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High cholesterol, swollen left leg, rash - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please proceed with your health query
User :   I was just chatting with you a while ago in regards to my leg
User :   i waited for a response but it seemed as though there was some kind of error in chat
Doctor :   yes, I remember.
Doctor :   i was telling you that
Doctor :   I recommend you to get an examination done along with a possible doppler scan
Doctor :   to see if any embolus is affected any of the blood vessel that has lead to the swelling
User :   What is a doppler scan?
Doctor :   since you have deranged cholesterol levels
Doctor :   doppler scan is a special type of scan that is done
Doctor :   to see blood flow through blood vessels
User :   ok
User :   i'm not sure if you caught it on the last chat but i also mentioned that i noticed that my upper inner thigh had something that looked similar to a heat rash
Doctor :   no I am sorry i did not get this information in the last chat.
Doctor :   did the swelling appear after the rash appeared?
User :   It just randomly appeared for it was not present earlier
User :   I just noticed it about 20 minutes ago
Doctor :   ok
Doctor :   could you describe the rash in detail to me? how does it appear?
User :   yeah
User :   it looks similar to an after mark from scratching
Doctor :   ok.
Doctor :   are the bumps fluid filled?
Doctor :   is there discomfort or burning associated?
Doctor :   does the rash itch?
User :   No
User :   no fluid or bump
User :   no itching
User :   just feels really warm
User :   and red in color
User :   it's not textured at all
Doctor :   ok. which area does it involve? could you describe the extent and dimensions of it?
Doctor :   it would help if you can send me a picture, if yes, then please send it to YYYY@YYYY .
User :   it's about 3 inches below my testicles/ left leg/1 by 1
Doctor :   ok
User :   yes i'll send it
Doctor :   wait and watch the rash, if it increases or you develop pain/itching/burning, report to your doctor
Doctor :   ok
Doctor :   tell me when you have sent the picture for me to check it
User :   ok
User :   i just sent it
Doctor :   ok. let me check it. please give me a moment
User :   i apologize if the picture quality is not great
Doctor :   ok. i have seen it
Doctor :   it looks more like congestion rather than rash to me
Doctor :   i suggest you go ahead with the examination
Doctor :   and if neded request for a Doppler scan to make sure that there is no cholesterol embolus issue
User :   Ok, does it look like an abnormal rash?
Doctor :   are you on medication for the cholesterol?
User :   No, on a diet for a 3 month period
Doctor :   not rash, it looks inflammed area, congested.
Doctor :   but with such high values, it is highly recommended that you be on medication, diet control and exercise
Doctor :   once controlled, medications can be slowly lowered
User :   Is this something that might require immediate attention or can it wait til tomorrow?
Doctor :   and levels managed with only diet and exercise
User :   My physician suggested that i go on a special diet for 3 months. After 3 months get my levels checked again
Doctor :   if teh swelling of leg is getting more, itf you develop tingling or numbness, loss of touch sensation, discolorations, or increased in the rash area, do not wait, report immediately to your doctor or to ER.
User :   if levels are still high then he will prescribe a medication
Doctor :   else, you can wait untill morning
User :   ok
User :   sound good
Doctor :   i would have recommended the other way round, get it controlled with medication first and then control with diet.
Doctor :   ask for cholesterol medications as well
Doctor :   when you visit your doctor or ER
User :   Yeah, honestly i'm only 27 and not very educated about cholesterol factors
Doctor :   have you followed what I have said?
User :   Yes, thanks for your help
Doctor :   is there anything else I can help you with?
User :   No, i think that should be it!
Doctor :   thanks for consulting me. bye for now. please get back to me if you have any further queries.
User :   Yes, thank you for your assistance
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