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Published on: 2/10/2026

Amyloidosis in Women 65+: Early Signs You Shouldn’t Ignore

Early signs in women 65+ can include persistent fatigue and unexplained weight loss. Also watch for shortness of breath, leg or ankle swelling, irregular heartbeat, foamy urine or puffiness around the eyes, numbness or tingling or new carpal tunnel in both hands, digestive changes, easy bruising, or an enlarged tongue, especially when several occur together. There are several factors to consider, and early evaluation can protect the heart, kidneys, and nerves; see below for the full list of red flags, what makes amyloidosis easy to miss, how it is diagnosed, when to seek urgent care, and practical next steps to take with your doctor.

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Explanation

Amyloidosis in Women 65+: Early Signs You Shouldn't Ignore

Amyloidosis is a rare but serious condition that most often affects adults over 60. For women aged 65 and older, it can be especially difficult to recognize early because its first symptoms often look like normal aging or common chronic conditions. Understanding Amyloidosis, knowing the early warning signs, and acting promptly can make a meaningful difference in outcomes.

This guide explains Amyloidosis in clear, practical language, focusing on what older women and their families should know—without unnecessary alarm, but with honesty about why attention matters.


What Is Amyloidosis?

Amyloidosis is a disease in which abnormal proteins, called amyloid, build up in tissues and organs. Over time, these protein deposits interfere with how organs work. Amyloidosis can affect one organ or several at the same time.

Organs commonly involved include:

  • Heart
  • Kidneys
  • Nerves
  • Digestive system
  • Liver
  • Skin

There are different types of Amyloidosis, but the most common in older adults include:

  • AL (light-chain) Amyloidosis – often related to bone marrow disorders
  • ATTR Amyloidosis – can be inherited or age-related
  • AA Amyloidosis – linked to long-term inflammatory diseases

Age-related ATTR Amyloidosis, sometimes called "wild-type," is increasingly recognized in adults over 65 and may be underdiagnosed in women.


Why Amyloidosis Can Be Hard to Detect in Older Women

Amyloidosis is often called a "master of disguise." Many early symptoms overlap with common conditions such as arthritis, heart disease, diabetes, or simple aging. Women may also experience:

  • Slower or subtler symptom progression
  • Symptoms attributed to menopause or aging
  • Delays in diagnosis due to overlapping health issues

Because of this, Amyloidosis is frequently diagnosed later than ideal—when organ damage is more advanced.


Early Signs of Amyloidosis You Shouldn't Ignore

Not everyone experiences the same symptoms, but patterns matter. The following signs are worth discussing with a healthcare provider, especially if they appear together or worsen over time.

General Symptoms

  • Ongoing fatigue that doesn't improve with rest
  • Unexplained weight loss
  • Feeling weak or less physically capable than expected

These symptoms are common in many conditions, but persistent or unexplained changes deserve attention.


Heart-Related Symptoms

Amyloidosis affecting the heart (cardiac Amyloidosis) is increasingly recognized in women over 65.

Watch for:

  • Shortness of breath, especially with mild activity
  • Swelling in the legs, ankles, or feet
  • Irregular heartbeat or palpitations
  • Dizziness or fainting

These symptoms are often mistaken for heart failure or aging-related heart changes, but Amyloidosis may be an underlying cause.


Kidney-Related Symptoms

Kidney involvement is common in Amyloidosis.

Possible signs include:

  • Swelling in the legs or around the eyes
  • Foamy or bubbly urine (a sign of protein in urine)
  • Needing to urinate more or less often
  • Gradual decline in kidney function on blood tests

Kidney symptoms may progress quietly, making routine lab work especially important.


Nerve and Muscle Symptoms

Amyloidosis can affect peripheral nerves, leading to:

  • Numbness or tingling in hands or feet
  • Burning or shooting pain
  • Weakness or trouble with balance
  • Carpal tunnel syndrome, especially in both wrists

Carpal tunnel syndrome appearing later in life—particularly when it affects both hands—can be an early clue.


Digestive and Nutritional Symptoms

Some women experience digestive system involvement, including:

  • Chronic diarrhea or constipation
  • Early fullness or loss of appetite
  • Difficulty swallowing
  • Unintentional weight loss

These symptoms are often attributed to other gastrointestinal conditions, but persistent issues warrant further evaluation.


