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Edema on both legs,causes and remedies - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   hi
Doctor :   Hi
Doctor :   Please post your query
User :   i have a water retention problem
Doctor :   Can you explain?
User :   i have done several tests and all are fine
Doctor :   May i know your age and gender?
User :   30 female
Doctor :   Do you mean swelling?
Doctor :   Or odeme
Doctor :   odema?
User :   u right edema and its very visible on my ankles and shin bone
Doctor :   ok
Doctor :   Do you have any disease?
Doctor :   like diabetes,kidney or liver disease?
Doctor :   since when you have it?
User :   i have also put on lots of weight . i have started excercising and trying to control my diet
Doctor :   is it assctd with your pregnancy
User :   i loose weight but if the water retention is there my weight increases
Doctor :   do you have visible veins on your legs?
User :   no disease , not married
Doctor :   Did you check your renal,liver sugar functions in blood?
Doctor :   ok
User :   yes
User :   i had done tests and they were all fine
User :   i know that my triglycerides is high
User :   and i have blood in my urine but is it is microscopic
Doctor :   ok
Doctor :   Since when you have it?
Doctor :   is it there on both legs?
Doctor :   I feel it can be lymphedema
Doctor :   Lymphedema is a condition characterized by swelling in one or more extremities that results from impaired flow of the lymphatic system.
User :   the water retention in more than 5 + years
User :   yes
Doctor :   ok
Doctor :   The lymphatic system is a network of specialized vessels (lymph vessels) throughout the body whose purpose is to collect excess lymph fluid with proteins, lipids, and waste products from the tissues.
Doctor :   When the lymph vessels are blocked or unable to carry lymph fluid away from the tissues, localized swelling (lymphedema) is the result.
Doctor :   Primary lymphedema is the result of a design flaw of the lymph vessels and is a rare, inherited condition.
Doctor :   Worldwide, lymphedema is most commonly caused by filariasis (a parasitic infection)
Doctor :   do you have excessive mosquitoes there?
Doctor :   i mean are you living in an filaria prone area
Doctor :   Lymphedema praecox is the most common form of primary lymphedema, making up 65%-80% of cases.
User :   we do have mosquitoes
Doctor :   ok
User :   so what can i do to prevent this swelling and reduce my weight
Doctor :   It is defined as lymphedema that becomes apparent after birth and before age 35 years and symptoms most often develop during puberty
Doctor :   Lymphedema praecox is four times more common in females as in males.
User :   so what can i do to prevent this swelling and reduce my weight
Doctor :   A thorough medical history and physical examination are preformed to rule out other causes of limb swelling, such as edema due to congestive heart failure, kidney failure, blood clots, or other conditions.
Doctor :   May i know yor weight?
User :   82
Doctor :   and also height?
User :   5 "6"
Doctor :   so you need to reduce your weight to 55-60
Doctor :   As per the BMI index you re in the obese category
Doctor :   A thorough medical history and physical examination are preformed to rule out other causes of limb swelling, such as edema due to congestive heart failure, kidney failure, blood clots, or other conditions.
Doctor :   CT or MRI scans may be useful to help define lymph node architecture or to identify tumors or other abnormalities.
Doctor :   Lymphoscintigraphy is a test that involves injecting a tracer dye into lymph vessels and then observing the flow of fluid using imaging technologies. It can illustrate blockages in lymph flow.
Doctor :   Doppler ultrasound scans are sound wave tests used to evaluate blood flow, and can help identify blood clot in the veins (deep venous thrombosis) that may be a cause of limb swelling.
Doctor :   There is no cure for lymphedema.
Doctor :   Treatments are designed to reduce the swelling and control discomfort and other symptoms.
Doctor :   like Elastic sleeves or stockings
Doctor :   Bandages that are wrapped more tightly around the end of the extremity and wrapped more loosely toward the trunk, to encourage lymph flow out of the extremity toward the center of the body
Doctor :   Exercises that lightly contract and stimulate arm or leg muscles may be prescribed by your doctor or physical therapist to help stimulate lymph flow.
Doctor :   And for detecting filariasis an ICT CARD test is available
User :   should i fix an appointment to identify what could be the cause
Doctor :   for the detection of filarial antigen
Doctor :   yes sure
Doctor :   you need to get examined by an surgeon
User :   i have done a CT scan at hinduja but can remember the name of the test
Doctor :   to rule out filasriasis or lymphedema praecox
Doctor :   ICT IS An antigen's test done on blood sample
Doctor :   to detect filarial parasites
Doctor :   even thyroid diseases are assctd with leg swellings
User :   ICT IS An antigen's test done on blood sample - i think i have done this .
Doctor :   chronic, long-term edema that persists for many years is associated with an increased risk of developing a rare cancer, lymphangiosarcoma.
User :   dont have thyroid - checked that too
Doctor :   ok thats good
Doctor :   What is the result?
User :   result of what
Doctor :   ICT TEST
Doctor :   Filariasis can also be diagnosed by identifying microfilariae onthin and thick blood film smears, using the gold standard known as the finger prick test.
Doctor :   Did you understand what i said?
Doctor :   In general, it is important to practice good skin hygiene and avoid heavy lifting or strenuous activity with the affected limb.
Doctor :   Tight clothing and jewelry should also be avoided.
Doctor :   Take care to avoid sunburn, insect bites, cuts, abrasions, and dehydration, since all of these can worsen lymphedema.
User :   one second
Doctor :   ok sure
Doctor :   Even tumors in the ovary can cause the edema on legs.
Doctor :   So you will need an ultrasound examination of your abdomen and pelvis
User :   done a sonography of my abdomen nothing found
Doctor :   ok
Doctor :   Do you have varicose veins in the legs?
User :   no
User :   my mother had it
Doctor :   Reduce your salt intake
Doctor :   and also water intake
Doctor :   keep your leg elevated in the night
Doctor :   dont stand for long
Doctor :   dont take heavyweights in the hand
User :   i do that everynight
Doctor :   ok good
Doctor :   What was your doctors diagnosis?
Doctor :   Are you on investigations till now?
Doctor :   Are you on any medicines?
User :   all reports were fine. everybody tells me to loose weight but my weight just doesnt come down
User :   no investigations now
Doctor :   ok
Doctor :   i can help you get expert opinion from our specialists if you prefer
User :   i am taking ayurvedic medicines since my metabolic rate is very low
Doctor :   either via email or phone
Doctor :   you also need weight reduction
Doctor :   are you on diet controll
Doctor :   and exercises
User :   i dont mind that at all . i want to know what is the cause of my water retention
Doctor :   ok
User :   like u said i do need weight reduction and diet control
Doctor :   weight excess might cause poor lymph drainage and also liver heart and renal dysfunction
Doctor :   so altogether it is an combined approach
User :   so can u tell me how do i go about fixing an apointment and the cost
User :   yes
Doctor :   ok
Doctor :   our customer care executive will get back to you
Doctor :   Is there anything else i can help you with now?
Doctor :   Thanks for consulting.....
User :   thanks
User :   thats all for now
Doctor :   Bye for now...........
Doctor :   Take care...........
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