Melissa in Australia Posted July 17, 2023 Share Posted July 17, 2023 Went to the doctor for inflamed ankles. I also have a fever. No other symptoms. Doctor didn't even look at my ankles, but sent me for a chest xray?????? I am struggling to see a connection. Quote Link to comment Share on other sites More sharing options...
denarii Posted July 17, 2023 Share Posted July 17, 2023 Did you ask? Edema can be one of the first signs of congestive heart failure 6 1 Quote Link to comment Share on other sites More sharing options...
Katy Posted July 17, 2023 Share Posted July 17, 2023 Inflamed ankles can be a sign of heart or kidney problems that lead to lungs collapsing because of built up fluid. He was looking for life threatening causes first. This literally happened to my uncle a few days ago and he was released from hospital today. 2 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 17, 2023 Author Share Posted July 17, 2023 Oh. I didn't know that Sorry about your uncle 2 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 17, 2023 Author Share Posted July 17, 2023 3 minutes ago, denarii said: Did you ask? Edema can be one of the first signs of congestive heart failure No I didn't think to ask. Am feeling pretty lousy 5 Quote Link to comment Share on other sites More sharing options...
denarii Posted July 17, 2023 Share Posted July 17, 2023 Just now, Melissa in Australia said: No I didn't think to ask. Am feeling pretty lousy I hope it's something minor and you dr was just being thorough. 2 Quote Link to comment Share on other sites More sharing options...
Katy Posted July 17, 2023 Share Posted July 17, 2023 The good news is that if you were in immediate danger there is next to no chance you wouldn't already be admitted to hospital. Which doesn't mean you don't have something that feels awful going on. 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 17, 2023 Author Share Posted July 17, 2023 I am not hospital level lousy. But in bed type lousy. I actually put it all down to stress from the medical emergancy of twin 1. As the inflamed ankles started then. But the doctor said that I can not have a fever from stress 4 Quote Link to comment Share on other sites More sharing options...
Katy Posted July 17, 2023 Share Posted July 17, 2023 1 minute ago, Melissa in Australia said: I am not hospital level lousy. But in bed type lousy. I actually put it all down to stress from the medical emergancy of twin 1. As the inflamed ankles started then. But the doctor said that I can not have a fever from stress It's winter (pneumonia) season there. And fever from stress is rare enough that it would already be documented in your medical history if that were the cause. Hopefully it's walking pneumonia and you'll get prescribed the right antibiotics today. Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 17, 2023 Share Posted July 17, 2023 6 minutes ago, Melissa in Australia said: But the doctor said that I can not have a fever from stress https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843908/#:~:text=Psychogenic fever is a stress,during situations of chronic stress. “Psychogenic fever is a stress-related, psychosomatic disease especially seen in young women. Some patients develop extremely high core body temperature (Tc) (up to 41°C) when they are exposed to emotional events, whereas others show persistent low-grade high Tc (37–38°C) during situations of chronic stress. The mechanism for psychogenic fever is not yet fully understood. However, clinical case reports demonstrate that psychogenic fever is not attenuated by antipyretic drugs, but by psychotropic drugs that display anxiolytic and sedative properties, or by resolving patients' difficulties via natural means or psychotherapy.” 4 minutes ago, Katy said: And fever from stress is rare enough that it would already be documented in your medical history if that were the cause. I get fever from stress. It was never documented. My fever tends to be about 38.5 °C, 101.3 °F. 5 2 Quote Link to comment Share on other sites More sharing options...
Katy Posted July 17, 2023 Share Posted July 17, 2023 1 minute ago, Arcadia said: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843908/#:~:text=Psychogenic fever is a stress,during situations of chronic stress. “Psychogenic fever is a stress-related, psychosomatic disease especially seen in young women. Some patients develop extremely high core body temperature (Tc) (up to 41°C) when they are exposed to emotional events, whereas others show persistent low-grade high Tc (37–38°C) during situations of chronic stress. The mechanism for psychogenic fever is not yet fully understood. However, clinical case reports demonstrate that psychogenic fever is not attenuated by antipyretic drugs, but by psychotropic drugs that display anxiolytic and sedative properties, or by resolving patients' difficulties via natural means or psychotherapy.” I get fever from stress. It was never documented. My fever tends to be about 38.5 °C, 101.3 °F. I'm not saying it doesn't happen. I've posted here before that it happens to one of my kids. But it's rare enough, and it's on the chart. 1 Quote Link to comment Share on other sites More sharing options...
Wishes Posted July 17, 2023 Share Posted July 17, 2023 I’m sorry you aren’t feeling well Melissa. Medical stuff is so hard. There can be so much going on and we don’t always know the questions to ask or even remember to ask them when we do have them…often because we are stressed, in pain, or ill 1 1 Quote Link to comment Share on other sites More sharing options...
