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Suggest Treatment For Swollen Feet, Ankles And Lower Legs

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Posted on Tue, 4 Nov 2014
Question: I have swollen feet, ankles, and lower legs. This has been diagnosed at least once as Peripheral Edema. I am now taking Furosemide and Gabapentin for this condition...Without much help. Please help direct me toward better treatment.
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Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Have Doppler / Try Stockings...

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

Appropriate treatment demands accurate diagnosis, which in turn may need consultation again and investigations…

The treatment depends on the cause.

If the swelling is restricted to one side – the cause is local.

On both sides – it is a systemic (generalised) cause / the usual reasons are the heart, kidney, liver, low protein… these problems are almost always associated with other symptoms and signs, that can point out to it.

You have not mentioned anything else – you do not seem to have any other issue
So, the most likely cause is Chronic Venous Insufficiency – incompetence of the veins in the lower extremity or even higher up in the abdomen. The valves become incompetent from degeneration and is common with age
A Doppler study is necessary to evaluate it.
If so, graduated elastic compressions stockings can help / rarely, surgery for an obstruction may be feasible…
Have a second opinion (vascular Surgeon) and get investigated

Take care
Good luck
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For Swollen Feet, Ankles And Lower Legs

Brief Answer: Have Doppler / Try Stockings... Detailed Answer: Dear friend, Welcome to Health Care Magic Appropriate treatment demands accurate diagnosis, which in turn may need consultation again and investigations… The treatment depends on the cause. If the swelling is restricted to one side – the cause is local. On both sides – it is a systemic (generalised) cause / the usual reasons are the heart, kidney, liver, low protein… these problems are almost always associated with other symptoms and signs, that can point out to it. You have not mentioned anything else – you do not seem to have any other issue So, the most likely cause is Chronic Venous Insufficiency – incompetence of the veins in the lower extremity or even higher up in the abdomen. The valves become incompetent from degeneration and is common with age A Doppler study is necessary to evaluate it. If so, graduated elastic compressions stockings can help / rarely, surgery for an obstruction may be feasible… Have a second opinion (vascular Surgeon) and get investigated Take care Good luck