question: Please advise if these symptoms would cause kidney problems and what they could be? and how soon I should look for exam? I had MRI brain looking for tumor or stroke all negative they were not causing facial swelling.  nausea/vomiting, skin rash, unilateral eyelid ptosis, upper lip swelling, dental abscess extracted, difficulty swallowing.  HCTZ seemed to increase swelling in my fingers so I discontinued it after two days.  lab results have shown low bicarbonate 22,  low vitamin d hydrox-25 at a level of 65, high blood pressure, problem with eyes (eye doc suggested cholesterol might be high but has been normal) and I can SEE urinary casts in the toilet bowl moving around (they look like transparent cigar like shape).