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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling In The Lower Part Of Legs And Fatigue?

Hi, may I answer your health queries right now ? Please type your query here...i am lady 49 years diabetic for last 8 years currently taking gulvius met ,diapride forteand lantus 20ul at night once operated for foot infection(last year) now swelling observed in lower part of legs and fatigue while walking .height 5.5 wt 70kg
Thu, 28 Aug 2014
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Internal Medicine Specialist,  's  Response
Hello,

Swelling of the legs would mean that you have fluid overload which can occur from a kidney involvement or from a congestive heart failure in people with diabetes. Though you have not mentioned it , may I assume that your blood pressure is normal ? This calls for investigations. After a clinical examination, I would investigate my patients with a CBC, a serum creatinine and a urine for proteiuria. If these are normal you would require a chest x-ray to see if there is any enlargement of the heart. These are tests that can be done in most places. Your doctor could help you.
I shall be happy to answer any further queries.
Hope you will get better soon with proper diagnosis and treatment.
Dr. Noble Zachariah
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What Causes Swelling In The Lower Part Of Legs And Fatigue?

Hello, Swelling of the legs would mean that you have fluid overload which can occur from a kidney involvement or from a congestive heart failure in people with diabetes. Though you have not mentioned it , may I assume that your blood pressure is normal ? This calls for investigations. After a clinical examination, I would investigate my patients with a CBC, a serum creatinine and a urine for proteiuria. If these are normal you would require a chest x-ray to see if there is any enlargement of the heart. These are tests that can be done in most places. Your doctor could help you. I shall be happy to answer any further queries. Hope you will get better soon with proper diagnosis and treatment. Dr. Noble Zachariah