19 yr old has had fever on and off x 1 month, dizziness, severe nausea, arm, leg, abdominal puffiness, general ill feeling

I think: it is time to call your doctor and see him or her. There are a number of conditions that may cause these symptoms to go on past the usual history of the common infectious disease and should be sorted out soon.

Kidney disease : Medullary sponge kidney is a benign congenital disorder characterized by dilatation of collecting tubules. This may place you in risk for a urinary tract infection . You would need to consider the possibility of a urinary tract infection due to this condition. You may be festering a sub clinical urinary tract infection . I would strongly suggest you seek medical care ASAP.