Ausmumof3 Posted July 17, 2023 Share Posted July 17, 2023 I hope it’s nothing serious and you feel better soon 1 1 Quote Link to comment Share on other sites More sharing options...
TexasProud Posted July 17, 2023 Share Posted July 17, 2023 (edited) Yes, swelling ankles makes me think of my husband's dad and congestive heart failure. Praying that isn't what it is. But that is why he sent you for x-ray. That said, you have an absolute valid point that he should be explaining why he is ordering what he is ordering. Part of their job (that so many are bad at) is patient education. My husband spends a lot of time with family and friends patiently explaining what their own docs should have explained to them. It is very frustrating. Praying that it is something that can be taken care of very easily! Edited July 17, 2023 by TexasProud 1 1 Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 17, 2023 Share Posted July 17, 2023 Did you have any vaccinations recently? I had edema with the Pfizer covid vaccination and some other vaccinations also can cause edema. 1 Quote Link to comment Share on other sites More sharing options...
wintermom Posted July 17, 2023 Share Posted July 17, 2023 Good for you to pick up on ankle swelling, especially in the midst of all the additional things going on in your life! Glad you got in to see a dr rather than wait and see. Hope you are feeling better very soon! 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 17, 2023 Author Share Posted July 17, 2023 The ankles were inflamed for 8 days, swollen yes but also extremely painful. I am very foolish by only going to the Dr yesterday. Dh had been telling me every day last week to go. It is only when the fever started that I went to the doctor. 3 Quote Link to comment Share on other sites More sharing options...
Pawz4me Posted July 17, 2023 Share Posted July 17, 2023 (edited) So you mean swollen as in inflammation, not as in fluid retention? If so, with both of them affected and a fever it could be some type of inflammatory autoimmune issue. My mind always goes to RA since it’s my own issue, but there are several AI things it probably could be. Low grade fevers are fairly common with some of them. Stress can be a trigger, and you had plenty of that. Edited July 17, 2023 by Pawz4me 4 1 Quote Link to comment Share on other sites More sharing options...
kbutton Posted July 17, 2023 Share Posted July 17, 2023 Depending on what is meant by inflammation (hot/red or looks like cellulitis, or painful without redness, etc.), you might get a different workup here. It's really odd that the doctor did NOT check your ankles. Other possible workups could involve bloodwork to look for infection, for instance. 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 18, 2023 Author Share Posted July 18, 2023 I don't know what is going on at all but I am well and truly sick of it. My ankles were extremely painful like an 8. Swollen, some spidery red markings on both sides of feet and now the swelling has gone down bruising marks. Ankles are still tender to touch . My fever is 39o C. I feel absolutly supper lousy. Absolutly no energy at all. No runny nose, no headache or anything that I would think would go with a fever I just made a batch of cookies. I cannot believe it but I had to stop and rest up 2 times just in the mixing with a machine and the rolling out. It is so rediculous. The Doctor did blood tests and the chest xray is for tomorrow. My rural area only has xrays once a week. I really can't believe he didn't look at my ankles. 11 Quote Link to comment Share on other sites More sharing options...
Rosie_0801 Posted July 18, 2023 Share Posted July 18, 2023 56 minutes ago, Melissa in Australia said: Swollen, some spidery red markings on both sides of feet That sounds like an infection. Maybe something bit you? Quote Link to comment Share on other sites More sharing options...
TexasProud Posted July 18, 2023 Share Posted July 18, 2023 Praying the tests tomorrow will show exactly what is going on!!! 1 1 Quote Link to comment Share on other sites More sharing options...
Halftime Hope Posted July 18, 2023 Share Posted July 18, 2023 Melissa, I'm so sorry this is going on. Just know that halfway around the world, you are being remembered, and another mama is praying for you and your family. {{Melissa}} 1 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 18, 2023 Author Share Posted July 18, 2023 2 hours ago, Rosie_0801 said: That sounds like an infection. Maybe something bit you? If it was one ankle maybe but on both I doubt it Quote Link to comment Share on other sites More sharing options...
Halftime Hope Posted July 22, 2023 Share Posted July 22, 2023 @Melissa in Australia I've had a %^&@ of a week, but I've thought of you off and on wondering how you're doing? How are your ankles and feet, and how is your boy? 3 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 22, 2023 Author Share Posted July 22, 2023 Thank you for your concern. I hope your week improves. My son is recovering well. Which we are so grateful for. I am still very ill. Still have a fever of 39. I am so weak it is rediculous. I now have to rest up in little breaks for the simplest task like having a shower or brushing my hair. This will be the 12th day in a row of the fever. My ankles have gone down. 16 Quote Link to comment Share on other sites More sharing options...
