Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health
This answer was rated:

I am writing this question on behalf of my father. He is 88

Hello, I am writing this question...
Hello,
I am writing this question on behalf of my father. He is 88 years old and has no major diseases or ailments. He is 5' 6" tall, about 130 lbs. He walks with a cane to steady himself but gets around fine, still drives, still very active and healthy.
Over the past several months he has developed extremely swollen feet (from the ankles down) and extremely swollen hands (from the wrists down). The rest of his joints are completely normal (elbows, knees, etc.). He has had a blood test for Rheumatoid Arthritis which came back negative. He has no pain whatsover in the swollen areas. They just look awful and it concerns him because no doctor so far can tell him what's causing it. So far he's just been told to take Advil which only very slight reduction in swelling. By the way, the swelling doesn't vary from morning to night. It always looks the same (so having his feet elevated at night does not improve the situation).
Hope you can give me some ideas on what could be causing this and what can be done to reduce the swelling. He has an appointment with a geriatrician in 2 weeks and can't get in any sooner. Hopefully you have an idea or two in the meantime. Thank you.
Denise
Show More
Show Less
Ask Your Own Health Question
Answered in 5 minutes by:
11/1/2010
Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,707
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
Verified
HI,
thanks for your question.
Which specialist he has seen so far?
what about the liver & kidney function tests?
What about his heart status?
any urinary complaints, breathlessness on exertion, face swelling etc?
Any diagnosed medical problem?
Any medications he is on ?
Regards
Ask Your Own Health Question
Customer reply replied 7 years ago

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

Vitamins:

D 1000 iu

B12 1000 mcg

one-a-day multi vitamin

I think that's it. Thanks!

Customer reply replied 7 years ago

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.

Regards

Dr Hasan

Ask Your Own Health Question
Customer reply replied 7 years ago

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.

Well decrease in function of the liver and kidneys can result in accumulation of fluid in the hand or feet and sometime as whole body swelling(depends on extent). This decrease in function can be due to any disease affecting these organs like for kidney it can be one of the various types of glomerulonephritis and for liver it can be due to any chronic liver disease such as hepatitis etc. Same is for heart, if it is not pumping blood effectively then the fluids can accumulate in the peripheries. You said extremely swollen so thats why i suggested that rule these things out instead of just thinking about arthritis. These are more common causes of swelling in peripheries rather than what is been looked for but definitely examining doctor is at more benefit because of being in direct contact with patient.
i hope this helps.
Regards
Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,707
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
Verified
Dr. Hasan and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 7 years ago
Okay, I have sent your responses to my mother. They have an appointment already set with the cardiologist on Wednesday so they will start with the heart examination and then proceed from there with kidney and liver examination. Thank you.
Thanks much,
I wish that your dad GET WELL SOON.
Regards
Ask Your Own Health Question
Ask Dr. Hasan Your Own Question
Dr. Hasan
Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,707
8,707 Satisfied Customers
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery

