Okay, I've been on the phone with my mother getting all the details for you.
The swelling started with his hands/wrists close to a year ago. It later moved on to his feet/ankles a few months later.
He had been to a vascular surgeon in July about the swelling. My dad has had PAD, peripheral artery disorder, for a few years. That doctor thinks my father should see a cardiologist re: hardening of the arteries (and a possible relation to the swelling)??
He had hernia surgery in August but the hand/feet swelling preceeded the hernia and hernia surgery. He healed up from the surgery well and no problems there.
He saw his general doctor at the VA on Oct 1 who did blood tests. They came back as follows:
low on RBC (4.46)
high on RDW (14.6)
low on MPV (6.1)
low on lymphocytes % (17.8)
high on mononuclear (0.8)
high on B12 (1023) - geriatrician had put him on B12
high on folate (serum) >24.00
high on urea nitrogen (23)
low in chloride (99)
high cholesterol (226) went off simvastatin in Sept due to violent nighmares
cholesterol/HDL together (4.52 - within normal range)
low iron (52)
high anion gap (12)
This doctor thought it looked like arthritis (even though there was no pain) and sent him to someone else to test for arthritis. As mentioned earlier, that came out negative and he was just told to take advil.
As for medications, here's what he's on:
Triam/HCTZ 37.5/25 mg once a day
atenolol 25 mg
felodipine 5 mg (that used to be 10 but was reduced in July to 5 and it seemed to reduce the swelling immediately from extreme to bad and has remained at the same bad level since)
Proscar (for reduction of prostate) 5 mg
Cilostazil 100 mg twice a day (for PAD)
3 inhalers, one puff each AM and PM for breathing and sleep apnea (spiriva, asmanax, foradil)
Polyethylene glycol (Miralax) for bowel movements 15 grams every other day
Zoloft 50 mg
1 aspirin 325 mg
D 1000 iu
B12 1000 mcg
one-a-day multi vitamin
I think that's it. Thanks!
one last thing....
one of the blood tests came back with 3x the normal C-Reactive Protein. The doctor said that this means there is an inflammation process going on in his body. Of course we already knew that without a blood test, so it didn't really tell us anything new. Just forgot to mention it to you.
Thanks for your reply.
Well i have few things to suggest. First that he has high urea levels so his kidney evaluation should be done , moreover heart needs to be assessed because such swellings can be due to the these disorders, although less likely with these disorders. same is about liver function tests.
Family doctor might not be able to help you with this, so the first thing you need to do is to visit an internal medicine specialist. He will do a detailed examination and investigations as per suspicion. And after that he will be able to point out the problem and to treat himself or to refer for consultation. Arthritis yes is a possibility but other things needs to be ruled out and if its arthritis even , your father should be seeing a rheumatologist. I know this is not something exactly i am diagnosing as you can understand that without examination , its difficult to do this on website but i am hopeful that my suggestions will help you.
I wish him good luck and good health.
Please click ACCEPT if you think i have tried to help you, for clarifications you can ask more.
Can you tell me more specifically what types of issues/disorders could be going on with liver or kidneys to cause swelling of feet and hands? Thank you.