[46F] Experiencing hoarseness, swelling of feet, and skin sensitivity with red bumps

Patient Description

A 46-year-old female presents with hoarseness that began suddenly two weeks ago without a clear precipitating event. She denies any recent yelling, respiratory infections, or exposure to irritants. The patient also reports bilateral feet swelling that started three weeks ago, extending up to the knees with associated redness, and skin sensitivity with red bumps. She experiences fatigue, and her right arm has episodes of falling asleep and tingling. There is no associated fever, chills, throat pain, difficulty swallowing, or joint pains. The patient denies any recent travel, contact with individuals with similar symptoms, changes in medication, or known allergies. She is not currently on any medications and has no past medical history of chronic illnesses or autoimmune diseases.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Hypothyroidism: This condition is caused by an underactive thyroid gland and can result in fatigue, hoarseness, and swelling in the legs.

    • Treatment typically involves taking a daily hormone replacement pill to restore normal hormone levels.

  • Laryngitis: This is inflammation of the voice box from overuse, irritation, or infection. It can cause hoarseness and fatigue.

    • Treatment usually involves resting your voice and drinking plenty of fluids.

  • Edema: This is swelling caused by excess fluid trapped in your body's tissues. It can occur in any part of the body, but it's most common in the legs, ankles, and feet.

    • Treatment typically involves medication to help your body expel the excess fluid.

  • Dermatitis: This is a general term that describes inflammation of the skin. It can cause a rash with red bumps and can make the skin feel sensitive or painful.

    • Treatment usually involves applying topical creams to the affected area and avoiding irritants.

Please note that these are possibilities and not a definitive diagnosis. You should seek care from a healthcare professional to receive a formal diagnosis and treatment.

What you can do

  1. Rest your voice as much as possible and avoid straining it.
  2. Stay hydrated and avoid irritants such as smoke and alcohol.
  3. Elevate your legs when you can to help reduce the swelling.
  4. Apply a moisturizer or over-the-counter topical cream to your rash to help soothe your skin.
  5. Monitor your symptoms and note any changes or patterns.

What you should look out for

  • If your symptoms worsen or do not improve after a few days, seek medical attention.
  • If you experience difficulty breathing or swallowing, seek immediate medical attention.
  • If you notice any other new or worsening symptoms, contact a healthcare professional.

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8 mo ago

People Also Ask

What could cause sudden hoarseness without a clear reason?

Sudden hoarseness can be caused by laryngitis, which is inflammation of the voice box, or hypothyroidism, which affects the thyroid gland. It can also result from vocal strain or irritation.

Why might my feet and legs be swelling and have red bumps?

Swelling in the feet and legs, along with red bumps, could be due to edema, which is fluid retention, or dermatitis, which is skin inflammation. Both conditions can cause redness and sensitivity.

What are common causes of fatigue and tingling in the arm?

Fatigue and tingling in the arm can be symptoms of hypothyroidism, which affects energy levels and nerve function. It can also be due to poor circulation or nerve compression.

How can I manage skin sensitivity and redness at home?

To manage skin sensitivity and redness, you can apply a moisturizer or over-the-counter topical cream, avoid known irritants, and keep the affected area clean and dry. If symptoms persist, consult a healthcare professional.

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