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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling In The Bottom Of The Feet?

Hi, may I answer your health queries right now ? Please type your query here...The bottoms of my feet swell. I have high arches and wear dr. Office issued arch inserts. I have high bp and take tekturna. My regular dr says to lose 15 lbs and my sugar is borderline high . Massaging helps sometimes. Exercising to lose the weight makes it worse. I have a heart echo my dr says he can hear. I don't have visible vericose veins. I am42 and work part time. I want to work full time but my feet aren't cooperating. Any suggestions!
Thu, 29 Jan 2015
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Pathologist and Microbiologist 's  Response
Hi
Thanks for your query.
Based on your query, my opinion is
1. Swelling of feet or lower limbs can be due to subtle causes like postural/ dependent that is sitting for long hours.
2. Other conditions like cardiac diseases/ varicose veins/ renal disorders are more serious problems which needs to be evaluated for.
3. Since you have hypertension and an uncontrolled diabetes, both can cause renal impairment over a long term. So get a renal function test done.
4. Since you are on overweight side, there is exertion on lower limbs, so venous drainage will be impaired to cause pedal edema.
5. You need to reduce weight, be regular with your medications and make lifestyle changes( diet/ nutrition/ routine).
6. You can try keeping your feet raised while seated/ lying down so that swelling would reduce.
Hope this helps.
Regards
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What Causes Swelling In The Bottom Of The Feet?

Hi Thanks for your query. Based on your query, my opinion is 1. Swelling of feet or lower limbs can be due to subtle causes like postural/ dependent that is sitting for long hours. 2. Other conditions like cardiac diseases/ varicose veins/ renal disorders are more serious problems which needs to be evaluated for. 3. Since you have hypertension and an uncontrolled diabetes, both can cause renal impairment over a long term. So get a renal function test done. 4. Since you are on overweight side, there is exertion on lower limbs, so venous drainage will be impaired to cause pedal edema. 5. You need to reduce weight, be regular with your medications and make lifestyle changes( diet/ nutrition/ routine). 6. You can try keeping your feet raised while seated/ lying down so that swelling would reduce. Hope this helps. Regards