[35F] Experiencing generalized swelling and fatigue

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Hypothyroidism: You've mentioned that you have a history of hypothyroidism. This condition can cause fatigue, cold intolerance, and weight gain, which are symptoms you've been experiencing. However, generalized swelling (edema) is less common in hypothyroidism.

  • Treatment typically involves taking a synthetic thyroid hormone, like the Levoxyl you're currently taking. Your doctor may need to adjust your dosage if your symptoms are due to hypothyroidism.

• Hypoalbuminemia: This is a condition characterized by low levels of albumin, a protein in your blood. It can cause generalized swelling, fatigue, and weight gain. Hypoalbuminemia can be caused by liver disease, kidney disease, malnutrition, and certain other conditions.

  • Treatment involves addressing the underlying cause and may include dietary changes or medication.

• Heart Failure: This condition, in which the heart can't pump blood as well as it should, can cause swelling, fatigue, and weight gain. However, you've not reported other common symptoms of heart failure, such as shortness of breath and chest pain.

  • Treatment typically involves lifestyle changes, medication, and sometimes surgery.

What you can do

Given the severity and duration of your symptoms, you should seek medical attention as soon as possible. Your doctor can provide a formal assessment and order relevant tests if necessary.

What you should look out for

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

• Chest pain
• Shortness of breath
• Confusion or difficulty thinking clearly
• Fainting or loss of consciousness

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.