Weird Symptoms

Hi all.

I’m a 31 F that’s been experiencing some issues that seem to be ramping up quickly.

-Rapid, uncontrollable weight gain; initially started a year ago, but I plateaued after about a 15 pound increase in 3 months. However, over the past month and a half I’ve gained another 10 pounds. -Swelling: it’s prominent in my arms throughout the day, though I also wake up with my hands swollen like sausages. The hands tend to go away once I get up and moving for the day. I do also have swelling in my feet that waxes and wanes. -Webbing? I’m noticing more and more spider veins, I believe. In my legs, though I recently noticed some under each armpit. -Random sugar drops: happens often over night, but yesterday it happened during the day and was accompanied by a brand new symptom that I had to Google (and found that it was associated with blood sugar): tongue tingling. Most commonly I just get really really hot and shaky (if/when it happens) -Absolute exhaustion/fatigue/malaise

The only other thing to note is that in the past year, and despite being on birth control, I’ve developed melasma. I mention this because I know it’s associated with hormonal changes. I do have a familial history of hypothyroidism, but my tests always come back normal (except I do have the antibodies- last time it was checked several years ago, I was already like 10x the normal limit). I’ve also been tested for diabetes in recent months, and that’s also not it.

Given this, where should I go? Urgent care? ER? Any idea what could be going on? I ask because it seems like things are getting worse, especially with the sugar drop yesterday, and my PCP is 850 miles away. I’m in MA but can easily access nearby states, especially NH.

Any and all help is appreciated!