
Suggest Treatment For Swollen Ankles And Hands

She is healthy, not medications. She's 5'7" 120 lbs, normal blood pressure.
Needs work up and management
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. At age of 19 only with no weight gain, normal functioning kidneys and liver, i don't see any reason to be worried about. The swelling you are mentioning might be slight edema due to immobility common be bed ridden people even for a few days. Inability to hold hands and tremors should get the locl causes ruled out like vascular insufficiencies, venous thrombosis or neurological causes, once done there should not be any other reason to be worried about it at all.
Talk to her doctor, complete detailed history, physical examination and clinical correlation will sort things out. Too early to comment on differentials and possibilities.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan


needs work up
Detailed Answer:
Then the puffiness is not explained by these symptoms and correlating liver and kidney functions. Local causes need to be ruled out. Hormonal imbalances like hypothyroidism should be considered. Those can cause puffiness and swelling in arms and feet. Cardiac causes should be considered if she has some shortness of breath or increased swellling after mobility. Get local causes rule dout by doppler studies.
I hope it helps.
Regards
Khan

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