Facial area puffy, abdomen sore, tender. Are symptoms related. Possible cause?
Patient: Two days ago my husband woke up and noticed his entire facial area was puffy.  Although it is less puffy today, it is still noticeable today, it seems to be better.  To add to this, today he has felt some soreness in his upper left abdomen just under the rib cage.  If he applies pressure to the area it is somewhat tender to the touch.  Do the two have anything to do with each other and what may be causing this? Doctor: Hello,Welcome to Healthcaremagic.Both Puffiness of face and left upper quadrant abdominal pain may or may not be relates.because puffiness of face may be seen in allergies and kidney diseases.Left upper abdominal may be either from heart cause like Heart attack, angina etc.Some other causes are Splenic causes ie. ruptured spleen, splenic abscess.Kidney causes are renal infection, stones or chronic or acute renal failure etc.Even gastric problem can be a cause.Since the facial puffiness decreases in one or two days most probably allergy or kidney problem could be the cause.Please do an ECG and X ray chest to ruleout Heart and lung disease.We have to do Ultrasound abdomen, blood urea , creatinine, and urinalysis to rule out kidney disease.As tenderness is in left upper quadrant, apleen may be involved. Check for  hemoglobin and other RBC parameters and Peripheral smear for RBC details.Hope this helps.Take care.Regards,Dr.Manjeth.