[42F] Experiencing chronic swelling, evening nausea, and neurological symptoms

Patient Description

A 42-year-old female presents with a 2-year history of persistent swelling in the hands, feet, and legs, which does not improve with rest or elevation. She also reports nausea mostly in the evenings for the past 3 days, rated at a severity of 5/10, which worsens with physical activity and improves with sleep. Additionally, she has been experiencing blurry vision for 3 months, described as out of focus and double vision, with no prior history of such symptoms. The patient also suffers from throbbing headaches located at the front temples, which have been occurring for a few months with an intensity of 3/10. Daily muscle spasms in the right upper arm and shoulder, described as severe with a pain level of 10/10, have been present without any known injury. The patient has not mentioned any specific details about the numbness in her hands.

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Arora's Assessment

What might be happening

Based on the information you provided, there are several conditions that could be causing your symptoms:

  • Diabetes: High glucose levels, fatigue, and numbness in the hands could be signs of uncontrolled diabetes. Diabetes can also cause blurry vision and muscle spasms.

    • Treatment typically involves lifestyle changes, such as diet and exercise, and medication to control blood sugar levels.
  • Hypertension: This could explain the headaches, blurry vision, and possibly the swelling in your hands, feet, and legs.

    • Treatment usually involves lifestyle changes and medication to lower blood pressure.
  • Kidney Disease: Swelling in the hands, feet, and legs, along with fatigue, can be symptoms of kidney disease. High glucose levels and hypertension are both risk factors for kidney disease.

    • Treatment depends on the cause and severity of the disease, but can include medication, dialysis, or a kidney transplant.
  • Autoimmune diseases: Conditions like lupus or rheumatoid arthritis can cause swelling, muscle spasms, and numbness.

    • Treatment typically involves medication to suppress the immune system and manage symptoms.

What you can do

You should consult a healthcare professional as soon as possible. They can provide a formal diagnosis and appropriate treatment. In the meantime, try to maintain a healthy diet, get regular exercise, and ensure you are getting enough sleep.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Chest pain or difficulty breathing
  • Sudden, severe headache
  • Sudden loss of vision or double vision
  • Difficulty speaking or understanding speech
  • Sudden weakness or numbness on one side of your body

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

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10 mo ago

People Also Ask


What could be causing persistent swelling in the hands, feet, and legs?

Persistent swelling in the hands, feet, and legs can be caused by conditions such as kidney disease, heart failure, or venous insufficiency. It can also be related to high blood pressure or certain medications. Consulting a healthcare professional is important for proper diagnosis and treatment.


Why might someone experience blurry vision and double vision?

Blurry vision and double vision can be caused by a variety of factors including diabetes, hypertension, eye strain, or neurological conditions. It is important to have a comprehensive eye examination and possibly further medical evaluation to determine the underlying cause.


What are common causes of muscle spasms in the upper arm and shoulder?

Muscle spasms in the upper arm and shoulder can be due to overuse, dehydration, electrolyte imbalances, or nerve compression. In some cases, they may be related to conditions like multiple sclerosis or other neurological disorders. Treatment may involve stretching, hydration, and addressing any underlying medical conditions.


How can nausea that worsens with physical activity be managed?

Nausea that worsens with physical activity can be managed by identifying and avoiding triggers, eating small, frequent meals, staying hydrated, and getting adequate rest. If nausea persists, it is advisable to consult a healthcare professional for further evaluation and management.


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