Dr. Hasan is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I was bitten by a cat yesterday. I am taking Augmentin and a
I was bitten by a cat yesterday. I am taking Augmentin and a Medrol Dose pack, which I started yesterday. I was also given Percocet for pain. I take Klonopin 2mg every night. I took Percocet at 6 PM a… read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,074 satisfied customers
Arun A while back I pulled my hamstring (muscle behind the
Hello doctor Arun A while back I pulled my hamstring (muscle behind the knee, bellow knee) so I started wearing brace all summer long in a day time only of course, I do not wear it any longer as of 4 … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I was preparing macaroni salad and had all the ingredients
Hi. I was preparing macaroni salad and had all the ingredients on my table. I left for literally 20 seconds max to check my phone. When I got back to the kitchen, my cat was nibbling on a portion of t… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
1) Is it healthy to eat grilled chicken when it's grilled
Hello,1) Is it healthy to eat grilled chicken when it's grilled with charcoal? Some people say it's not healthy.2) In general, what's the healthiest option to prepare chicken?… read more
Dr. Scott
Dr. Scott
Doctor
1,026 satisfied customers
I had unprotected oral sex with a man I do not know well. He
Hello. I had unprotected oral sex with a man I do not know well. He assured me that he was negative for STD' s and that he gets tested regularly. He came in my mouth a little bit but I pulled away and… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I'm not having bowel movements and I don't feel hungry, but
I'm not having bowel movements and I don't feel hungry , but I eat anyway. … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
796 satisfied customers
I was prescribed Prednisone for an upper respiratory
I was prescribed Prednisone for an upper respiratory infection. I took 40 mg yesterday and 20 today. I cannot stand the side effects. Can I stop taking it after 2 days ? I did cut the dose in half tod… read more
Dr. Scott
Dr. Scott
Doctor
1,026 satisfied customers
My 14 year old son has been sick since, 11/10/17. He had
My 14 year old son has been sick since, 11/10/17. He had random fevers and sore throat and ear aches and overall not feeling well. On 12/6/17, he was diagnosed the first time with strep and put on a 7 day course of antibiotics. When I saw that he was still not feeling well, I took him back to the family doctor who on 12/15/17 diagnosed him with strep again and placed him on a 10 day course ion Penicillin. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
My blood test came back Imm grand, Not sure, Had diarrhoea
My blood test came back Imm grand JA: Is this a time sensitive issue? What type of specimen are they testing? Customer: Not sure JA: Anything else in your medical history you think the doctor should k… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
My creatinine level is 1.4 and my bun creatinine is 35.
My creatinine level is 1.4 and my bun creatinine is 35. I'm In advanced Addison Disease. My liver is severe NAFLD, damage to the left side of my heart, gastreoperisis, and now my kidneys in just one y… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
796 satisfied customers
Please help me, No i just took the oraquick hiv test and
No i just took the oraquick hiv test and tested negative but I drank a few sips of iced tea and directions say no eating or drinking within 30 minutes of taking the test I'm crying and losing my mind . The test checks the antibodies in the saliva do u know if this test is not accurate because I drank 15 before … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,074 satisfied customers
I had hcg blood test stating <2mIU. What does that mean.
hi JA: Hello. How can I help? Customer: I had hcg blood test stating <2mIU JA: Is this a time sensitive issue? What type of specimen are they testing? Customer: what does that mean JA: Anything els… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
I have a question about Xanax. I took .25 mg of Xanax at
I took .25 mg of Xanax at bedtime only for about 2 years. I stopped taking it at night about 2 weeks ago & now I am experiencing insomnia. Maybe sleeping 2 hours at the most. Could the insomnia be a result of stopping the Xanax even though I took such a low dose? I did/do not take it any other time. … read more
Dr. Rahman
Dr. Rahman
Fellow Physician in Child Neurology
Doctorate of Medicine
4 satisfied customers
I asked a new question because you were helpful and being
I asked a new question because you were helpful and being honest. I forgot to ask .. if I had Postive IgM 39,23,41. And I had IGg 18,66,41. Being that the 39 and 23 we're Postive. Do they automaticall… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
796 satisfied customers
Doc new question about something that freaked me out. About
Ok doc new question about something that freaked me out. About 5 min ago I was sitting in my car looking down at my phone and the light turned free I looked up and got dizzy, like dizzy SITTING... as … read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I was having sex with my girlfriend and tore my frenulum.
I was having sex with my girlfriend and tore my frenulum … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
Had a question about the flu. I've been reading about people
Hey I had a question about the flu. I've been reading about people getting vaccinated and not only are getting sick but dying from flu complications, especially children. This has me concerned. My dau… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I have a similar question to this post. Last night I was
Hi yes I have a similar question to this post. Last night I was throwing up and yelling ( I know sounds weird ) but after I threw up, I was gagging and immediately I felt pain on the right side of my … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,074 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x