[76F] With loss of equilibrium and swelling in limbs

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Stroke or Transient Ischemic Attack (TIA): Given your history of a previous stroke and the sudden onset of symptoms like loss of equilibrium, memory problems, and weakness, another stroke or TIA could be a possibility. These events occur when blood flow to a part of the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients.

  • Treatment: Immediate medical attention is crucial. Treatment may involve medications to dissolve clots, manage blood pressure, and other supportive measures.

• Heart Failure: Swelling in the arms and legs (edema) can be a sign of heart failure, where the heart is not pumping blood as effectively as it should. This can lead to fluid buildup in the body.

  • Treatment: Management typically includes medications like diuretics (which you are already taking), lifestyle changes, and monitoring by a healthcare professional.

• Chronic Kidney Disease (CKD): Your stage 3b CKD could contribute to swelling in your arms and legs due to fluid retention. CKD can also cause electrolyte imbalances, which might affect your equilibrium and cognitive function.

  • Treatment: Regular monitoring of kidney function, dietary changes, and medications to manage symptoms and slow progression.

• Medication Side Effects: Some of the medications you are taking, such as Furosemide and Diltiazem, can have side effects that include dizziness, weakness, and swelling.

  • Treatment: A healthcare provider can review your medications to determine if adjustments are needed.

What you can do

1. Seek Immediate Medical Attention: Given the severity and sudden onset of your symptoms, it's essential to consult a healthcare professional as soon as possible. They can perform necessary tests, such as imaging studies, blood tests, and a thorough physical examination.
2. Monitor Symptoms: Keep a log of your symptoms, including when they occur and any potential triggers. This information can be helpful for your healthcare provider.
3. Stay Hydrated: Ensure you are drinking enough fluids, but consult your doctor about the appropriate amount, especially given your kidney condition.
4. Medication Review: Ask your healthcare provider to review your current medications to ensure they are not contributing to your symptoms.

What you should look out for

• Worsening Symptoms: If you notice any worsening of your symptoms, such as increased swelling, more frequent falls, or severe memory issues, seek medical attention immediately.
• New Symptoms: Be vigilant for any new symptoms like chest pain, shortness of breath, or sudden severe headaches, and seek immediate medical care if they occur.
• Changes in Urine Output: Given your kidney condition, any significant changes in urine output should be reported to your healthcare provider.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult your healthcare provider for a formal diagnosis and treatment plan.