[56F] Experiencing unexplained weight gain and cardiovascular symptoms

Patient Description

A 56-year-old female presents with a range of symptoms including high blood pressure, unexplained weight gain, tightness in the upper chest, pressure and pain near the left collarbone, swollen and painful legs, and fatigue. The weight gain has been sudden, occurring over the last week or two, with an increase of 3.5 pounds, 2.5 of which were gained in a single day. This weight gain is puzzling to the patient as it has occurred despite maintaining a healthy vegetarian diet and consistent calorie intake. The patient's legs have been swelling on and off for the past 10 years, but the current episode appears to be more severe, with the calves feeling extremely pressured and the skin exhibiting little red bumps. The leg symptoms are exacerbated by prolonged sitting at a desk. The patient has not indicated any recent changes in medication, medical history, or lifestyle that could readily explain these symptoms.

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Arora's Assessment

What might be happening

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

  • Cardiovascular Disease: Your symptoms of high blood pressure, chest pressure, and swollen legs could be indicative of heart disease. The heart's inability to pump blood efficiently can lead to fluid accumulation in the body, causing swelling (edema) and weight gain.

    • Treatment typically involves lifestyle changes, medication, and in some cases, surgery.
  • Venous Insufficiency: This condition occurs when your leg veins have trouble sending blood back to your heart. This can cause leg swelling, pain, and skin changes like the red bumps you described.

    • Treatment usually involves lifestyle changes and wearing compression stockings. In severe cases, surgery may be needed.
  • Hypothyroidism: This is a condition where the thyroid gland does not produce enough thyroid hormones. It can cause fatigue, weight gain, and swelling.

    • Treatment typically involves taking synthetic thyroid hormone.
  • Kidney Disease: The kidneys' inability to remove waste and extra fluid from the body can cause swelling in the legs and high blood pressure.

    • Treatment usually involves medication and dietary changes. In severe cases, dialysis or a kidney transplant may be needed.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are a few things you can do:

  1. Limit your salt intake: This can help reduce swelling and high blood pressure.
  2. Elevate your legs: When you're sitting or lying down, try to elevate your legs above the level of your heart.
  3. Stay active: Regular physical activity can help improve circulation and reduce swelling.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Fainting or loss of consciousness
  • Confusion or difficulty speaking
  • Intense pain in your legs

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

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People Also Ask


What could cause sudden weight gain despite a healthy diet?

Sudden weight gain despite a healthy diet can be caused by fluid retention due to conditions like heart disease, kidney disease, or hypothyroidism. It's important to consult a healthcare provider for an accurate diagnosis.


Why might my legs be swelling and painful, especially after sitting for long periods?

Swelling and pain in the legs, especially after prolonged sitting, can be due to venous insufficiency, where the veins struggle to return blood to the heart, or other conditions like heart or kidney disease. Elevating the legs and staying active can help, but medical evaluation is recommended.


What are the potential risks of untreated high blood pressure?

Untreated high blood pressure can lead to serious health issues such as heart disease, stroke, kidney damage, and vision loss. It's crucial to manage blood pressure through lifestyle changes and medication as prescribed by a doctor.


How can I manage fatigue associated with these symptoms?

Managing fatigue involves addressing the underlying cause, which may include treating conditions like hypothyroidism or heart disease. In the meantime, maintaining a balanced diet, regular exercise, and adequate sleep can help improve energy levels.


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