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What Causes Swelling In Leg And Ankles After A Stroke?

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Posted on Sat, 31 May 2014
Question: My mother recently had a mild stroke. She was put on placid and zocor. It has been almost a month. She had a stress test Friday and the dr performing test told her something was wrong and would send results tree o her primary physical. RToday the prim phys. Office tells me they found nothing wrong. She continues to have swelling legs feet and ankles gets winded very easily. And has no energy. She had none of these symptoms before the stroke. What do you advise?
doctor
Answered by Dr. Karl Logan (2 hours later)
Brief Answer:
Congestive cardiac failure

Detailed Answer:
Hi,

Thanks for your question,

The current symptoms that you describe are consistent with a heart problem such as congestive cardiac failure. This causes fluid to accumulate in the body and it can be seen in the legs mostly in the feet and ankles as this is the most dependant part of the leg. The shortness of breath is due to fluid build up on the lung.

Congestive cardiac failure is caused by the heart not being able to pump as well as it should be. This causes fluid accumulation. This condition is diagnosed on an physical examination and an echocardiogram of the heart. It is treated by diuretic medication which makes you pee more to get rid of the extra fluid. There are other drugs that can be given to help the heart beat more efficiently.

I hope this answers your question. I would make an appointment to see your family Dr fairly urgently.

Best wishes
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Karl Logan (11 hours later)
She had an echo of her heart while in the hospital following the stroke. I am told it was ok by her primary care dr. Do u think I should take her to a heart specialist?
doctor
Answered by Dr. Karl Logan (42 minutes later)
Brief Answer:
Other reasons for symptoms discussed

Detailed Answer:
hi,

thanks for your follow up question.

that is very reassuring unless she has had a further cardiac problem such as a heart attack since leaving the hospital. these can sometimes be silent in the elderly.

there are other causes of fluid retention. this can happen in kidney disease also and so it would be worth having her renal function rechecked particularly if she has started on new medication.

immobility can cause ankle swelling also particularly after a stroke.

it is possible that your mothers symptoms of breathlessness and ankle swelling are unrelated and so you should seek a further medical opinion including physical examination for her. she could for instance have a chest infection responsible for her breathing problems particularly if the stroke affected her speech and ability to swallow.

the ankle swelling could be improved with elevation of her feet above her hip and graduated compression stockings above the knee.

I hope this answers your question.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Karl Logan

Orthopaedic Surgeon

Practicing since :1999

Answered : 705 Questions

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What Causes Swelling In Leg And Ankles After A Stroke?

Brief Answer: Congestive cardiac failure Detailed Answer: Hi, Thanks for your question, The current symptoms that you describe are consistent with a heart problem such as congestive cardiac failure. This causes fluid to accumulate in the body and it can be seen in the legs mostly in the feet and ankles as this is the most dependant part of the leg. The shortness of breath is due to fluid build up on the lung. Congestive cardiac failure is caused by the heart not being able to pump as well as it should be. This causes fluid accumulation. This condition is diagnosed on an physical examination and an echocardiogram of the heart. It is treated by diuretic medication which makes you pee more to get rid of the extra fluid. There are other drugs that can be given to help the heart beat more efficiently. I hope this answers your question. I would make an appointment to see your family Dr fairly urgently. Best wishes