Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

185 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for swelling and foul smelling liquid discharge in the lower legs

Answered by
Dr.
Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

default
Posted on Fri, 4 May 2018 in Hypertension and Heart Disease
Question: Severely swollen legs that are seeping clear water below the knees. Person is male age 67. Has frequent coughing spells, little or no appetite and has lost quite a lot of weight over 3 to 4 weeks. He is very week. The fluid that is seeping from the lower legs has an unpleasant oder. Prescrs given to him in 10/25/17 were OF Bromphenir, Promethazine -DM and Prednisone.
doctor
Answered by Dr. Rishu Saxena 1 hour later
Brief Answer:
Can be congestive cardiac failure.

Detailed Answer:
Hi thanks for posting query on this forum.
Most likely he is having severe edema in body.
Most common cause of edema in old age can be an ongoing coronary artery disease.In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.Slowly and slowly it loses its pumping action causing reversal of blood into lungs and other part of body leading to severe edema.Sometimes the sudden,unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning further worsening the condition.
Kidney and liver can also be involved.

Suggestion
Take him to hopsital and get following investigations done-
2d echo of heart- to rule out working of heart.
Renal function tests
Serum electrolytes
urine culture
Swab culture from oozing fluid
liver function tests
ultra sound abdomen.
Pulmonary function test.

These tests should be performed initially and proper medictions should be started after that.

Follow up with reports!
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  
Lab Tests
Medical Topics

Recent questions on  Ultra sound

doctor1 MD

my 13 year old daughter has violent pains in her pelvic area she was rushed to hospital and had her appendix removed but the pain is still there ,they are like cramps that come and go, sometimes so bad she cannot stand,two searches with a camera and two ultra sound later nothing has been found , the pain is mostly on the lower right side ,any thoughts the hospital seems to have no ideas, i am so worried it is to do with the cervical cancer vaccine she had last year?

doctor1 MD

I was having a dull throbing pain in my lower left back for a few weeks it would sometimes make me feel nauseas.
Thin started to feel pain in my left side and lower left abdominal area as well as testicles. I thought it might be kidney stones so I went to the doctor and they checked for blood in my urine. There was no blood so I had an ultra sound of the spleen done and it came back slightly enlarged. I was then sent for a blood test and was told I have mono. I am 33 years old. I havent had any symptoms of feeling tired but still get sharp pains in my sides occasionally pain in my scrotum and abdomen. I have also been feeling bloated like my stomach is strechd out does this seem like mono. I will also feel a dull throbbing pain in my upper thighs occasionally.

doctor1 MD

hi , sir i am rahul (m) 28 years old 5.10 height and 96 kg weight .before few month i have felt a sudden discomfiture on the left side of my body. there was a feeling or sensations of burning and something disturbing . i also felt almost faint ans short breath. which i managed through deep breathing. i consulted my doctor and he asked eco test . wich recorded normal , my suger lvl , BP, all went normal. he told me not to worry and gave some acidity related medicine but this again repeated after 2 days i again went to the doctor and again the same test was done (ecg) it was again normal and all sugger, bp all was normal . this time he also asked for some more tests like TMT test , chest xrays, eco (ultra sound ) and sonography test all the test went normal . i again got the same problem burning in the chest and i almost had a egc test 12 time and all time the test are normal. now i am having a stiffness in the upper part of my body . since a month which includes stiff chest , solders, upper back . and some times back and both upper jaws . i am really confused that do i still need to be worried about the cardiac problem or its jus a common anxiety. and how long does its usually exists . and how can it be corrected my whole body keep cracking and i keep stretching it like made even while i am walking . i have started swimming, and walking . and also reduced the intake of the outside junk food, sweets, and coldrinks .( i dont smoke and drink . my cholesterol is 186 .i am really not able get out of it and draw the conclusion that weather i need to be worried or not .i do not make any heart attack or any heart related diseases in the family history.plz help me with the reply ..regards rahul

doctor1 MD

I have two soft tissue masses in my abdomen right upper side. I have had an ultra sound where the masses were easily detected and have been referred to a surgeon. Is it possible these could simply be benign lymphomas. I also have lyphomas in both of my arms and legs.

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

I m freaking myself out that I have bladder cancer! I ve had frequent urination for about two months. Now I m having dull pains and cramps on my sides and lower abdominal

doctor1 MD

I’ve had a month of upper left rib pain , right near the left breast area. Had ultra sound chest X-ray, both normal, but spleen a bit enlarged 13.2. GP thinks muscular skeletal. I still have pain, not as intense as before. He doesn’t think ct is...