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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling In The Legs And Pressure In The Head?

For ex hubby... He dvt w/per on zarelto 2.5 yrs Still has swelling in legs, possible venous stasis ulcers forming Hypertensive, medicated w/ 2 meds. Does not monitor pressure. Newest complaint...must sleep elevated 30-45 degrees, states pressure in head increases when flat, wakes him up. Also states feels like fluid in ears He is large...6 6 350#
Mon, 5 Jun 2017
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

This is a possible side effect of Xarelto, which may lead to tinnitus. However, leg swelling may still be a sign of DVT which means that clot is formed inside the big leg vessel. So, you need to do Doppler ultrasound to rule this out. Vein thrombosis, which is manifested with unilateral swelling of the leg, pain in the calf, and lividity of the skin. Some conditions such as pregnancy, obesity, and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases, it includes strict resting heparin infusions and aspirin. More invasive procedures are rarely required.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein
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What Causes Swelling In The Legs And Pressure In The Head?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This is a possible side effect of Xarelto, which may lead to tinnitus. However, leg swelling may still be a sign of DVT which means that clot is formed inside the big leg vessel. So, you need to do Doppler ultrasound to rule this out. Vein thrombosis, which is manifested with unilateral swelling of the leg, pain in the calf, and lividity of the skin. Some conditions such as pregnancy, obesity, and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases, it includes strict resting heparin infusions and aspirin. More invasive procedures are rarely required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein