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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29245
Experience:  MD
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I have had swollen feet and lower legs for some 2 months now.

Customer Question

I have had swollen feet and lower legs for some 2 months now. Cannot wear some shoes & feel as if skin will split if I stretch my feet. sometimes very itchy!
Submitted: 4 years ago.
Category: Medical
Expert:  Dr Basu replied 4 years ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,

I am Mysticdoc, experienced Internal Medicine Specialist.

I am here to help you with your concerns.

Mysticdoc :

Do you have any other medical conditions?

Mysticdoc :

Please reply

JACUSTOMER-ia0kyln7- :

High blood pressure (under control with medication for 12 years) COPD

Mysticdoc :

ok

Mysticdoc :

Now COPD can cause heart failure.

Mysticdoc :

THis can result in leg swelling.

Mysticdoc :

echocardiogram of the heart will be helpful.

Mysticdoc :

Kidney failure is another possibility.

Mysticdoc :

This can be checked by the blood tests ( creatinine, BUN).

Mysticdoc :

Another common cause is varicose veins of the legs.

Mysticdoc :

The leg veins may not work well resulting in longe blood pooling in the legs especially during standing or walking resulting in swelling.

Mysticdoc :

Besides looking for the above conditions, following treatment options will help.

Mysticdoc :

First, you need to restrict fluids to 1000 ml or 1500 ml daily.

Mysticdoc :

Follow low sodium diet

Mysticdoc :

Compression stockings ( hose stockings) should be worn during walknig or standing if possible to prevent swelling.

Mysticdoc :

Diuretics like Furosemide tablets can be used to eliminate the excess fluid.

Mysticdoc :

While using diuretics, potassium, magnesium level should be monitored and repleted ( bananas, oranges etc).

Mysticdoc :

Please refrain from rating bad or poor, instead press the reply button for more questions.

This conversation is open till you are fully satisfied to rate good or excellent.