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Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6406
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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Hi, im 52yr old female, ive had a painful right foot with swelling

Resolved Question:

Hi, im 52yr old female, ive had a painful right foot with swelling to top of foot not the whole foot just a bridge like swelling from ankle going across. Pain only when I weight bare. I went to gp who took bloods. Rheumatoid factor and uric acid all came back normal. All was nirmal apart from LDH this was 280 ( top end 8f normal in this kab is 214) he repeated spec incase of false reading, tidays LDH came vack at 234. My dather passed away in 2009 if Non Hodgkins Lymphoma. Should I be concerned? Could the swelling to top of foot be swollen lymph nodes?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Uzair replied 2 years ago.
Dr Uzair :

Hi. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

Dr Uzair :

How long have you had the swelling for?

Dr Uzair :

Please enter chat and use reply to respond.

Customer:

About 5 weeks, swelling goes up and down, worse after being on feet

Dr Uzair :

Is the swelling currently on the right foot only?

Customer:

Yes

Dr Uzair :

Alright, is it tender to touch?\

Customer:

Yes it is

Dr Uzair :

Okay, is it discolored? Bluish tinge or purple?

Customer:

Im more concerned with LDH RESULT SHOULD I BE WORRIED in veiw of family histeory

Customer:

No not discolored

Customer:

Could I have enlarged lymph nodes to top of foot

Dr Uzair :

LDH levels are not used to diagnose Lymphoma, they are used as an adjunct to monitor the response to treatment in most cases and LDH levels can be elevated due to many reasons, they are used as a prognostic indicator in many cancers. However, LDH can be raised due to tissue break down, red cell break down, liver disease, thyroid disease etc.

Dr Uzair :

There are no lymph nodes in the feet.

Dr Uzair :

Only lymph channels.

Dr Uzair :

Lymphoma does not occur on the feet.

Dr Uzair :

The nearest lymph node is behind the knee.

Customer:

So why is it raised I wonder?

Dr Uzair :

Yes, that warrants further investigation.

Dr Uzair :

The swelling should be evaluated further as well.

Dr Uzair :

A physical examination and then further by imaging modalities, like an MRI or an ultrasound if the doctor is suspecting phlebitis etc.

Customer:

What could it be, and what next step of investigation should be taken

Customer:

Would the swelling to foot if phlebitis cause raised ldh

Dr Uzair :

Swellings and lumps are clinical diagnoses, your doctor should be able get an idea by physical examination about what kind of swelling this is and which imaging modality will be useful for further investigation.

Dr Uzair :

That depends on what kind of swelling it is.

Customer:

Would Ldh of 234 be considered high

Customer:

What types of swelling could it be what do you mean?

Dr Uzair :

Results vary from Lab to Lab, but most labs consider 140 - 280 U/L as the normal range.

Customer:

Our lab had 214 has its top range

Dr Uzair :

Okay.

Customer:

In march of this year I had excruciating pain to left knee, lasted 4 weeks and then just stopped has been fine sibce

Customer:

Okay well ill get further investigations done thankyou

Dr Uzair :

You are most welcome.

Dr Uzair :

Please do leave a positive rating for the service.

Dr Uzair :

Feel better soon and Best wishes.

Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6406
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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