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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From CHF, Diabetes And Kidney Problems. Swollen Legs With Discoloration, Peeling Of Skin On Feet. Any Suggestions?

good evening, doctor. My brother has chf with ejection fraction of about 25% w/diabetes and kidney issues. His legs are very swollen with water and his skin looks like elephant texture with blackish tint at ankles and peeling skin on feet-however, he blatently refuses to elevate his legs and I am giving up on helping him. Your suggestions? he is very depressed but just refuses to do what his doctor tells him. He had quintuple bypass in 2007. Thanks.
Sat, 27 Jul 2013
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General & Family Physician 's  Response
Hi
It is understandable that your brother is undergoing a lot of mental trauma.All the above said conditions lead to pedal oedema.There is stagnation of blood and fluid in the dependent parts.In an ambulatory person as your brother this will be the legs.Longstanding venous congestion results.With time,Heamoglobin which is the blood pigment comes out and gets deposited in the skin.By oxidation and degradation it changes colour and becomes dark.Accordingly,the skin also appears dark.This skin is unhealthy,lacks proper nutrition.This is the reason for necrosis and peeling away of the skin.
Your brother is in urgent need of psychiatric help.Otherwise his physical condition will overwhelm his mental strength and he will lose his mind.He needs to brought out of this depressive state with the help of psychiatrist
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  User's Response
Dr Vinod Dhavale's  Response
Hello

this is because of heart failure

his bypass done in 2007 cause of low blood supply to cardiac wall

now situation is as it is

so that he get this sing and symptom

if his cardiac blood supply increases then his all problem get solve

if he take ayurved treatment he get good result in short time so think about this

Dr Vinod

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Suffer From CHF, Diabetes And Kidney Problems. Swollen Legs With Discoloration, Peeling Of Skin On Feet. Any Suggestions?

Hi It is understandable that your brother is undergoing a lot of mental trauma.All the above said conditions lead to pedal oedema.There is stagnation of blood and fluid in the dependent parts.In an ambulatory person as your brother this will be the legs.Longstanding venous congestion results.With time,Heamoglobin which is the blood pigment comes out and gets deposited in the skin.By oxidation and degradation it changes colour and becomes dark.Accordingly,the skin also appears dark.This skin is unhealthy,lacks proper nutrition.This is the reason for necrosis and peeling away of the skin. Your brother is in urgent need of psychiatric help.Otherwise his physical condition will overwhelm his mental strength and he will lose his mind.He needs to brought out of this depressive state with the help of psychiatrist