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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling In Feet, Ankles And Legs?

My friend (middle aged female) just sent me a photo of her swollen feet, ankles, legs and asked for prayer. They have been this way for 6 weeks. She added that her hands are swollen too. She is a medical coder on required overtime -- 10 hour days including weekends. She wakes up with this swelling. One doc said it was the heat. Another salt retention. She functions by drinking Diet Coke. Doc told her to stop cokes and drink water. I told her that sitting most of your day is a killer. Increases your chances of heart disease by 45% ([per my Prevention Magazine) and just look at all the obesity among office workers who sit at a keyboard all day. She has some shortness of breath and just had a breathihg treatment today. She has what she says is a summer cold. She has no PC access at home. Your guidance, please.
Wed, 29 Jul 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case with diligence.

Swelling can be due to polyarthritis.
If not relieved then possibility of polyarthritis needs to be considered

Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?
Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine?

When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27

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.

Take care

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What Causes Swelling In Feet, Ankles And Legs?

Hello, I have studied your case with diligence. Swelling can be due to polyarthritis. If not relieved then possibility of polyarthritis needs to be considered Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27 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. Take care