मेरे पिताजी की आँखों के नीचे सूजन और सांस लेने में तकलीफ का कारण क्या हो सकता है, जब उन्हें डायबिटीज और हाई ब्लड प्रेशर है?

Question #30715

2 days ago

मेरे पिताजी की आँखों के नीचे सूजन और सांस लेने में तकलीफ का कारण क्या हो सकता है, जब उन्हें डायबिटीज और हाई ब्लड प्रेशर है?

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मेरे पिताजी 49 साल के हैं और उन्हें डायबिटीज और हाई ब्लड प्रेशर है। पहले उन्हें लिवर की समस्या भी रही है। वो मेटफॉर्मिन, वसंत कुसुमाकर रस, जीव आयुर्वेद की दवाइयाँ, कपिवा डिया फ्री जूस, और डाबर गिलोय नीम तुलसी जूस लेते हैं। पिछले 2-3 महीनों से उनकी आँखों के नीचे सूजन बढ़ रही है और पूरे दिन वैसी ही रहती है। कभी-कभी उन्हें सांस लेने में दिक्कत होती है। नवंबर 2025 में उनकी किडनी की जांच सामान्य थी। पहले उन्हें झागदार पेशाब होती थी, लेकिन अब नहीं होती। उनके पैरों में कोई सूजन नहीं है। इसका कारण क्या हो सकता है, और कौन-कौन से टेस्ट करवाने की जरूरत है?

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Doctors' responses

Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

1 day ago

Hello dear
See as per clinical history
Following findings are there
Rebound hyperglycemia
Uncontrolled diabetes
Chances of Insulin resistance
High blood pressure
Liver issues
Kidney issues rare
Iam suggesting some tests for confirmation
Please share the result with diabetologist or concerned physician only for better clarity
Please donot stop it take any medication without consulting the concerned physician
HbA1c
Serum ferritin
Serum insulin
Rft
Lft
Serum rbs
Ott
Bp evaluation
ECG
Serum troponin
Serum LDH
Albumin
Serum cck
D dimer
Crp
Hopefully you recover soon
Regards

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

1 day ago

Hello dear
Swelling under the eyes that has persisted for 2–3 months, especially in a person with diabetes, high blood pressure, and occasional shortness of breath, should be evaluated by a doctor. Although previous kidney tests were normal, kidney disease can develop over time, and early diabetic kidney disease may not always be obvious on routine testing.
Possible causes include kidney disease with protein loss in the urine, heart-related fluid retention, liver disease causing low blood protein levels, thyroid disorders, medication effects, allergies, or simply age-related changes around the eyes. The associated shortness of breath makes heart and kidney causes more important to rule out.
I would recommend seeing his physician for an examination and tests including:
* Kidney function tests (creatinine, urea, electrolytes)
* Urine routine examination and urine albumin/protein-to-creatinine ratio
* Liver function tests including albumin
* Complete blood count
* Thyroid function tests
* Blood pressure and diabetes review (including HbA1c)
* Chest X-ray and ECG
* An echocardiogram may also be needed if heart failure is suspected
Because he has a history of liver problems and is taking multiple herbal/Ayurvedic products, it is important for his doctor to review all medications and supplements, as some herbal preparations can affect the liver, kidneys, or interact with prescribed medicines.
If the shortness of breath is worsening, occurs at rest, is associated with chest pain, or he develops new swelling of the legs, he should seek urgent medical attention.
Take care
Feel free to reach out

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

1 day ago

The combination of progressive swelling under the eyes for 2–3 months, diabetes, high blood pressure, a history of liver problems, and occasional shortness of breath warrants a medical evaluation. Although kidney tests were reportedly normal in November 2025, kidney disease related to diabetes can develop or worsen over time, and under-eye puffiness can sometimes be an early sign of fluid retention from kidney disease, even before leg swelling appears. Other possibilities include protein loss in the urine, heart-related fluid retention, liver disease, thyroid disorders, allergies, medication effects, or sleep-related issues.
Given his history, the most important tests would include:
Kidney function tests (serum creatinine, urea, eGFR)
Urine routine examination and urine albumin/protein test (including urine albumin-to-creatinine ratio)
Liver function tests (LFTs) and blood protein/albumin levels
Blood pressure and blood sugar assessment (HbA1c)
Complete blood count (CBC)
Thyroid function tests (TSH, Free T4)
If shortness of breath is significant, a chest X-ray, ECG, and possibly an echocardiogram may be needed to assess heart function.
It is also important that his doctors know about all medications and supplements he is taking, including Ayurvedic products, since some herbal preparations can occasionally affect the kidneys, liver, or fluid balance.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

1 day ago

Hello,
The combination of progressive swelling under the eyes for 2–3 months and intermittent shortness of breath in a 49-year-old man with diabetes and hypertension deserves medical evaluation and should not be attributed to aging or fatigue alone.
The most important possibilities include:
1. Kidney disease (even if previous tests were normal)
Diabetes and high blood pressure are two of the most common causes of kidney disease.
Early kidney disease can cause:
Puffiness around the eyes, especially in the morning
Protein leakage in urine
Fluid retention
Later, swelling in the legs and shortness of breath
Normal kidney tests several months ago do not completely rule this out, especially if symptoms have developed since then.
2. Heart-related fluid retention
Shortness of breath together with facial puffiness raises concern about possible heart involvement.
Diabetes and hypertension increase the risk of:
Heart failure
Reduced heart pumping function
Fluid accumulation
Not everyone develops leg swelling initially.
3. Low blood protein levels
This can occur due to:
Kidney protein loss
Liver disease
Nutritional issues
Low albumin levels can cause swelling around the eyes.
4. Liver disease
Since he has a history of liver problems, liver function should be reassessed, although isolated under-eye swelling is less typical than abdominal swelling or leg swelling.
5. Medication or supplement-related effects
It is important to review all medications and supplements, including Ayurvedic preparations.
Some herbal or traditional medicines may:
Affect kidney function
Affect liver function
Contain heavy metals or substances that contribute to fluid retention
Recommended tests
I would suggest the following:
Kidney evaluation
Serum creatinine
Blood urea (BUN)
eGFR
Urine routine examination
Urine albumin-to-creatinine ratio (ACR) or urine protein
Diabetes evaluation
HbA1c
Fasting blood glucose
Liver evaluation
Liver function tests (LFTs)
Serum albumin
Heart evaluation
ECG
Echocardiography (if shortness of breath is significant)
Chest X-ray
General
CBC
Blood pressure monitoring
Important questions
Is the shortness of breath mainly during exertion, lying down, or even at rest?
Does he wake up at night feeling breathless?
Is the swelling worse in the morning?
What are his recent blood pressure and blood sugar readings?
Given the history of diabetes, hypertension, increasing facial swelling, and shortness of breath, I would prioritize evaluating kidney function and heart function, even if previous kidney tests were normal.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

1 day ago

Hello
Thank you for sharing these details about your father. Swelling under the eyes (periorbital edema), especially in someone with diabetes, high blood pressure, and a history of liver problems, deserves careful attention—especially since it’s persistent and sometimes accompanied by shortness of breath.
### Possible Causes
- Kidney issues: Even if previous tests were normal, diabetes and high BP can affect kidneys over time. Swelling under the eyes is a classic early sign of kidney problems.
- Heart issues: Shortness of breath and swelling can sometimes point to heart function problems, especially in people with high BP.
- Liver issues: Past liver problems can sometimes recur or worsen, leading to fluid retention.
- Other causes: Allergies, thyroid issues, or side effects from medications.
### What to Do Next
Recommended Tests:
1. Kidney function tests: Serum creatinine, blood urea, urine protein (spot urine protein/creatinine ratio or 24-hour urine protein), and urine routine.
2. Liver function tests: To check for any recurrence or worsening of liver issues.
3. Heart evaluation: ECG and echocardiogram (if shortness of breath is significant or worsening).
4. Blood pressure monitoring: Regular checks.
5. Blood sugar control: Fasting and postprandial blood sugar, HbA1c.
6. Thyroid function test: To rule out hypothyroidism.
What to Watch For:
- If swelling increases, spreads to legs, or if shortness of breath worsens (especially at rest or lying down), seek medical attention promptly.
Next Steps:
- Please consult a physician (preferably a nephrologist or general physician) with these symptoms and test results.
- Continue his current medications as prescribed, but inform his doctor about all ayurvedic and herbal supplements.
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

6 hours ago

Given the symptoms your father is experiencing, coupled with his medical history of diabetes, hypertension, and liver issues, it would be crucial to consider several possibilities. Swelling under the eyes and shortness of breath could be signs of fluid retention, potentially suggesting issues with the kidneys, heart, or liver. Although his kidney tests were normal in November 2025, it might be prudent to retest, especially considering the symptoms and his diabetes. Diabetes can lead to kidney damage (diabetic nephropathy), and high blood pressure can contribute to this risk. The swelling and short of breath should make evaluating heart function crucial as well, since heart failure can present with these symptoms and may be associated with fluid accumulation. Liver problems can also cause fluid retention, so a liver function test would be beneficial to assess any potential deterioration. For a comprehensive assessment, consider getting a complete metabolic panel, including renal function tests (like serum creatinine and blood urea nitrogen) along with liver function tests. An echocardiogram might be valuable to look at heart function if not recently done. A complete blood count can help rule out anemia or other blood disorders that might explain the shortness of breath. Consulting your father’s healthcare provider for a thorough clinical examination and targeted investigations would be advisable. It’s also wise to review his current medication regimen for any side effects or interactions, especially considering the mix of allopathic and Ayurvedic remedies he’s taking. Ensure no medication is contributing to these symptoms. Addressing such symptoms promptly with professional guidance will be central to preventing complications.

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