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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Swollen Face And Puffy Eyes Be Due To Fluid Retention?

I woke up with face and eyes swollen. i keep getting hives but this is not allergy related. they keep treating as such but in know it fluid retention. its either from heart or kidneys. my son is a kidney transplant and this was happening to him. my heart has enlarged 3 times its size in 3 weeks what do you think
Wed, 22 Apr 2015
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Diabetologist,  's  Response
Hi,
Yes swollen face, puffiness of eyes with enlarged heart may be the signs of fluid retention.
Fluid retention may be due to-
1) Kidney problem
2) Heart Problem (decreased hearrt pumping).
3) Liver problem.
4) Severe anemia (low hemoglobin).

In case of allergic reaction swollen face and puffy eyes may be there but not the enlarged heart, though concomitant presence of heart problem with allergy may rare possibility.

I want to know-
1) Presence of heart problem, diabetes, high blood pressure, cholesterol problem.
2) Any medicines are you on.
3) Any symptoms of difficulty in breathing at rest or on walking, decreased urine output.
4) Changes in sleep habit any breathing difficulty in lying down position.
5) Cause of kidney failure in your son.
6) Habits like smoking, alcohol.

I would like to advise you to consult your doctor and get detailed clinical examination done.
Following investigations help in establishing the cause of fluid retention
1) Complete blood count.
2) Kidney function test, liver function test.
3) Urine examination including urine protein.
4) Ultrasound for kidneys and liver.
5) 2DEcho & EKG for heart.

Depending upon clinical examination and test result further treatment can be planned.

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Can Swollen Face And Puffy Eyes Be Due To Fluid Retention?

Hi, Yes swollen face, puffiness of eyes with enlarged heart may be the signs of fluid retention. Fluid retention may be due to- 1) Kidney problem 2) Heart Problem (decreased hearrt pumping). 3) Liver problem. 4) Severe anemia (low hemoglobin). In case of allergic reaction swollen face and puffy eyes may be there but not the enlarged heart, though concomitant presence of heart problem with allergy may rare possibility. I want to know- 1) Presence of heart problem, diabetes, high blood pressure, cholesterol problem. 2) Any medicines are you on. 3) Any symptoms of difficulty in breathing at rest or on walking, decreased urine output. 4) Changes in sleep habit any breathing difficulty in lying down position. 5) Cause of kidney failure in your son. 6) Habits like smoking, alcohol. I would like to advise you to consult your doctor and get detailed clinical examination done. Following investigations help in establishing the cause of fluid retention 1) Complete blood count. 2) Kidney function test, liver function test. 3) Urine examination including urine protein. 4) Ultrasound for kidneys and liver. 5) 2DEcho & EKG for heart. Depending upon clinical examination and test result further treatment can be planned.