Urgent! Female, 53 years old, cause of puffiness of the face and limbs

Hello, your situation has been understood, I will briefly talk about my opinion, swelling is nothing more than a few cases that are common:

1. Cardiogenic swelling: swelling of the lower limbs occurs when the heart is insufficient or the right heart fails, of course, it is accompanied by general discomfort symptoms such as dyspnea, and it should be symmetrical in both lower limbs.

2. Nephrogenic swelling: When kidney disease or poor kidney function is poor, swelling of the lower limbs accompanied by swelling of the face and face will also occur. In general, urine routine and kidney function tests will find problems, and they should also be symmetrical in both lower limbs. (similar to the patient's condition).

3. Liver function damage: After liver disease or liver function damage, the liver's ability to synthesize protein decreases, and hypoprotein edema appears, which is generally accompanied by jaundice, emaciation, fatigue, poor diet, and should still appear symmetrically in both lower limbs. Liver function or hepatitis B markers can be checked.

4. Venous valve function of the lower limbs: the venous blood return is not smooth, and the low-hanging part is swollen when standing. On weekdays, pay attention to standing as little as possible, and rest is to elevate both lower limbs to promote venous return. If the swelling is worse and the area is wider, compression stockings can be worn**.

5. Cellulitis: that is, local swelling, increased skin temperature, and obvious tenderness, intravenous antibiotics can be used**. Usually 1-2 weeks**.

6. Deep vein thrombosis: common for the elderly who have been bedridden for a long time, most of them are unilateral limb swelling, and the blood vessels of the lower limbs can be clarified by ultrasound, which needs to be further advanced to avoid the thrombus falling off and wandering, forming embolism in other parts.

7. Decreased thyroid function may also form mucous swelling of the lower limbs, accompanied by fatigue, fatigue, weight gain, and inability to tolerate cold. This is followed by drowsiness, unresponsiveness, etc. Thyroid function tests can be done.

It can be seen from the above that the tendency is kidney disease, it is recommended to seek medical attention from the nephrology department again, abdominal ultrasound and CT can be used to understand the kidney situation, there is really no organic lesion, it is recommended to seek help from Chinese medicine practitioner**.

Hope it will be useful to you, good luck soon**.

Consider menopausal syndrome.

Oral nephritis four-flavor tablets are fine.

When too much water is added inside and cannot be drained out, it is edema. Weight gain is accompanied by puffy eyelids and edema of the ankles or lower legs.

Most of the swelling is caused by kidney or heart disease, but sometimes it can be caused by ascites due to liver disease, nutritional disorders due to insufficient protein, or hormonal abnormalities due to menopausal disorders.

If the swelling starts on the face and spreads to the whole body, there is a high risk of kidney disease, but it is also possible to develop acute nephritis or kidney disease.

If the swelling starts from the feet, it may be heart disease, hypoproteinemia, cirrhosis, etc.

In the later stages of pregnancy, the whole body and feet are prone to edema; If the edema is severe, it may be pre-eclampsia.

If you press the above swelling with your fingers, there will be water movement and a depression will be formed.

If you press by hand, it will not be sunken, and it is still swollen, which may be caused by hypothyroidism or medication.

The swelling caused by standing for a long time is not an abnormal phenomenon.

When edema occurs, limit water and salt intake; In order to get rid of excess water from the body, it is best to eat more foods that have a diuretic effect.

If the condition is serious and cannot be cured, a doctor's diagnosis must be obtained.

If you want to take diuretic drugs, you must have a doctor's diagnosis. Diuretic drugs should be avoided.

Problem analysis: Facial edema is a common symptom of middle-aged and elderly women, which often indicates internal problems in the body, such as heart disease, liver disease, kidney disease, endocrine, inflammation and other diseases, but some edema is not a manifestation of disease, but a physiological reaction. As long as you pay a little attention to yourself, you will find the cause, find the crux of the problem, and you can recuperate yourself at home.

Suggestions: Leg swelling is edema and edema of the lower limbs, which can be caused by many reasons. 1. Renal edema.

In acute nephritis, chronic nephritis or kidney disease, due to the decrease of renal blood flow, sodium and water retention, increased capillary permeability, and too much protein loss in the urine, it will cause the plasma colloidal osmotic pressure to decrease, so that the interstitial space has accumulated and caused edema. 2. Cardiogenic edema. When right heart failure occurs in various heart diseases, the venous pressure rises due to the inability of venous blood to return smoothly, and body fluid leaks into the interstitial space, causing edema.

3. Hepatic edema. Factors such as liver destruction in cirrhosis, obstruction of portal venous return, increased portal venous pressure, and low plasma albumin in liver failure can cause edema. 4. Dystrophic edema.

5. Localized edema of the lower limbs. It is mostly caused by the obstruction of the veins and lymphatic vessels of the lower limbs, resulting in the entry of body fluids into the interstitial space, and the embolic phlebitis, lymphangitis, filariasis, pelvic or lower limb tumors compress the veins. It can be seen that there are many causes of leg swelling, which can be a symptom of systemic diseases or one of the symptoms of local diseases of the lower limbs.