Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
132 Doctors are Online

How can swelling of feet by mid morning daily be treated?

User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
Question
i just moved from XXXXXXX to south texasLaguna vista) and my feet start swelling everyday by mid morning--very annoying. i'm 56 run 4 miles every morning and eat very healthy.furosomide&spirolactone doesn't help at all.thanks
Posted Sat, 28 Apr 2012 in General Health
 
 
Answered by Dr. Jasvinder Singh 57 minutes later
Hello XXXXXXX

Thanks for posting your query. Swelling of the feet is called pedal edema and is caused by accumulation of an excessive amount of watery fluid in cells or intercellular tissues. It can be due to cellulitis, congestive heart failure, kidney disease, arthritis, high altitude ( less likely in case of Laguna vista), menopause ( can be a cause in your case), high salt intake and any blood clot in the veins causing DVT. Are you taking some medicines like laxatives or hormone replacement treatment? abusing these drugs can also cause bilateral pedal edema.

In your case, since swelling is not being decreased by diuretics also, hence I suggest you an immediate physician consultation. You need to get blood tests, kidney function tests, electrolyte levels, ECG and stress ECHO, venous Doppler of the legs and urine tests done.

Till that time, follow these lifestyle measures to alleviate the symptoms:

1)     Increase muscle activity with walking, avoid standing in place for long periods of time and avoid sitting with the feet dependent.

2)     Limit salt intake and stop taking any laxatives (if you are taking them).

3)     Elevate the legs when sitting and wear leg wedges while sleeping, support socks and proper fitting shoes and socks.

4)     Keep your fluid intake adequate by taking plenty of fluids.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: How can swelling of feet by mid morning daily be treated? 9 hours later
i have the water pills since having surgery 20 yrs ago for acute alcoholism -excessive bleeding (sober since) to use only If i retain water(usually when i eat to much salt) but then retained fluid more in my gut area. i do have have arthritis and feel i really overdid it moving. my hands and feet really took a beating. iby running every day 4 miles and heridity i have a good heart. does this help in any way? i am only 56 and have been super healthy except for my arthritis and cirrohis of the liver. thanks much--patty
Follow-up: How can swelling of feet by mid morning daily be treated? 4 minutes later
sorry i forgot to tell you. i stopped having periods due to my excessive alcohol intake back 24 years ago so i don't think its menopose. sorry forgot to mention this--patty
 
 
Answered by Dr. Jasvinder Singh 1 hour later
Hi XXXXXXX

As you have clearly mentioned that you were diagnosed with cirrhosis of liver, then, I suppose this is the reason behind the collection of fluid in the lower limb.

In cirrhosis, liver is not able to produce enough albumin. Albumin is a protein which is present in the blood circulation and due to its osmotic effect (pulling effect), it is able to keep the fluid in the circulation.

With the deficiency of albumin, the pulling effect is lesened and the fluid tends to move out of the blood capllaries into the tissues.

The legs being the dependent area of the body, the fluid tends to accumulate there. Diuretics (spironolactone) are the mainstay of therapy in such a scenario.

The definitive therapy is only liver transplantation. Please consult a hepatologist for the same.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: How can swelling of feet by mid morning daily be treated? 3 hours later
so doctor do you think the weather change from cool and dry to hot and humid could be why all of sudden i'm retaing water? thanks so much you have been wonderful---patty
 
 
Answered by Dr. Jasvinder Singh 11 hours later
Hi XXXXXXX

Thanks for the follow up query.

Retaining of water due to change in climate is unlikely and the one that is not controlled by water pills is likely due to organic causes like liver cirrhosis which you had earlier. Weather change from cool and dry to hot and humid is unlikely to cause pedal edema. I suggest you to get investigated for liver cirrhosis and liver failure which may be the causative factors in your case.

Hope this answers your query.

Wishing you good health.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Treatment/Therapy
Medical Topics

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor