hi,
thank-you for providing the brief history of you.
A thorough clinical examination is advised.
As there is swelling of the lower
limbs which comes on and off I will advice you get it assessed. The assessment of the cardiac system, abdominal region and vascular system will help to understand the possible cause.
The swelling can be due to any cardiac pathology -
venous insufficiency. Abdominal region needs an
ultrasonography to rule out any
kidney malfunctioning. Vascular screening will be done to check the DVT or other pathologies.
Also, the breathlessness is due to the weak Abdominal muscles and also lower cardiac endurance.
Having a thorough examination and laboratory investigation done should help to understand the root cause and treatment will be accordingly.
Usually in my clinical practice we rule out the factors and start the patient with simple medication and
Physical therapy. Fortunately they respond well.
Regards.
Jay Indravadan Patel