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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]This is OP. Her albumin is normal (4.5 g/dL), globulin also normal (1.7 g/dL) but a/g ratio is slightly high at 2.6. Doc said that was not abnormal. Total protein 6.2 g/fL and creatinine .51 mg/dL also slightly low but doc said no worries.

Will take all of this to cardiology and see about a hepatology. [/quote]
The fact that her BW is coming back normal while her symptoms remain so severe is actually a cause for concern, not the other way around. It means something is getting missed. I've seen PCPs do this before, serially chasing diagnoses they are not qualified to chase, and the consequences can be severe. Happened to me, though much less dire situation. I'm not trying to scare you, but my father is a cardiologist and he has seen patients die when a PCP overrode his recommendation to get an immediate cardiac work up in favor of whatever the PCP decided was more urgent or a less aggressive way to approach things.

In a situation like your DD's a full workup is the right thing to do medically, and in the US the fastest way to get this is going to the ER. Waiting months for various specialists can be harmful, and the care still won't be coordinated.

She has had POTS her whole life, and presumably treating with salt pills her whole life. This has never happened before, so the assumption that it is somehow related to something she's been doing her whole life without any obvious difference now is very odd.[/quote]

Thank you PP. Your insights are very helpful. I should add that DD did have some weight on her in the age 12-13 years. I chalked it up to puberty because I myself got pudgy, then thinned out in high school. I never reverted to weight gain. Reflecting back, she did slim down rather quickly over the course of a year at about age 14, but no one raised it as an issue. She was diagnosed with POTS during that window when she was heavier, followed exercise and POTS management protocols and had been slender and relatively fit for about 6 years. Now she has had this flare and sudden edema. [/quote]

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