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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Anemia, Cellulite In Leg, Left Feet Swollen. Received Blood Transfusion. No Improvement After Receiving Diuretics. Connected?

HI. My mother is currently suffering from severe anemia and she is retaining water in her lower body. She has cellulitis on her legs, and her legs and feet are so swollen she can't walk. She is received a blood transfusion on Saturday and is currently receiving diuretics in the hospital but there is not much improvement. Can you think of any connection between the two?
Fri, 8 Nov 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,
It is important to exclude some fluid retaining conditions that might explain fluid overload. Why she received the blood transfusion is important. Any history of kidney disease, which on its ow could explain severe anemia is a possibility. It is not unusual to have some oedema after transfusion. I suggest evaluation for kidney function first, and in case there is notion of chronic kidney disease, the opinion of a nephrologist will be most welcome. Diuretics and fluid restriction could be temporal management measures. Kind regards
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Severe Anemia, Cellulite In Leg, Left Feet Swollen. Received Blood Transfusion. No Improvement After Receiving Diuretics. Connected?

Hi and thanks for the query, It is important to exclude some fluid retaining conditions that might explain fluid overload. Why she received the blood transfusion is important. Any history of kidney disease, which on its ow could explain severe anemia is a possibility. It is not unusual to have some oedema after transfusion. I suggest evaluation for kidney function first, and in case there is notion of chronic kidney disease, the opinion of a nephrologist will be most welcome. Diuretics and fluid restriction could be temporal management measures. Kind regards