This is Dr. David
are you having swelling in one leg or both legs?
Both rather mor in the left
this swelling can be from many different causes.
it could be due to weakness of your heart causing back up of fluid in you legs
it could be weakness of your liver not making enough albumin fluid.
you need to see a doctor to get your heart and liver checked and tested.
are you able to see a doctor to get medical testing and blood work?
I have had my heart and liver tested Negative, also colestrol, diabetis neg
excessive salt intake will cause swelling in your legs.
have you tried to cut down on your salt intake
and decrease your soy sauce intake which contains a lot of salt.
when you cut down on the salt intake, does it help?
Not relly, I am pretty sedentry not much excercise
lack of exercise can cause muscle atrophy
you need to exercise to squeeze your muscles to push lymphatic fluid out of your legs.
there are simple exercises you can do in bed like squeeze your muscles and flex your feet with toes up and down
and leg lifts which can squeeze your leg muscles
which can help squeeze lymphatic fluid out of the legs.
ATrophy?, I do that, and I do find a reduction in the mornings, but it dont last long.
atrophy means shrinkage of muscle from lack of use.
that is good you are doing some leg exercises
do you smoke?
smoking can cause poor circulation in your legs.
I'v been told it could be water retention, I dont pess urinn very much? Yes I smoke 10 a day.
if you don't pass much urine, you could be having kidney weakness.
you need blood test to check if your BUN and creatinine levels are elevated.
these are signs of kidney failure or kidney weakness.
water is retained if your kidneys are not working
or if you are eating too much salt.
water follows salt
OK, So can you give me a summery that I can print and go back to my Doctor for checks.
I would ask your doctor to check your kidney function
with blood test to check for BUN and creatinine levels.
and see if they are elevated to show weakened kidney function.
if you have weak kidneys, you have to avoid foods with potassium and avoid high protein foods.
and you have to avoid salt in your diet.
let me know if you have other questions.
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What about Excercise will that help?
yes, you should continue to exercise and strengthen your muscles.
I"m still here just evaluating your advice, Potassium?
if you have weak kidneys, they have a hard time excreting potassium.
and your potassium levels could be elevated.
so these needs to be checked as well
What sort of Medecation could suggest?
you have to get testing first to see if it is your kidneys or not.
then treatment can be discussed.
Is taking asprin Ok to continue?
aspirin thins the blood and can cause bruising
and can increase risks for stomach bleeding.
so make sure you take it with food in your stomach.
but if your kidneys are weak, you might have to stop your aspirin
as aspirin and NSAIDs can stress your kidneys.
Ok Doc I will get the checks you suggest and get back to you thanks.