Skin and Other Physical Changes

Less common but notable signs include:

  • Easy bruising
  • Thickened or waxy skin
  • Purple discoloration around the eyes
  • Enlarged tongue

While these signs are not always present, they can be important diagnostic clues.


When Symptoms Seem Mild but Add Up

One symptom alone may not raise concern. However, Amyloidosis often shows up as several small problems affecting different parts of the body at the same time. For example:

  • Fatigue + swelling in the legs
  • Carpal tunnel syndrome + shortness of breath
  • Kidney changes + unexplained weight loss

If you recognize this pattern, you can check your symptoms using a free AI-powered Amyloidosis symptom checker to help determine whether your concerns warrant a medical evaluation and to prepare for a more informed conversation with your doctor.


Why Early Detection Matters

Amyloidosis is a progressive condition. Without treatment, organ damage can worsen over time. The good news is that medical understanding and treatment options have improved significantly in recent years.

Early diagnosis may:

  • Slow disease progression
  • Protect organ function
  • Improve quality of life
  • Expand treatment options

Even when Amyloidosis cannot be cured, managing it earlier can make a real difference.


How Amyloidosis Is Diagnosed

Diagnosis typically involves a combination of:

  • Blood and urine tests
  • Imaging studies (such as heart scans)
  • Biopsy of affected tissue
  • Genetic testing (in some cases)

Because Amyloidosis is rare, diagnosis often requires referral to specialists such as cardiologists, nephrologists, or hematologists.


What Women 65+ Can Do Now

You don't need to assume the worst—but being informed is empowering.

Consider these practical steps:

  • Keep track of ongoing or unexplained symptoms
  • Ask your doctor about changes that don't fit your usual health pattern
  • Bring a written symptom list to appointments
  • Ask whether Amyloidosis has been considered if multiple organs are involved

If you're unsure how your symptoms fit together, using an AI-powered Amyloidosis symptom checker can help you organize your concerns and identify whether further medical evaluation may be appropriate.


A Calm but Important Reminder

Amyloidosis is uncommon, and many people with similar symptoms do not have it. Still, it is serious and often overlooked—especially in older women. Paying attention to your body and asking thoughtful questions is not overreacting; it's good healthcare.


Speak to a Doctor

If you or someone you care for has symptoms that could be serious or life-threatening—such as worsening shortness of breath, severe swelling, fainting, or rapid decline in health—speak to a doctor as soon as possible. Prompt medical evaluation is essential.

Amyloidosis may be rare, but awareness saves time, protects health, and supports better outcomes.

(References)

  • * Stone JR, Pahuja M, Ajithkumar A, Nattel M, Naim N, Sherif S, Dubin R, Bokhari S. Recognizing Transthyretin Amyloid Cardiomyopathy in Women: An Underdiagnosed and Underrepresented Population. J Card Fail. 2022 May;28(5):811-820. PMID: 34793910.

  • * D'Souza R, Dweck MR, Dungu JN, Dronamraju N, Garg P, Harkness A, Lachmann H, Lattimore G, Martinez-Naharro A, Whelan CJ, Wechalekar AD, Gillmore JD, Fontana M, Huttin O. Sex-Specific Differences in Clinical Presentation and Outcomes in Transthyretin Amyloid Cardiomyopathy. Circulation. 2021 May 11;143(19):1889-1899. PMID: 33596660.

  • * García-Pavía P, García-González C, García-Ortiz A, De Teresa E, Mazón P, Barrientos-Parejo N, Lara-Padrón A, de la Fuente-Fernández A, Ortiz-Fernández R, Martínez-Naharro A, De la Espriella R, Fontana M. Sex-related differences in amyloid cardiomyopathy due to transthyretin. Eur J Heart Fail. 2020 Dec;22(12):2249-2258. PMID: 32662283.

  • * D'Souza R, D'Souza S, Nordin S, Dungu JN. Prevalence of wild-type transthyretin amyloidosis in older patients with heart failure with preserved ejection fraction: a systematic review and meta-analysis. J Am Geriatr Soc. 2021 Jun;69(6):1604-1617. PMID: 33611728.

  • * Gertz MA. Amyloid light-chain amyloidosis: an update. Hematology Am Soc Hematol Educ Program. 2021 Dec 10;2021(1):640-646. PMID: 34882046.

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