How Can Painful Swollen Feet With Small Red Splotches And Burning Sensation Be Treated In An Obese Woman?

Posted on Fri, 18 Oct 2019

Question: I have leg pain and feet swelling with small red splotches and burning in feet
just started after husband passed and I noticed I have higher blood pressure 140/75

I am over weight gained to 200 then after husband passed I now have lost 25lbs. so far I am trying to watch myself with salt but it seems all the food I buy has salt
I work at a pharmacy and I don't want to take supplements I've never smoked and I don't drink but on occasion my husband was a smoker and he died from lung cancer and copd.

Answered by Dr. Sagar Makode (12 minutes later)

Brief Answer:
Need to get venous Doppler of lower limb

Detailed Answer:
Hello,
Thanks for asking,

Considering your age and profession, the first possibility is of varicose veins. Do you have any visible dilated veins over the leg, if yes then it supports the diagnosis. So an Ultrasound Doppler-scan should be done to rule out or rule in the cause.

Another possibility is of heart issues or age-related edema of feet. If ultrasound is normal then you should get ECG and echo done to look for a cause.

So at present, if possible try to rest in between. Elevate your legs especially at bedtime. Have low salt diet for edema. You should get prescribed tab Torsemide 5 mg at 8am for edema.

Also, please try to have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmHg, then you should be on medicines for it. Get your lipid profile and sugars tested once.

Hope this helps you. Please get back if you have any doubts.
Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee