35yr male with c/o abdominal swelling

November 30, 2023

35yr male with c/o abdominal swelling

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A 35 year old male from Miryalaguda came to general medicine OPD with chief complaints of swelling in feet 2 months and tightness in abdomen since 2days

Tingling sensation,cought since 1 week , difficulty in intake of food.

History of presenting illness:

Patient was apparently asymptomatic 2 months back then he developed edema in lower limbs which is insidious in onset gradual in progression and pitting type and then he developed

Tightness in abdomen insidious onest gradual progression

h/o nausea ,tiredness and tingling sensation after eating food

No h/o vomiting, pain abdomen

H/o cough non productive type , because of cough he was having discomfort in food and water intake while swallowing.

Past history:

3 yrs back he was diagnosed with jaudince when he went to local hospital with complaints of yelloish discoloration of eyes from then he stoped working

1 year ago he developed abdominal swelling and pedal edema he consulted local doctor and told that there is problem in liver stop alcohol consumption

2 months back patient had distended abdomen feet swelling went to local hospital there he had tingling sensation and numbness hiccups also then they kept him in ICU for 2 days ,later he was referred to Kims

Here his bilirubin levels raised and diagnosed decompensated liver disease lasix was prescribed He was adviced for weekly checkup

N/K/C/O : Diabetesmellitus, Asthma , epilepsy, thyroid disorders, Hypertension

Personal history:

Patient now wakes up at 4 am , then walking in home for 1 hr

Have breakfast dosa or idli , because of difficulty in swallowingfood since 2 days , he preferred not to eat anything again also due to ritual thing

In evening he drinks jawa

Appetite is reduced

consumes mixed diet

Sleep disturbance since 2 years wakes up during sleep sometimes sleeps for 4 to 5 hrs and watches tv if he don't get sleep

Bowel and bladder movement are regular

Addiction for alcohol intake since 10 years intitially once a week and then it became 4 to 5 times a week of 1 quarter whisky 180ml every time

(stopped from 5 months in his words )