Guest guest Posted December 3, 2008 Report Share Posted December 3, 2008 Hello, I'd appreciate some help on this case: 56 yo overweight female cc: edema, dermatitis, occasional gas/bloating, constipation, menopausal symptoms (wt. gain, hot flashes, etc.) allergies, apnea. Married, professional woman with her own business. Dx'd as a child with rare blood clotting disorder "platelet release deficit." whereby spleen destroys platelets and white blood cells have a protein coating which causes them to be trapped in spleen (bone marrow production OK.) Chronic edema began 5 yrs ago, gradually has become worse. >seaside < afternoon. Limited exercise dt M/S (joint) pains. GI and menopausal symptoms have improved with naturopathic treatments. Rx Hx of compounded prometrium, Currently takes Calcium/Mg, K, Vit C/D plus Tx plan items. PE. Rust-like coloration B on both legs, +1/2 pitting edema, slight swelling B hands, slightly enlarged spleen, pulses spleen and liver out of balance, tongue pale with little coating, iridology thyroid, ovary, kidney Labs. ACTH stimulation slight "blip", but WNL according to endocrinologist at OHSU,Diagnostechs ASI cortisol low at all times except midnight (retest), first test showed out of ranges (high) at noon and 4:00, low salivary IgA, Borderline DHEA Abn on WBCs, platelets, etc. Liver enzymes WNL, High cholesterol, Chol/HDL 5.6, Glucose 127, TSH 2.260 thyroid antibodies WNL. US Biotek shows dairy, cranberry, sugar and slight wheat sensitivity. Tx over past five months-BTGs, Blood Type A Food Choices, lower glycemic index foods, UNDAs 1,20,258, 2, 20, 243, exercise, juniperus, thyroid support minerals, probiotics, B's, etc. No change in edema. I know there's an underlying endocrine issue --but I seem to be missing something on physiology. Your suggestions would be appreciated! Dr. Benton, Naturopathic Physician Vancouver, Washington http://www.countrydoc.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 2008 Report Share Posted December 3, 2008 Think about lymphatic congestion, since lymphatic system returns fluids/proteins from the capillaries directly into the interstitium. The blood disorder maybe related to the Liver (appears as though you have been focusing on that), but also do think Spleen or Heart.Perhaps, more kidney and/or CV drainage remedies. Is the pt gluten-free? Skin, allergies, AI-like condition of platelet and WBC destruction.Some thoughts.Dr. Igor N. Schwartzman Whole Family Wellness Center, LLC 2920 SW Dolph Court, Suite 2 Portland, OR 97219 www.wholefamilywellnesscenter.com This e-mail message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copy of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone and destroy the original and any copies of this e-mail. Subject: Re: Chronic Edema -QTo: Date: Wednesday, December 3, 2008, 10:10 AM Hello, I'd appreciate some help on this case: 56 yo overweight female cc: edema, dermatitis, occasional gas/bloating, constipation, menopausal symptoms (wt. gain, hot flashes, etc.) allergies, apnea. Married, professional woman with her own business. Dx'd as a child with rare blood clotting disorder "platelet release deficit." whereby spleen destroys platelets and white blood cells have a protein coating which causes them to be trapped in spleen (bone marrow production OK.) Chronic edema began 5 yrs ago, gradually has become worse. >seaside < afternoon. Limited exercise dt M/S (joint) pains. GI and menopausal symptoms have improved with naturopathic treatments. Rx Hx of compounded prometrium, Currently takes Calcium/Mg, K, Vit C/D plus Tx plan items. PE. Rust-like coloration B on both legs, +1/2 pitting edema, slight swelling B hands, slightly enlarged spleen, pulses spleen and liver out of balance, tongue pale with little coating, iridology thyroid, ovary, kidney Labs. ACTH stimulation slight "blip", but WNL according to endocrinologist at OHSU,Diagnostechs ASI cortisol low at all times except midnight (retest), first test showed out of ranges (high) at noon and 4:00, low salivary IgA, Borderline DHEA Abn on WBCs, platelets, etc. Liver enzymes WNL, High cholesterol, Chol/HDL 5.6, Glucose 127, TSH 2.260 thyroid antibodies WNL. US Biotek shows dairy, cranberry, sugar and slight wheat sensitivity. Tx over past five months-BTGs, Blood Type A Food Choices, lower glycemic index foods, UNDAs 1,20,258, 2, 20, 243, exercise, juniperus, thyroid support minerals, probiotics, B's, etc. No change in edema. I know there's an underlying endocrine issue --but I seem to be missing something on physiology. Your suggestions would be appreciated! Dr. Benton, Naturopathic Physician Vancouver, Washington http://www.countryd oc.com Quote Link to comment Share on other sites More sharing options...
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