Hard to diagnose the correct disease or problem

[nomankhan1976]

i was in good health but for the past 2 weeks, my face is swelling, voice is harder/changed, chewing problem, breathing problem especially at night, a few test diagnosed that blood pressure is high, uric acid is 7.4, potassium is increased a bit, and a little urine infection, im taking medicines for a week, but my breating problem is really upsetting me, i cant speep at night, pls advise. right now im taking follwoing medicines,
LEVORT 500MG
PIROXIROWN 20MG
ZYLORIC 300MG

your urgent help would really help me out diagnoses of my disease. thanks

[nomankhan1976]

thanks for the reply. i took a further test of TSH which diagnosed that my TSH is 75% whereas the range is 0 - 4%, pls hlep me out what to do now.

thanks

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Sinusitis involving the frontal and maxillary sinus can cause facial swelling that goes down with antibiotics. You need to get the X-rays of the sinuses along with probably a CT scan. If the sinuses are really filled with a lot of fluid, it would need to be drained.
The swelling could also be due to water retention as in low protein in blood, kidney problems, severe anemia etc. There are chances that you have a kidney problem too—say an infection that responds to antibiotics. A kidney function test and a urine examination is a must.
It could be due to hypothyroidism too. An autoimmune thyroid disease can be detected by doing a microsomal antibody tests. Diabetes Mellitus too can cause similar symptoms. The diagnosis and further tests will depend on whether the swelling is a pitting edema (causes a dent on pressure) or a non pitting edema.
All these conditions can cause a change in voice too. It can be an allergic reaction to the medications.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP for primary examination followed by proper referral. Take care!