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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling In Ankles, Legs, Rapid Heart Rate And Lightheadedness?

I have swelling in both ankle & legs . Doesn t matter if I stand or sit. I also have a rapid heart rate at times along occasionally heart flutter. It can be months before I have a spell or close together. I also get light headed going up & down stairs or feel like I am going to pass out when I ride an elevator. night sweats & some mornings not every morning I get Nausea. I go get short of breath going upstairs occasionally.
Tue, 11 Jun 2019
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General & Family Physician,  's  Response
Hello,

Basically whatever you are telling points to the heart or vascular problem. I strongly suspect Hypotension or may be due to abnormally functioning heart.
So, without wasting your time, I would like to ask you some questions:
1. Do your skin (especially of fingers) feels cold ?
2. Can you describe your pulse? Is it very weal?
3. Is there a problem in vision?
4. Do you feel difficulty in breathing?
5. Is there coughing?

I would like to give some tests:
1. ECG
2. Test for NT-proBNP and BNP
3. Test for CK-MB, CRP
4. Echocardiogram
5. Chest X-Ray
6. Test for Sodium and potassium level, albumin (a type of protein), 7. Kidney Function Test including creatinine (which is connected with kidney function)
8. D-Dimer Test
9. Morning Blood Pressure
10. Fasting Blood Sugar

Please post the test result here in Healthcaremagic.com so that a doctor can give you the next course of treatment.

For now, I would like to give you Aspirin.

Also, follow some general guidelines:


Eat a healthy, balanced diet

Control your blood pressure and cholesterol level

Maintain a normal body weight

Exercise regularly

Don't smoke

No alcohol

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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What Causes Swelling In Ankles, Legs, Rapid Heart Rate And Lightheadedness?

Hello, Basically whatever you are telling points to the heart or vascular problem. I strongly suspect Hypotension or may be due to abnormally functioning heart. So, without wasting your time, I would like to ask you some questions: 1. Do your skin (especially of fingers) feels cold ? 2. Can you describe your pulse? Is it very weal? 3. Is there a problem in vision? 4. Do you feel difficulty in breathing? 5. Is there coughing? I would like to give some tests: 1. ECG 2. Test for NT-proBNP and BNP 3. Test for CK-MB, CRP 4. Echocardiogram 5. Chest X-Ray 6. Test for Sodium and potassium level, albumin (a type of protein), 7. Kidney Function Test including creatinine (which is connected with kidney function) 8. D-Dimer Test 9. Morning Blood Pressure 10. Fasting Blood Sugar Please post the test result here in Healthcaremagic.com so that a doctor can give you the next course of treatment. For now, I would like to give you Aspirin. Also, follow some general guidelines: Eat a healthy, balanced diet Control your blood pressure and cholesterol level Maintain a normal body weight Exercise regularly Don t smoke No alcohol Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician