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Suggest Ways To Treat Swelling In The Feet And Ankles

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Posted on Wed, 6 Jun 2018
Question: How can I reduce swelling of feet and ankles. I am not overweight. Is this sign of heart failure?
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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

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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Suggest Ways To Treat Swelling In The Feet And Ankles

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