Ausmumof3 Posted July 22, 2023 Share Posted July 22, 2023 35 minutes ago, Melissa in Australia said: Thank you for your concern. I hope your week improves. My son is recovering well. Which we are so grateful for. I am still very ill. Still have a fever of 39. I am so weak it is rediculous. I now have to rest up in little breaks for the simplest task like having a shower or brushing my hair. This will be the 12th day in a row of the fever. My ankles have gone down. Did the x-rays show anything at all? That’s a long time to be so ill. Quote Link to comment Share on other sites More sharing options...
kbutton Posted July 22, 2023 Share Posted July 22, 2023 45 minutes ago, Melissa in Australia said: I am still very ill. Still have a fever of 39. I am so weak it is rediculous. I now have to rest up in little breaks for the simplest task like having a shower or brushing my hair. This will be the 12th day in a row of the fever. My ankles have gone down. What are your options for getting medical attention? This would be worth and emergency visit here, especially after being essentially blown off by a primary care provider. 5 Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 22, 2023 Share Posted July 22, 2023 12 minutes ago, Ausmumof3 said: Did the x-rays show anything at all? That’s a long time to be so ill. I agree though there were times my large chest X-rays look normal but my blood tests (eosinophils, platelets count) were all wonky. OP, Is there urgent care to go to? 12 days of fever and fatigue would mean escalation to a higher ranking doctor in my country of origin. I would had gone to the emergency department and they would escalate for me. I would want pneumonia confirmed or ruled out. 6 Quote Link to comment Share on other sites More sharing options...
kbutton Posted July 22, 2023 Share Posted July 22, 2023 I would be worried about septic arthritis, rheumatic fever, or onset of an autoimmune condition at the very least. 1 Quote Link to comment Share on other sites More sharing options...
Katy Posted July 22, 2023 Share Posted July 22, 2023 Walking pneumonia doesn’t always show up on xray. Quote Link to comment Share on other sites More sharing options...
prairiewindmomma Posted July 22, 2023 Share Posted July 22, 2023 I would be concerned if at this point you haven’t had lab work to rule out kidney problems, signs of infection, etc. Australia doesn’t have much in the way of chikungunya or other vector borne disease like Lyme does it? That would be the next level of rule out tests before sending you on to rheumatology/immunology. Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 22, 2023 Author Share Posted July 22, 2023 45 minutes ago, Arcadia said: I agree though there were times my large chest X-rays look normal but my blood tests (eosinophils, platelets count) were all wonky. OP, Is there urgent care to go to? 12 days of fever and fatigue would mean escalation to a higher ranking doctor in my country of origin. I would had gone to the emergency department and they would escalate for me. I would want pneumonia confirmed or ruled out. Dh wanted to take me to emergancy today. But the local hospital doesn't have a doctor on weekends and I really can't face a 100 km drive to the next hospital and sit in emergancy for hours. I just don't have the strength for it. I will go see the local Doctor tomorrow. 11 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 22, 2023 Author Share Posted July 22, 2023 1 hour ago, Ausmumof3 said: Did the x-rays show anything at all? That’s a long time to be so ill. I don't know. My follow up appointment isn't until this coming Thursday. But I am going to go to the doctor tomorrow. I just feel so ill 9 Quote Link to comment Share on other sites More sharing options...
YaelAldrich Posted July 22, 2023 Share Posted July 22, 2023 I'm sorry your still feel poorly. I think I would arrange things so that you can go to emergency on Monday because you really shouldn't be feeling like this for so long without a proper diagnosis. 3 1 Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 23, 2023 Share Posted July 23, 2023 24 minutes ago, Melissa in Australia said: Dh wanted to take me to emergancy today. I’ll go tomorrow (Monday) to the emergency department at your local hospital. They could take X-rays there again if needed, do an echocardiogram if need to and lots of other testing there and have the reports out fast. 23 minutes ago, YaelAldrich said: I think I would arrange things so that you can go to emergency on Monday because you really shouldn't be feeling like this for so long without a proper diagnosis. It is Sunday in Australia so her tomorrow is Monday. I am suggesting she goes to the emergency on Monday instead of her doctor since emergency tends to have all the tests available under one roof. 6 1 Quote Link to comment Share on other sites More sharing options...
TexasProud Posted July 23, 2023 Share Posted July 23, 2023 Oh, Melissa. Hope you get to someone soon! That sounds miserable!!! You need to be soon ASAP 1 Quote Link to comment Share on other sites More sharing options...
