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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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i have edema ankles and pain going up inner calves,

Answered by
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16701 Questions

Posted on Wed, 27 Mar 2019 in Lump
Question: i have edema ankles and pain going up inner calves, area lumpy and hard, also ulcer on top of foot
Answered by Dr. Michelle Gibson James 1 hour later
Brief Answer:
different possible causes

Detailed Answer:
HI, thanks for using healthcare magic

Edema is due to build up of fluid in a particular area, it can become firm or hard due to mild scarring of the underlying tissues, especially if the swelling persists for a long period of time.

Ulcerations occur because the fluid accumulation causes thinning and easy damage to the skin, the damage can progress to ulceration. In addition the swelling can also have a possible slight compression effect on surrounding blood vessels affecting blood flow to the skin.

There are different causes for pedal edema (swelling of ankles and/or legs)-(1) venous disease- if the valves in the veins of the legs aren't working as they should then this can affect or reduce the blood going back to the heart and this causes swelling

Your vascular ultrasound would have likely taken a look at the veins but if it did not, then they need to be assessed.

Venous disease is one of the most common causes

(2)heart disease- usually there would be a history of heart disease or chest pain or shortness of breath or severe uncontrolled high blood pressure etc
An EKG can give some basic information on the heart- can assess rhythm, rate and can also suggest if there are areas that are enlarged

(3)liver or kidney disease- blood tests can assess the function of the kidney and liver to see if either of these is playing a role

(4)arthritis of the ankles can cause pain and swelling

(5)side effect of medication- the blood pressure medication amlodipine

There are different treatment plans for edema and it can vary according to the specific cause.
General measures such as elevation of the legs whenever possible, use of furosemide (lasix) - helps to get rid of excess fluid

The ulcer would need to be specifically treated, dead or necrotic or infected areas would need to be removed for healing to occur. In some cases, antibiotics would be needed.

It would be best to be seen and assessed by your doctor so that the specific cause can be found.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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