Reply to Sudden onset water weight gain in 20 y.o.

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]This is very concerning, OP because POTS alone should not cause generalized swelling.

It could be cardiac insufficiency, different from POTS, and she would need a cardiac work-up. It could be kidney or liver disease, for which bloodwork of liver enzymes and more extensive kidney function is needed. It could be, if she's slender and not eating correctly, be a form of protein denutrition, in which case you need to ask for albumin bloodwork because you can rule it out based on that number. It could be a number of other things, such as latent tuberculosis or other serious things.

If the swelling is generalized and uncomfortable, she needs to be hospitalized and put on a regimen to reduce the edemas. They will do all the bloodwork and cardiac work-up there.

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Me again. I would take her to the ER this weekend, honestly. The problem you face with waiting for a second opinion is that you risk drowning the lungs in water. [/quote]

Sorry, me again. My father has the same swelling recently and the cardiologist he consulted (because he does have mild insufficiency) told him to go directly to the ER, because she was worried about possible water in or around his lungs. He spent a week in hospital were they did extensive testing and reduced his swelling to just a little in his feet and ankles. They found major protein malnutrition which explained some of the swelling but not all of it. And now he's being seen for possible cancers. It can get really complicated. 
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