Spryte Posted July 23, 2023 Share Posted July 23, 2023 I hope you can see the doctor very soon (tomorrow, even if emergency), and get some answers. Thinking of you. 1 Quote Link to comment Share on other sites More sharing options...
YaelAldrich Posted July 23, 2023 Share Posted July 23, 2023 24 minutes ago, Arcadia said: I’ll go tomorrow (Monday) to the emergency department at your local hospital. They could take X-rays there again if needed, do an echocardiogram if need to and lots of other testing there and have the reports out fast. It is Sunday in Australia so her tomorrow is Monday. I am suggesting she goes to the emergency on Monday instead of her doctor since emergency tends to have all the tests available under one roof. I'm in Tokyo so I'm only 30 minutes to 1.5 hours different than her. That's why I suggested Monday. She (or her DH) has time to set up what's needed to get away to the nearest emergency room since the tend to take forever. 1 1 Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 23, 2023 Share Posted July 23, 2023 5 minutes ago, YaelAldrich said: I'm in Tokyo so I'm only 30 minutes to 1.5 hours different than her. That's why I suggested Monday. She (or her DH) has time to set up what's needed to get away to the nearest emergency room since the tend to take forever. My experience with emergency room is that I can have my X-rays, blood work, etc. completed, go eat brunch at the hospital cafeteria, and the radiologist reports as well as most of the blood work results would be out for me to collect. 1 Quote Link to comment Share on other sites More sharing options...
Halftime Hope Posted July 23, 2023 Share Posted July 23, 2023 3 hours ago, Melissa in Australia said: Thank you for your concern. I hope your week improves. My son is recovering well. Which we are so grateful for. I am still very ill. Still have a fever of 39. I am so weak it is rediculous. I now have to rest up in little breaks for the simplest task like having a shower or brushing my hair. This will be the 12th day in a row of the fever. My ankles have gone down. I hope you are able to get all the care you need and start turning the corner. I'm sorry it's gone undiagnosed and untreated. Uggh. I'm so glad you're little guy is doing well! Keep us posted, or have your dh do so if you're not up to it! 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 23, 2023 Author Share Posted July 23, 2023 2 hours ago, Arcadia said: My experience with emergency room is that I can have my X-rays, blood work, etc. completed, go eat brunch at the hospital cafeteria, and the radiologist reports as well as most of the blood work results would be out for me to collect. That is not the experiance here 4 Quote Link to comment Share on other sites More sharing options...
Ausmumof3 Posted July 23, 2023 Share Posted July 23, 2023 4 hours ago, Melissa in Australia said: That is not the experiance here It is worth a call to Health direct? Although ime they mostly send you to a Dr/emergency anyway. Have you had either covid or covid vax recently? Quote Link to comment Share on other sites More sharing options...
KSera Posted July 23, 2023 Share Posted July 23, 2023 Hoping by this point you’ve seen the doctor today and that they’re getting to the bottom of it. 11 Quote Link to comment Share on other sites More sharing options...
Hannah Posted July 23, 2023 Share Posted July 23, 2023 Thinking of you Melissa. 1 1 Quote Link to comment Share on other sites More sharing options...
Rosie_0801 Posted July 23, 2023 Share Posted July 23, 2023 7 hours ago, KSera said: Hoping by this point you’ve seen the doctor today and that they’re getting to the bottom of it. It's heading towards 10am Monday morning, so she should be getting some attention by now. Quote Link to comment Share on other sites More sharing options...
KSera Posted July 24, 2023 Share Posted July 24, 2023 1 hour ago, Rosie_0801 said: It's heading towards 10am Monday morning, so she should be getting some attention by now. Oh thanks. Realizing I had my times all messed up earlier and thought it was much later. 2 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 24, 2023 Author Share Posted July 24, 2023 (edited) Sorry for my slow responding Still in urgent care Need to go to bigger hospital for Ct chest scan today. Emergancy Dr suspects from my other tests sarcoid. Aparently I will possably need to see an immunologist or someone like that After the Ct scan I am to go home and continue round the clock panadol, fluids and bedrest and see my regular GP on Thursday 😢 Edited July 24, 2023 by Melissa in Australia 1 16 Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 24, 2023 Share Posted July 24, 2023 If it is sarcoid, hope it is a mild case that is not permanent. Hope you are able to get lots of high quality rest when you reach home after your CT chest scan. The paracetamol with flu might work better than the generic paracetamol if you have some on hand. 1 Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted July 24, 2023 Author Share Posted July 24, 2023 Just had the Ct scan. The radiologist said he need to take me to the emergency dep at this hospital 21 Quote Link to comment Share on other sites More sharing options...
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