Idiopathic edema

Introduction Idiopathic edema, this type of edema is an unknown cause or the cause has not been determined (there may be more than one). The syndrome has a large change in weight within one day. The early morning fasting and nighttime bedtime weight difference (day weight difference) is better than normal. There is a lot of difference, the normal person's daily weight difference is more than 1kg, and the sick person is often more than 1.5kg, more common in women, often related to the periodicity of menstruation.

Cause

It occurs almost exclusively in women, mainly in the sagging part of the body. The reason is unknown. Some patients with microvascular dysfunction may have systemic pain like rheumatism after standing for a long time. It is considered to be caused by abnormal reaction of endocrine disorders and straight steric position. The vertical position water test is helpful for diagnosis. When you wake up in the evening before going to bed, your weight gains. After a night of sleep, the edema disappears and your weight is reduced.

an examination

Related inspection

Urine routine triiodothyronine uptake rate

Medically known as idiopathic edema. The mechanism of this disease is still not very clear, but most scholars believe that it may be related to mental and autonomic disorders. Edema is often a reminder of certain diseases, such as nephrotic edema, which is characterized by eyelid edema and urinary routine. The edema caused by cardiac insufficiency is in the lower limbs, most of which are accompanied by symptoms of shortness of breath and shortness of supine; Patients with mucinous edema, showing rough skin, cold, and slow heart rate; liver disease edema is more common in cirrhosis ascites. Excluding these common causes is idiopathic edema, which is still unknown.

Idiopathic edema is more common in women of childbearing age between 30 and 50 years old, mostly in women with emotional instability, related to mental stimulation, excessive fatigue, irregular menstruation and so on. In recent years, with the increase of mental stress brought about by social competition, the incidence rate is on the rise. The patient was diagnosed with edema, but the examination showed no problems. The clinical manifestations were depression and edema in the lower extremities and ankles, or no obvious edema, and conscious swelling of the limbs and face. The patient has less urine in the daytime and more urine in the nighttime. The body weight before nighttime sleep is 1~1.5kg more than in the morning. Some patients are associated with varying degrees of obesity, chest tightness or facial hyperthermia, irritability and so on.

1, edema or edema: common in women after puberty, more in the standing position or in the afternoon, there are depressions in the foot, sputum, and sputum, and some patients have morning eyelids, facial edema, swelling of the upper extremities; The occurrence of edema in patients is associated with a hot climate or menstrual cycle. When you wake up in the evening before going to bed, your weight gains. After a night of sleep, the edema disappears and your weight is reduced.

2. Obesity: About half of patients with idiopathic edema have obesity, and edema further increases the weight of the patient.

3, headache: due to intracranial edema can lead to headaches.

4. Some patients with microvascular dysfunction may experience systemic pain like rheumatism after standing for a long time.

5, can appear upright hypotension, autonomic dysfunction.

Differential diagnosis

Differential diagnosis should be made with symptoms caused by various causes:

1. Drug-induced edema: Drug-induced edema refers to the imbalance of body fluids caused by the clinical application of certain drugs, body fluids remain in the interstitial space and systemic or local swelling occurs.

2. Cardiogenic edema: Cardiogenic edema: common in congestive heart failure, acute or chronic pericarditis.

3. Hyperthermia edema: High temperature edema: In the hot summer, mild edema of the hands and feet often occurs after outdoor activities.

4. Hepatogenic edema: hepatic edema: decompensated cirrhosis edema mainly manifested as ascites, but also the first edema of the ankle, accompanied by liver palm, spider mites, liver pain, fatigue, dark complexion, dark complexion Loss of appetite, fullness after eating, nausea, vomiting, symptoms of portal hypertension.

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