Body. Par swelling aane ke cause
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edema AND diagnosis
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NHS oedema causes when to seek urgent medical advice
Body par swelling ko edema kehte hain, yani tissues mein fluid jama hona. Iske causes swelling ki jagah, duration aur saath ke symptoms par depend karte hain.
Common causes:
- Zyada der khade/sitting rehna, high-salt diet, heat, overweight
- Pregnancy
- Allergy, insect bite, ya kisi medicine ka reaction
- Kuch medicines, especially BP medicines (jaise amlodipine), steroids, hormones, painkillers
- Leg veins ki problem/varicose veins
- Kidney disease: aksar aankhon ya face ki sujan subah zyada ho sakti hai
- Heart ki pumping kam hona: pairon ki sujan ke saath saans phoolna
- Liver disease ya blood protein kam hona
- Thyroid problem
- Infection/injury: usually ek jagah dard, laalpan, garmahat ke saath
- Ek hi pair ki achanak sujan, pain ya redness: blood clot (DVT) bhi ho sakta hai
Emergency mein turant hospital/ambulance:
- Lips, tongue, face ya throat achanak sujna
- Saans lene mein dikkat, wheezing, chest pain, behoshi/dizziness
- Ek pair achanak bahut swollen, painful, red/warm ho, especially travel/surgery/bed rest ke baad
Sudden facial/throat swelling allergy (angioedema) ka sign ho sakta hai aur dangerous ho sakta hai, as described by the NHS angioedema guidance.
Doctor ko jaldi dikhayein agar sujan persistent hai, badh rahi hai, poore body mein hai, ya urine kam/foamy hai, weight rapidly badh raha hai, fever hai, ya saans phool rahi hai. Evaluation mein BP, urine test, kidney/liver/thyroid tests, blood protein, ECG/echo, aur leg Doppler ki zarurat ho sakti hai.
Tab tak: namak kam rakhein, lambi der ek hi position mein na rahen, pairon ko elevate karein. Bina doctor advice ke diuretic/water tablets mat lijiye. Generalized severe edema ko anasarca bhi kehte hain, aur kidney, heart, liver-related illness se ho sakta hai.
Aap bata sakte hain swelling kahan hai (face, legs, hands, whole body), kab se hai, aur pain, redness, breathlessness ya urine problem hai ya nahi?
Face par swelling h
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facial edema AND angioedema
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NHS facial swelling angioedema emergency signs
Face par swelling mein sabse pehle danger signs check karein:
Abhi turant emergency/ER jaayein agar:
- Lips, jeebh ya gala bhi suj raha ho
- Saans lene, bolne ya nigalne mein dikkat ho
- Awaaz bhaari ho rahi ho, wheezing, chakkar ya behoshi jaisa lage
Yeh severe allergy/angioedema ho sakta hai. NHS guidance ke mutabik throat ya tongue swelling emergency hai.
Agar emergency symptoms nahi hain, face swelling ke common causes:
- Allergy: achanak eyelids/lips swelling, khujli ya hives ke saath. Naya food, medicine, cosmetic, hair dye, insect bite ho sakta hai.
- Dental infection: ek side cheek/jaw swelling, toothache, pus, fever, muh kholne mein pain.
- Sinus/skin infection: dard, laalpan, garmahat, fever.
- Kidney-related swelling: subah aankhon ke aas-paas puffiness, pairon mein bhi swelling, urine kam ya foam jaisa.
- Medicines: BP ki kuch dawaiyan, especially ACE inhibitors like ramipril/enalapril, kabhi-kabhi face/lip swelling kar sakti hain. Aisi swelling ho to aaj hi medical advice lein.
Kya karein abhi:
- Face par thandi patti 10-15 min laga sakte hain.
- Naya cosmetic, food ya suspected medicine repeat na karein.
- Swelling ko press ya massage na karein.
- Agar dental pain/fever ya ek side painful swelling hai, same day dentist/doctor ko dikhayein.
- Cause clear na ho, ya swelling 24 hours se zyada rahe/badh rahi ho, aaj doctor ko dikhayein.
Batayein: swelling aankh ke paas hai ya lips/cheek par, ek side hai ya dono taraf? Khujli, rash, dant ka pain, fever, urine mein change, ya saans ki problem toh nahi?
Createnin bada hua h
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acute kidney injury AND guideline
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NHS acute kidney injury symptoms high creatinine urgent medical care
Face swelling ke saath creatinine bada hua hai, toh kidney function ki problem ko seriously evaluate karna chahiye. Kidney dysfunction mein aankhon/face ke around swelling, especially subah, ho sakti hai. Urine mein protein leak hone par bhi face aur pairon ki sujan hoti hai.
Aaj hi physician/nephrologist ko dikhaiye, especially agar creatinine pehle normal tha aur ab achanak badha hai.
Emergency mein abhi jaayein agar:
- Urine bahut kam ho gaya hai ya bilkul nahi aa raha
- Saans phool rahi hai, chest tightness, ya pair/poore body mein rapidly swelling
- Bahut vomiting, confusion, extreme weakness
- BP bahut high ho, severe headache, blurred vision
- Face ke saath lips/tongue/throat swelling ya breathing issue
Creatinine rise ke possible reasons:
- Dehydration, vomiting/diarrhea
- Kidney infection ya urine blockage/stone/prostate issue
- Diabetes ya uncontrolled BP
- Urine protein leak, nephritis/nephrotic syndrome
- Medicines: ibuprofen, diclofenac, nimesulide jaise painkillers, kuch BP medicines (ramipril/enalapril/losartan), antibiotics, contrast dye, ya water tablets kidney function affect kar sakte hain. Doctor se pooche bina prescribed medicines band na karein, but painkillers jaise ibuprofen/diclofenac/nimesulide avoid karein.
Doctor usually yeh tests dekhenge:
- Repeat creatinine, urea, electrolytes especially potassium
- Urine routine/microscopy and urine protein/albumin-creatinine ratio
- BP, blood sugar, serum albumin
- Kidney-ultrasound, especially urine kam ho ya blockage ka doubt ho
Abhi ghar par: namak kam rakhein, self-medication/ayurvedic-herbal supplements na lein, aur fluid intake apne aap bahut zyada na badhayein because swelling bhi hai. Agar doctor ne fluid restriction nahi di hai aur vomiting/diarrhea nahi hai, normal fluids lein.
Aap apni exact creatinine value, pehle ki value, urine quantity, BP, aur diabetes/BP ki medicines bata dein.
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