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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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87 Years. Obese, High BP, Swelling In Legs, Inactive. Little Help From Water Pills. Visit To Doctor Required?

my mother is 87 yrs old, obese with high blood pressure. two weeks ago her legs started to swell. She is on water pills, but her doctor gave her a stronger water pill, this morning her left leg is twice the size of her right leg. I called her doctor and he told me to increase her water pills. My mother is not active at all, she sleeps most of the day and will not walk. she only walks to her bed and to the bathroom. She was like this before her legs started to swell. She refuses to do anything for herself. Should I take her to the hospital?
Thu, 4 Jul 2013
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General & Family Physician 's  Response
Hi,

The thing that alarms me the most is that the size of her left leg is twice of the right leg. This does not happen in hypertension. In hypertension, the size of the legs will be somewhat the same.

Possibilities of single leg swelling are:

insect bites
thrombophlebitis
filariasis
rarely acute kidney failure.

since you mother has painless swelling, I assume that the pain is due to filariasis or kidney failure. You should go to a hospital and get checked up for these possibilities or any other possibilities. I hope this helps.

Dr Vineet
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87 Years. Obese, High BP, Swelling In Legs, Inactive. Little Help From Water Pills. Visit To Doctor Required?

Hi, The thing that alarms me the most is that the size of her left leg is twice of the right leg. This does not happen in hypertension. In hypertension, the size of the legs will be somewhat the same. Possibilities of single leg swelling are: insect bites thrombophlebitis filariasis rarely acute kidney failure. since you mother has painless swelling, I assume that the pain is due to filariasis or kidney failure. You should go to a hospital and get checked up for these possibilities or any other possibilities. I hope this helps. Dr Vineet