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Suggest Treatment For Lymphedema
Question: Hi, My mother has Lipidema and is in exruciating in her legs. She has alot of medical issues and is 90yo. Is there some kind of treatment available to her?
Brief Answer:
Please give additional information and post investigations and photos
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/90 (Mother) - lymphedema - excruciating in legs - lot of medical issues - wants to know whether some kind of treatment is available - Doctor suggested possibly 3 days of dialysis ...
Surely, yes. Treatment is available, depends upon the cause and the primary and secondary effects, the original cause of edema, confirmation of cause of edema and so on.
Please give some additional information for me to assist better:
Since when is the edema present?
Are the toes of feet involved or spared means toes are normal?
What are the medical conditions does she have and are these problems under control or not.
Any investigations?
What is the treatment being given?
Any other information that you can please share.
Also post clear and focused photos of affected area as these help in on-the-spot diagnosis in some cases.
With regards.
Please give additional information and post investigations and photos
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/90 (Mother) - lymphedema - excruciating in legs - lot of medical issues - wants to know whether some kind of treatment is available - Doctor suggested possibly 3 days of dialysis ...
Surely, yes. Treatment is available, depends upon the cause and the primary and secondary effects, the original cause of edema, confirmation of cause of edema and so on.
Please give some additional information for me to assist better:
Since when is the edema present?
Are the toes of feet involved or spared means toes are normal?
What are the medical conditions does she have and are these problems under control or not.
Any investigations?
What is the treatment being given?
Any other information that you can please share.
Also post clear and focused photos of affected area as these help in on-the-spot diagnosis in some cases.
With regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. Chandrakant,
Thank you for getting back to me. I hope this will be enough information.
The edema has been progressively worse since Oct. 2016. I don't think the toes are involved.Medical conditions: Pulmonary hypertension,CHF, Stage 4 renal failure,Diabetes, gout all under control I think. Also she has two prosthetic heart valves. (Aortic and Mitral). And last but not least A-Fib. I have pictures but don't know how to send them.As far as I know no investigations have been done and the only treatment she received was to increase the diuretics. Thank you for your help.N
Thank you for getting back to me. I hope this will be enough information.
The edema has been progressively worse since Oct. 2016. I don't think the toes are involved.Medical conditions: Pulmonary hypertension,CHF, Stage 4 renal failure,Diabetes, gout all under control I think. Also she has two prosthetic heart valves. (Aortic and Mitral). And last but not least A-Fib. I have pictures but don't know how to send them.As far as I know no investigations have been done and the only treatment she received was to increase the diuretics. Thank you for your help.N
Brief Answer:
As discussed in details below.
Detailed Answer:
If the toes are not involved at all, are of normal size in spite of edema of the legs an feet, this is most probably lymphedema and has no specific treatment as such.
Since your Mother has multiple problems as you have mentioned almost all of them can contribute to the edema/lymphedema along with other general factors like anemia, hypoproteinemia, deficiency of many vitamins, minerals and trace elements.
Ideally blood should be sent for all such tests and the deficiency should be treated as per the reports which may help to solve her problems.
Since she has sedentary life, it adds to the problems; ultrasonography with color doppler may be needed if varicose veins and such local problems are suspected or to be ruled out.
You may please attach the photographs with this query, you will find the slot for this.
As discussed in details below.
Detailed Answer:
If the toes are not involved at all, are of normal size in spite of edema of the legs an feet, this is most probably lymphedema and has no specific treatment as such.
Since your Mother has multiple problems as you have mentioned almost all of them can contribute to the edema/lymphedema along with other general factors like anemia, hypoproteinemia, deficiency of many vitamins, minerals and trace elements.
Ideally blood should be sent for all such tests and the deficiency should be treated as per the reports which may help to solve her problems.
Since she has sedentary life, it adds to the problems; ultrasonography with color doppler may be needed if varicose veins and such local problems are suspected or to be ruled out.
You may please attach the photographs with this query, you will find the slot for this.
Above answer was peer-reviewed by :
Dr. Kampana
Hi Dr. Chandrakant,
I have sent 3 photo attachments. I hope you receive them.
I have sent 3 photo attachments. I hope you receive them.
Brief Answer:
Please attach the photos again
Detailed Answer:
Please attach the photos again
Please attach the photos again
Detailed Answer:
Please attach the photos again
Above answer was peer-reviewed by :
Dr. Kampana
I uploaded 3 photos again
Brief Answer:
USG and venous color doppler can give the better diagnosis.
Detailed Answer:
Hi.
Thanks for your pictures.
There is swelling of the toes also.
Ultrasonography with venous color doppler of both lower limbs can give a better diagnosis. Please get this done. And also color doppler to be continued in the abdomen to see if there is any obstruction to the venous flow. This also gets the knowledge about the inguinal and intra-abdominal lymph node status.
USG and venous color doppler can give the better diagnosis.
Detailed Answer:
Hi.
Thanks for your pictures.
There is swelling of the toes also.
Ultrasonography with venous color doppler of both lower limbs can give a better diagnosis. Please get this done. And also color doppler to be continued in the abdomen to see if there is any obstruction to the venous flow. This also gets the knowledge about the inguinal and intra-abdominal lymph node status.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr.C,
I'm glad you got the photos. I will let my mother know about your suggestions and go from there. Thank you so much foe all of your help.
I'm glad you got the photos. I will let my mother know about your suggestions and go from there. Thank you so much foe all of your help.
Brief Answer:
Thanks for your appreciation.
Detailed Answer:
you are most welcome.
I will be happy to know the reports.
Thanks for your appreciation.
Detailed Answer:
you are most welcome.
I will be happy to know the reports.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I will by all means let you know. Many Thanks again!
Brief Answer:
Awaited
Detailed Answer:
I shall be waiting for the reports
Awaited
Detailed Answer:
I shall be waiting for the reports
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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