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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pitting Edema On The Legs And Ankles?

I ve had extreme putting edema in my legs--ankle to thigh---for some time. Been on lasix over a month and was hospitalized for higher doses with no results. If anything it gets worse every day. They found mild left ventricular hypotrophy in my echo. How can I get rid of the 20-30 lbs of water if lasix is not helping?
Fri, 21 Apr 2017
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General & Family Physician,  's  Response
There are multiple causes of edema of ankles and legs-
-Venous insufficiency like Varicose veins
-Lymphaedema
-Deep veinous thrombosis
-Idiopathic (Unknown cause)
-Cardiogenic (Due to heart failure)
-Renal (Kidney injury)

If the edema is not responding to Lasix, then I would recommend adding another diuretic like A Spironolactone, after consulting with your doctor.

Also I would recommend us of stockings in day and leg elevation at night in case of Varicose veins. A doppler study of veins of legs might be needed to rule out Deep vein thrombosis.

Hope this answers your question, Thank you.
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What Causes Pitting Edema On The Legs And Ankles?

There are multiple causes of edema of ankles and legs- -Venous insufficiency like Varicose veins -Lymphaedema -Deep veinous thrombosis -Idiopathic (Unknown cause) -Cardiogenic (Due to heart failure) -Renal (Kidney injury) If the edema is not responding to Lasix, then I would recommend adding another diuretic like A Spironolactone, after consulting with your doctor. Also I would recommend us of stockings in day and leg elevation at night in case of Varicose veins. A doppler study of veins of legs might be needed to rule out Deep vein thrombosis. Hope this answers your question, Thank you.