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Suggest Treatment For Swollen Legs
Question: 64 WHITE MALE NORMAL WHT 275 6 FT IN 3 WEEK WEIGHT HAS JUMPED TO 320 --BOTH LEGS SWOLLEN CANNOT DO STAIRS--(PLUMBER) OR LADDERS. TAKING BYSTOLIC FOR BP. ACTIVE WORKING 30 HRS PLUS PER WEEK. ALCHOL INTAKE FOUR BEER PER EVENING. MOTHER HAD CELLULOTUS. HAD HEART SCAN LAST WEEK CHECKED OUT O.K. BLOOD PRESSURE 133/90.
BLOOD OZYGEN AVERAGES MID 80 DAY I USE CONCENTRATOR AT NIGHT-- WILL DROP TO 60 S -WITHOUT SUPLAMENTAL OXYGEN. ALSO TAKEN LASEX AND POTASSIUM SUPPLAMENT--WITH KEFLEXEN ANTI BIOTIC.
NON SMOKER --STOPPED 2000. DIANOSED WITH CHEMICAL PNEUMONIA
FALL 2013 CAUSED BY EXTENDED EXPOSURE TO CLEANING SOLUTION BEING USED TO CLEAN UP DRAINAGE SPILL IN A CUSTOMERS BASEMENT.
OCCASIONALLY SOME DRAINING THRU SKIN ON OLD SCARS ETC.
BLOOD OZYGEN AVERAGES MID 80 DAY I USE CONCENTRATOR AT NIGHT-- WILL DROP TO 60 S -WITHOUT SUPLAMENTAL OXYGEN. ALSO TAKEN LASEX AND POTASSIUM SUPPLAMENT--WITH KEFLEXEN ANTI BIOTIC.
NON SMOKER --STOPPED 2000. DIANOSED WITH CHEMICAL PNEUMONIA
FALL 2013 CAUSED BY EXTENDED EXPOSURE TO CLEANING SOLUTION BEING USED TO CLEAN UP DRAINAGE SPILL IN A CUSTOMERS BASEMENT.
OCCASIONALLY SOME DRAINING THRU SKIN ON OLD SCARS ETC.
Brief Answer:
Evaluation for generalised edema is needed
Detailed Answer:
Hi, thanks for posting the concern in HCM. From your query I can make out that you have a significant weight gain along with bipedal edema. This is suggestive that due to some reason you have increased and abnormal collection of fluid outside your blood vessels.
Now, the cause need to be evaluated.
As you are a known alcoholic, your liver function may get deranged. Even a chronic kidney disease may also set in a known hypertensive patient with poor control. Cardiac activity and total albumin and A/G ratio also need to be checked.
I couldn't make out what is cardiac scan- It may be ECG, or echocardiography or something else.
So, I would order the following investigations:
Complete blood count, urea, creatinine, electrolytes, LFT
Echocardiography (if not done in last 6 months.)
USG whole abdomen
Urine RE
Colour doppler of lower limb blood vessels (both artery and vein).
You should continue taking antihypertensive and potassium supplement. Dose of lasix may need to be increased or torsemide (Dytor) may be started instead of lasix after consulting a local doctor.
You should consult your local physician at the earliest for a clinical evaluation too.
You may write back with reports for a more precise answer or advice.
Regards.
Evaluation for generalised edema is needed
Detailed Answer:
Hi, thanks for posting the concern in HCM. From your query I can make out that you have a significant weight gain along with bipedal edema. This is suggestive that due to some reason you have increased and abnormal collection of fluid outside your blood vessels.
Now, the cause need to be evaluated.
As you are a known alcoholic, your liver function may get deranged. Even a chronic kidney disease may also set in a known hypertensive patient with poor control. Cardiac activity and total albumin and A/G ratio also need to be checked.
I couldn't make out what is cardiac scan- It may be ECG, or echocardiography or something else.
So, I would order the following investigations:
Complete blood count, urea, creatinine, electrolytes, LFT
Echocardiography (if not done in last 6 months.)
USG whole abdomen
Urine RE
Colour doppler of lower limb blood vessels (both artery and vein).
You should continue taking antihypertensive and potassium supplement. Dose of lasix may need to be increased or torsemide (Dytor) may be started instead of lasix after consulting a local doctor.
You should consult your local physician at the earliest for a clinical evaluation too.
You may write back with reports for a more precise answer or advice.
Regards.
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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