What Causes Weakness, Swelling In Legs, Reduced Urination And Pimples On Face?

Posted on Mon, 29 Dec 2014

Question: Hello

Current Symptoms

Feeling weak

Leg swelling

Less urine

symptoms of jaundice ( total Bilrubin 5.2)

pimples on face

History

Initially My mother(pure veg and Non Alcholic) faced problem swelling in legs around February of this year 2014.

we thought that she is having strain because of too much travelling.

In the Month of may, she came to visit me in XXXXXXX & did a master checkup and

listed are the results of the test

liver function test came abnormal

Ultra sound-normal

Color Doppler - normal

ECHO- Normal

Thyroid profile _Normal

Hepatitis profile - normal

ASMA/ANA - Normal

ECG- Normal

Doctor Said us that she is having liver problem

we started medication for her and afterwards she was feeling better in a month.

After 2 months, she started taking Ayurvedic medicine from our family doctor

Initiallay she was felling very better (almost no swelling )

Again from last 2 weeks back ( 11 NOV) swelling in leg started and feeling weak.

Doctor asked us to do copper urine 24 hr test (result =54Ug) attached report of results

please find the attached reports accordingly and prescription.

Ultra Sound ,Colour Doppler ,ASMA/ANA,LFT INR test ,copper urine test -24 Hr ,prescription from doctor

Note : From 17th Nov She started using Udliv tablet

1)please suggest us with next step .

2)My Doctor said it is because of copper or Ayurvedic medicine she has taken . what can be done to improve .will the prescription be enough?

3)what diet to follow ( like special food like turmeric , bottle gourd , Nuts etc) for her ,currently having no salts at all, she is having muscle cramps in night

4) IS the condition reversible for normal functioning

Thanks you in advance

Answered by Dr. Divakara (24 hours later)

Brief Answer:
Test for Serum Transferrin saturation.

Detailed Answer:
HI

Greeting from Dr. Divakara.P
First of all thanks for choosing Healthcaremagic for posting your query.

Went through your mother's reports in detail.

Well It is for sure that she is having Liver problem and her symptoms of weakness , leg swelling and Jaundice is all due to liver problem only.

But the question is what is causing her Liver problem . Your doctor has done all the possible evaluation to find out the cause of Liver problem but all the tests have come negative. The only thing left and which can give us some idea is Liver Biopsy.

But before going to that I would like to draw your attention to one abnormal test finding , that is Her Serum FERRITIN is elevated. Though it can be elevated due to many reasons , one of the reason is Hemochromatosis which is a disease which causes Liver problems. For further evaluation of the disease I advise you to get Serum Transferrin Saturation test and revert back .

If that test comes normal we shall plan for a Liver biopsy.

Her leg swelling is due to her low Serum Albumin . I advise you give her High Protein diet ( you can use a Protein powder also ). Continue same medications. Do daily weight monitoring and she should lose atleast 0.5 kg every 10 days . If that is not happening then dosage of Lasilactone has to be increased .

Revert back with the test report advised .
Will be looking forward for your reply.

Any clarifications feel free to ask .

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar