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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Swelling In The Knee, Ankle And Foot?

Severe pain in back of left knee, generating down to calf, or upper thigh, swelling in calf and downward to ankle and foot. Can barely walk on it, I do put it up on pillows when sitting or laying down, but as soon as I am back up on it, severe pain begins. Did have X-ray said arthritis in knee, did have ultra sound no blood clot, but did not give me any direction of what it is, or what to do for it. To take pain pills for it.
Wed, 26 Jun 2019
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General Surgeon,  's  Response
Hi,

My opinion is as follows.
1. Due to shaking secondary to chills, sweating can occur secondary to adrenergic stimulation.
2. This excess stimulation along with dehydration could cause severe fatigue.
3. Good hydration is essential. Nutrition needs to be improved with multiple small meals.
4. Hypothyroidism is one of the common cause of excessive cold and fatigue. He will require thyroxine and dosage needs to be increased slowly over a month. More clinical details and laboratory reports necessary for further opinion.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Pain And Swelling In The Knee, Ankle And Foot?

Hi, My opinion is as follows. 1. Due to shaking secondary to chills, sweating can occur secondary to adrenergic stimulation. 2. This excess stimulation along with dehydration could cause severe fatigue. 3. Good hydration is essential. Nutrition needs to be improved with multiple small meals. 4. Hypothyroidism is one of the common cause of excessive cold and fatigue. He will require thyroxine and dosage needs to be increased slowly over a month. More clinical details and laboratory reports necessary for further opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon