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What Causes Swelling In Right Leg While Treating Knee Pain?

Posted on Thu, 28 Apr 2016

Question: Hello Sir,
My mother (Age 71 ) suffered a stroke last year. Post hospitalization ( its now close to 9 months ) she is taking below prescribed medicines by neurologist
1. Nuhenz, Coecoral - 1 tablet in the morning
2. Autorfit CV(20), Coecoral - 1 tablet each in the evening.

She is also taking
1. Telmikind - H in the morning
2. Good press Xl (25 ) in the evening suggest by our family doctor.

Since last 2 weeks she is also taking below tablets for Knee problem which are prescribed by Orthopedic doctor
1. Kondro OD - 1 tablet in the morning
2. Dolonext DT - 1 tablet in the morning
3. Rekool - 1 tablet in the evening
4. XtraCal - 1 table in the evening.

Today morning we found that her right leg has swelling. Swelling is increased by afternoon now.
Can you please guide me what could be the cause, ? What should we do to reduce the swelling .
What could be treatment / test we can do now to detect the reason for this swelling. Is this is because any side effect of above tables causing swelling,
Is it something serious and do we required hospitalization
Please guide

Answered by Dr. Anshul Varshney (1 hour later)

Brief Answer:
I need further details.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Swelling only in one leg is probably not due to medicines as would have occurred in both the legs.
Provide me following details to help her better :
1. Which side of the body was affected in stroke?
2. Is she XXXXXXX or bedridden?
3. If XXXXXXX , then was she on long bed rest and less movability in last few days?
4. Any redness over the leg?
5. Is she a diabetic?
6. Her location ?
Revert with the asked details for a better help.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (3 hours later)

1.Which side of the body was affected in stroke?
-> Right hand only middle fingure and index finger

2. Is she XXXXXXX or bedridden?
-> She is moving , walking , not a bedridden only thing she informed that
she had yellow urine since today morning. She is not having temparature

3. If XXXXXXX , then was she on long bed rest and less movability in last few days?
-> Nope

4. Any redness over the leg?
-> No , not seen on swelling area.

5. Is she a diabetic?
-> No,
6. Her location ?

Please let me know any other details you need.

I tried to upload this answer 2 times before not sure its getting updated or not.

Answered by Dr. Anshul Varshney (2 hours later)

Brief Answer:
Color Doppler done.

Detailed Answer:
Hi, with the available details there are two possibilities:
1. Deep Vein thrombosis
2. Cellulitis.
In any case you should get her Ultrasound color Doppler of legs performed as soon as possible.
You have not mentioned your city of residence otherwise I could recommend you the best possible way out in that city..If you have any further query, please ask me.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (1 hour later)

Hello Sir,

Thanks for the reply. Now the swelling has started with other leg as well.
right leg has littel more swelling than left leg. Please advise shall we continue the regular medicines fro BP and stroke for tonight.
Will keep you posted

Thank y ou very muhc.

Kind Regargds, XXXXXXX XXXXXXX

Answered by Dr. Anshul Varshney (2 minutes later)

Brief Answer:
Continue the same.

Detailed Answer:
Dear XXXXXXX yes you should continue the medicines as usual.
Get her a color Doppler coming morning and write back with the report.
If she has any breathlessness please take her to emergency.
Take care.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar