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Submitted 582 days ago...

WriteO516

WriteO516

New User (1)

Swelling in my feet and hands really bad?

Im 37 weeks pregnant and the hospital last week to me it was nothing. but it has only got worse. what is it?

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Answer 1 / 1 - Submitted 582 days ago...

Susu

Susu

Professor (1,360)

You need to call your doctor. It could be Pre-eclampsia (pregnancy induced hypertension). Swelling, or edema, (especially in the hands and face) was originally considered an important sign for a diagnosis of pre-eclampsia, but in current medical practice only hypertension and proteinuria are necessary for a diagnosis. However, pitting edema (unusual swelling, particularly of the hands, feet, or face, notable by leaving an indentation when pressed on) can be significant and should be reported to your health-care provider.
Although eclampsia is potentially fatal, pre-eclampsia is often asymptomatic, hence its detection depends on signs or investigations. Nonetheless, one symptom is crucially important because it is so often misinterpreted. The epigastric pain, which reflects hepatic involvement and is typical of the HELLP (Hemolytic anemia, Elevated Liver enzymes, and Low Platelet count) syndrome, may easily be confused with heartburn, a very common problem of pregnancy. However, it is not burning in quality, does not spread upwards towards the throat, is associated with hepatic tenderness, may radiate through to the back, and is not relieved by giving antacids. It is often very severe, described by sufferers as the worst pain that they have ever experienced. HELLP syndrome is a life-threatening obstetric complication usually considered to be a variant of pre-eclampsia. Both conditions occur during the later stages of pregnancy, or sometimes after childbirth. This can lead to eclampsia, which can lead to seizures, coma and even death. I have personally known of several patients who have died from this, and one who was in a coma for quite a while and is now conscious but not the same as she like someone who has had a severe stroke. Let your doctor decide if something is wrong. (S)he will do a protein test on your urine and check your blood pressure. Typically, the blood pressure should be monitored over a period of 4 hours, while the urine should be done for 24 hours. These things may have been normal when you went to the hospital, but may have gotten worse since. Good luck, and keep me posted. Susu

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