Hi,Dear thanks for the query to HCM virtual clinic.
I studied your query in full details updated from you.I understood your health concerns.
Based on your query data, In my opinion ,Dear You seem to suffer from
Varicosity of the Short Saphenous Vein with multiple bumpy swellings.
Your query data of tender lumps with firm to band like ring around, is very characteristic of the perforator bump popped of the Deep fascia of the lower leg and confirms clinically its diagnosis as -Multiple Varicosity with Chronic Venus Insufficiency causing edema.
Hence
Lasix which works in renal or cardiac edema is not the treatment for this Venus edema,which needs special treatment.
Treatment-
Get
second opinion to assess the disease from Surgeon.
Get Dual Image Color Doppler USG study of the Long and Saphenous Veins and confirm the extent of the Chronic insufficiency in your case.
If the conservative treatment of 6 weeks fails,use this period to prepare the case for EVLT for to correct the insufficient valves and for blocking the perforator feeder veins by polyvinyl ball embolisation or by spring embolisation,which would correct the Chronic Varicosities,in remaining future lifespan of yours.
Conservative Treatment-is by-Rest/Elevation of the lower legs/
-Reducing the venus pressure and edema by Veno-stockings /
-recouping the tissue health and body health by attending to DVT if need be/
-Antibiotics/Painkillers-for if any venus ulcers are there./
-Good Diet and
Vitamins prior to EVLT-surgery/
For this treatment Gp and Surgeon and Vascular Surgeon team would be needed to treat your case.
Hope this reply would help you to evaluate your case and treat it with your doctors in time to come.
Hope this would resolve your query and worry and
Anxiety accompanied with it.
Welcome for any further query in this regard to ME.I would love to help you out.
Awaiting for any further query.
Wish you fast recovery from this intriguing health problem.
Have a Good Day.
Dr.Savaskar M.N.
M.S.Genl-CVTS -Senior Surgical Consultant