[45F] Experiencing leg cramps, migraines, and swelling with a history of a kidney cyst

Patient Description

A 45-year-old female has been experiencing a series of symptoms over the past week, including cramps in the upper inner leg and pelvic area, migraines with sharp pains behind the right ear and towards the back of the head, and swelling around the ankles. The leg cramps, rated as moderate in severity, are triggered by movement and alleviated by rest. The migraines, which have occurred daily for a week, are described as severe. Additionally, the patient reports warm, red swelling in both feet, which has been intermittent over the past two days. Other symptoms include a bruise-like pain in the lower left back, chills, and a feverish feeling. The patient's medical history is significant for a kidney cyst diagnosed five years ago, which led to a severe infection. There are no known allergies or current medications. The patient has not experienced any recent injuries, trauma, shortness of breath, or chest pain.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Deep Vein Thrombosis (DVT): This is a blood clot that forms in a vein deep in the body, often in the leg. Symptoms can include pain, swelling, redness, and warmth around the affected area. DVT can be serious because it can cause a life-threatening condition called pulmonary embolism if the clot breaks off and travels to the lungs.

  • Kidney Infection: Given your history of a kidney cyst and your current symptoms of fever, chills, and lower back pain, it's possible that you have a kidney infection. This can occur when bacteria enter the kidneys, often from a urinary tract infection (UTI).

  • Migraines: Your headaches, particularly the location and severity, suggest that you may be experiencing migraines.

  • Peripheral Edema: This is swelling caused by excess fluid trapped in your body's tissues, often in the feet and ankles. It can be caused by a variety of conditions, including kidney disease, heart failure, and certain medications.

What you can do

Given the severity and variety of your symptoms, it's important that you seek immediate medical attention. In particular, the possibility of a DVT is a medical emergency and requires urgent evaluation. In the meantime, try to rest and stay hydrated.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Chest pain or discomfort that worsens when you take a deep breath or when you cough
  • Feeling lightheaded or dizzy, or fainting
  • Rapid pulse
  • Coughing up blood

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

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8 mo ago


People Also Ask


What are the symptoms of Deep Vein Thrombosis (DVT)?

Symptoms of Deep Vein Thrombosis (DVT) include pain, swelling, redness, and warmth in the affected area, usually in the leg. It is important to seek medical attention as DVT can lead to serious complications like pulmonary embolism.


How can a kidney infection be related to a history of kidney cysts?

A kidney infection can occur when bacteria enter the kidneys, often from a urinary tract infection. A history of kidney cysts can increase the risk of infections if the cysts become infected or cause blockages.


What are common triggers for migraines and how can they be managed?

Common triggers for migraines include stress, certain foods, hormonal changes, and lack of sleep. Management can involve avoiding known triggers, using medications to relieve symptoms, and implementing lifestyle changes like regular sleep and hydration.


What causes peripheral edema and how is it treated?

Peripheral edema is caused by excess fluid trapped in the body's tissues, often due to conditions like kidney disease, heart failure, or certain medications. Treatment involves addressing the underlying cause, reducing salt intake, and sometimes using diuretics to remove excess fluid.

1 Comments


Leo#17

8 mo ago

Have you seen a kidney doctor? Sometimes declining kidney function can lead to swelling in feet, cramps, and fever-like feelings

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