Please give some advice for my mother's painless swollen feet.

Question

Hi doctor,

A couple of months ago, my mother had fever. She had medicines, which was prescribed by her doctor. After three days of fever, she developed rashes and was hospitalized. Then, her rashes started disappearing, but she has some burning sensation on the soles of her feet. Right now, she has swollen feet up to her shins, which is painless. She has no history of diabetes and BP. Here is the report for your reference. Please suggest some advice.

Answer 1

Hi,

Welcome to icliniq.com. After reviewing the reports, I noticed that the patient's ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) levels are elevated. Such high levels often indicate the presence of an autoimmune disease, wherein antibodies in the blood form complexes with antigens and deposit in the skin and various organs. Autoimmune diseases can affect multiple body systems, and some are more common in females, such as systemic lupus erythematosus (SLE), among others. To further assess the situation, I recommend conducting ANA (antinuclear antibodies) and dsDNA (double-stranded DNA) tests. If these tests come back negative, it could suggest that the condition might be a sequel of a post viral infection. However, to reach a conclusive diagnosis and determine the appropriate course of action, it is crucial to consult a healthcare professional for a comprehensive evaluation and personalized management plan based on the specific findings.

Answer 2

Hi,

Welcome back to icliniq.com. From her reports (attachment removed to protect patient identity), her ANA is normal, there is no need to check for DS DNA. Her swelling may be due to some other reason. There are many causes for swelling over feet like kidney disease, liver disease, heart disease, hypothyroidism, low serum albumin, etc. I suggest her ECG, serum creatinine, blood urea nitrogen, serum albumin and TSH (thyroid-stimulating hormone) to be done.