[44M] With leg swelling, abdominal pain, and respiratory symptoms

Patient Description

A 44-year-old male presents with long-term leg swelling, worsening over the past few months, described as intense and painful, with skin feeling like it might tear when bumped. The swelling does not improve with elevation. The patient also reports shortness of breath, worsening over the last few weeks, particularly with simple activities. Abdominal pain is noted on the right side, exacerbated by bending over, accompanied by bloody stools with large blood clots and some nausea. The patient has a history of tachycardia, pancreatitis, and Hepatitis C, but has not had recent evaluations or treatments for these conditions. No medications are currently taken, and there have been no recent changes in weight or fluid intake. No jaundice or recent liver function tests reported.

Arora's Assessment

What might be happening

Your symptoms could be related to several underlying issues:

Heart or Liver Issues: Swollen legs, fatigue, and shortness of breath can be signs of heart or liver problems. Given your history of Hepatitis C, liver function could be a concern. Heart issues like heart failure can also cause these symptoms.
Gastrointestinal Bleeding: Stomach pain and bloody stools with clots may indicate gastrointestinal bleeding, possibly related to your history of pancreatitis or liver issues.
Tachycardia: This condition can contribute to fatigue and shortness of breath.

Typical evaluations might include blood tests, imaging studies, and possibly a referral to a specialist.

What you can do

Swollen Legs and Shortness of Breath:

Seek medical attention: These symptoms can be serious, especially if related to heart or liver issues.
Elevate your legs: Although it hasn't helped much, continue trying to reduce swelling.
Monitor your symptoms: Use MDandMe to track changes and share with your healthcare provider.

Stomach Pain and Bloody Stools:

Consult a doctor immediately: This could indicate a serious condition like gastrointestinal bleeding.
Avoid NSAIDs: These can worsen bleeding.

Fatigue:

Rest and hydrate: Ensure you're getting enough rest and staying hydrated.
Track your energy levels: Use MDandMe to monitor fatigue patterns.

What you should look out for

Worsening shortness of breath or chest pain: Seek emergency care if these occur.
Increased bleeding or severe abdominal pain: These require immediate medical attention.
Signs of infection: Such as fever or chills.

Please consult a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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