[47F] With swollen abdomen, legs, and fatigue

Patient Description

A 47-year-old female reports experiencing firm swelling in the entirety of both legs, including feet, ankles, calves, and upper legs, as well as in the abdomen. This swelling appeared suddenly overnight and has persisted for one week, accompanied by a 10-pound weight gain. The patient also experiences shortness of breath and fatigue. The swelling worsens with standing and sitting. There have been no recent changes in diet, salt intake, medications, or overall health. The patient does not report being a heavy salt user.

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Arora's Assessment

What might be happening

Your symptoms of swollen abdomen, swollen legs, shortness of breath, and fatigue could be related to several conditions:

  1. Heart Failure: This condition can cause fluid buildup in your body, leading to swelling in the legs and abdomen, as well as shortness of breath and fatigue. It's important to rule this out as it requires prompt medical attention.

  2. Kidney or Liver Issues: Problems with these organs can also lead to fluid retention and swelling. They can affect your body's ability to manage fluids and electrolytes, causing similar symptoms.

  3. Venous Insufficiency: This occurs when your veins have trouble sending blood from your limbs back to the heart, leading to swelling, especially in the legs.

Typical treatments or tests might include blood tests, imaging studies like an ultrasound or echocardiogram, and possibly medications to manage fluid retention.

What you can do

Swelling and Fatigue:

  • See a Doctor: It's important to consult a healthcare professional as soon as possible to determine the underlying cause and receive appropriate treatment.
  • Elevate Your Legs: When sitting or lying down, try to keep your legs elevated to help reduce swelling.
  • Limit Salt Intake: Even if you don't use much salt, be mindful of hidden sodium in processed foods, which can contribute to fluid retention.
  • Stay Active: Gentle walking or leg exercises can help improve circulation, but avoid standing or sitting for long periods.

Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

Seek medical care urgently if you experience:

  • Severe shortness of breath or difficulty breathing
  • Chest pain
  • Sudden or severe swelling
  • Fainting or dizziness

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

People Also Ask


What could cause sudden swelling in both legs and the abdomen?

Sudden swelling in both legs and the abdomen can be caused by conditions such as heart failure, kidney or liver issues, or venous insufficiency. These conditions can lead to fluid retention and require medical evaluation.


How does heart failure lead to symptoms like swelling and shortness of breath?

Heart failure can cause the heart to pump less effectively, leading to fluid buildup in the body. This can result in swelling in the legs and abdomen, as well as shortness of breath and fatigue due to fluid accumulation in the lungs.


What are the potential risks of untreated kidney or liver issues related to swelling?

Untreated kidney or liver issues can lead to severe fluid retention, electrolyte imbalances, and potentially life-threatening complications. These organs play crucial roles in fluid and waste management in the body, and their dysfunction can significantly impact overall health.


What lifestyle changes can help manage symptoms of venous insufficiency?

To manage symptoms of venous insufficiency, it's important to elevate the legs when sitting or lying down, limit salt intake, stay active with gentle exercises, and avoid prolonged standing or sitting. These measures can help improve circulation and reduce swelling.


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