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Suggest Treatment For Cough, Swelling On Feet And Bloated Abdomen

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Posted on Wed, 12 Aug 2015
Question: Hi there,
My mother-in-law is in XXXXXXX with little access to healthcare. She has been having a trio of symptoms for the past week--swollen feet, swollen belly and a cough that is productive but not bloody. We are trying to decide if these symptoms are serious enough to warrant a costly and difficult trip to the capital city. Might you be able to give any advice?
Thank you very much,
XXXX
doctor
Answered by Dr. Michelle Gibson James (53 minutes later)
Brief Answer:
should be assessed

Detailed Answer:
HI, thanks for using healthcare magic

It would be best for her to be assessed.

Swelling of the lower limbs, abdomen can be associated with different conditions such as :
(1) heart failure- the back up of fluid in the lungs can cause cough

(2)kidney failure

(3) liver failure

Heart failure, kidney failure and liver failure cause retention of fluids. This fluid tends to collect in the legs first then there may be abdominal swelling (ascites) and then fluid up in the lungs particularly with heart failure.

(4) trauma to the legs- not likely since there is also abdominal swelling and cough

(5) side effect of medication and venous disease- leg swelling-some blood pressure meds can and venous disease as well but would not also cause the other symptoms

It is possible that the symptoms are coincidental eg swelling of feet due to venous disease, abdomen due to bloating and cough due to cold/flu or post nasal drip but this would need to be determined by assessment from her doctor.

I hope this helps , feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (14 minutes later)
Dear Dr. Gibson XXXXXXX

Thank you so very much for your detailed and quick reply. We are trying to arrange her trip to see a doctor in the city. This could take several days to arrange, and will be a two-day journey for her.

In the meantime, if her situation is indeed one of the more serious possibilities (which we are afraid might be the case), might there be any over-the-counter medicines she could take to relieve symptoms over the next few days? If so, we would probably have to buy them here in the U.S. and ship to her in XXXXXXX

This is truly an amazing service. Thank you for helping us and giving us some sound advice to work with, rather than just blindly guessing what to do!

Best wishes,
XXXX
doctor
Answered by Dr. Michelle Gibson James (48 minutes later)
Brief Answer:
meds would be prescription unfor, reduce fluid and salt use

Detailed Answer:
HI

Unfortunately if one of the more serious causes the medication would depend somewhat on the exact cause though a diuretic such as lasix, to get rid of excess fluids, would likely be suggested

These are prescription meds and not likely to be prescribed until she is seen.

She may want to monitor her fluid intake- reduction may help as well

Since salt causes fluid retention, reducing salt use would also be of some benefit

Elevation of the lower limbs whenever possible would reduce the swelling in the legs

Please feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (10 hours later)
Thanks again, doctor. Truly appreciate your help.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
no problem

Detailed Answer:
Hope everything works out well

Feel free to contact with any additional queries
God bless
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Cough, Swelling On Feet And Bloated Abdomen

Brief Answer: should be assessed Detailed Answer: HI, thanks for using healthcare magic It would be best for her to be assessed. Swelling of the lower limbs, abdomen can be associated with different conditions such as : (1) heart failure- the back up of fluid in the lungs can cause cough (2)kidney failure (3) liver failure Heart failure, kidney failure and liver failure cause retention of fluids. This fluid tends to collect in the legs first then there may be abdominal swelling (ascites) and then fluid up in the lungs particularly with heart failure. (4) trauma to the legs- not likely since there is also abdominal swelling and cough (5) side effect of medication and venous disease- leg swelling-some blood pressure meds can and venous disease as well but would not also cause the other symptoms It is possible that the symptoms are coincidental eg swelling of feet due to venous disease, abdomen due to bloating and cough due to cold/flu or post nasal drip but this would need to be determined by assessment from her doctor. I hope this helps , feel free to ask any other questions