stockings, exercise, and surgery in severe cases.

• Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. Other symptoms can include weight gain, fatigue, darkening of the skin (particularly around the neck, groin, and under the breasts), and difficulty losing weight. However, PCOS doesn't typically cause swelling.

  • Treatment for PCOS often involves lifestyle changes like weight loss, diet changes, and exercise. Medications can also be used to manage symptoms.

What you can do

Given the variety and duration of your symptoms, it's important to seek medical attention. Your healthcare provider can perform tests to determine the cause of your symptoms and recommend appropriate treatment. In the meantime, here are a few things you can do:

1. Try to elevate your legs when you're sitting or lying down.
2. Wear loose, comfortable clothing.
3. Try to stay active and exercise regularly.
4. Maintain a healthy diet, avoiding salty foods which can contribute to fluid retention.
5. Keep track of your symptoms and any potential triggers to share with your healthcare provider.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

• Difficulty breathing or shortness of breath
• Chest pain
• Fainting or loss of consciousness
• Swelling or pain in one leg only, which could be a sign of a blood clot

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.