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Suggest ways to treat swelling in the feet and ankles

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Cardiologist
Practicing since : 2001
Answered : 4909 Questions
Question
How can I reduce swelling of feet and ankles. I am not overweight. Is this sign of heart failure?
Wed, 6 Jun 2018 in Hypertension and Heart Disease
 
 
Answered by Dr. Ilir Sharka 40 minutes later
Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that swelling of feet and ankles could be related to different possible causes:

- increased fluid retention (heart failure, kidney or liver disease)
- chronic venous insufficiency
- drug adverse effects (calcium channel blockers, etc.)
- diabetes
- arthritis.

Do you have pain in this region?
Do you suffer from diabetes?
I would like to know your current therapy. Have you made any changes to your therapy lately?

Coming to this point, I would recommend consulting with your attending physician and performing some tests:

- a chest X ray study
- a resting ECG and cardiac ultrasound
- NT-proBNP levels for heart failure
- fasting glucose
- blood electrolytes
- kidney and liver function tests
- PCR, ESR for inflammation.

If all the above tests result normal, a Doppler ultrasound of the leg vessels would be necessary to investigate for chronic venous insufficiency.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

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