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This is Dr. David
I am sorry you are having these swelling.
many issues can cause swelling
you can have heart weakness which can cause leg swelling.
if you eat too much salt, this can cause swelling in your legs.
if you have diabetes this can cause poor circulation and swelling in your legs.
if you smoke or drink alcohol this can damage your blood vessels over the years and cause problems.
if you have a weak liver, you could have low blood albumin levels and this can cause swelling in your legs as well.
so there can be many causes for swelling in your legs.
I dont smoke or drink. I dont have heart problems. I use salt but not unduly
have you had your liver checked?
do you know if your liver is making enough albumin which is the protein for your blood to keep fluid in your blood vessels to keep them from leaking out.
have you had your liver checked to see if it is making adequate albumin and pre albumin?
have you tried any physical therapy or lymphedema therapy to help push fluid out of your legs?
what questions can I help you answer?
I haven't tried any therapy. What would be useful
elevating your legs up above your heart in a reclining chair daily as often as you can can help use gravity to help pull the fluid out of your legs.
walking and exercise can help squeeze muscles in your legs and help push out excessive fluid
eating more protein if your liver and kidneys are working properly can help your liver make more albumin to keep fluid in your blood vessels and keep it from leaking out.
seeing a lymphedema massage therapist once or twice a month to help massage out the lymphedema fluid can help.
continue to wear the compression stockings can help.
limiting your salt intake.
sometimes use of a mild diuretic like lasix 20mg once in a while can help your body get rid of excess fluid