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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18904
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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My daughter has badly swollen legs has been investigated DVT

Customer Question

My daughter has badly swollen legs has been investigated for a DVT but blood test and scan came back negative. The doctor she saw yesterday says not oedema. Her couldn't feel her left foot yesterday but as still warm and pink they said blood still getting through. They have given her a blood test and ordered a Doppler test. The doctor said he didn't know what is wrong with her. She is obese but has recently lost 2 stone at slimming world, she put weight on after fracturing and dislocating her shoulder last February, although was obese before she had lost 3 stone. He suggested it was her weight, but her legs were not like that before even at her heaviest and she is loosing weight so how would that be. She has ME and is on lots of painkillers etc. Her legs are very painful, the skin stretched she says they feel like tree trunks. What could it be
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.

Hello from JustAnswer.

There are several possibilities to consider when there is badly swollen legs. It is good that they have excluded DVT. The blood tests may have also included tests for certain systemic illnesses that can cause swelling, such as liver or kidney dysfunction or hypothyroidism. It also would be appropriate to consider whether the swelling could be related to heart dysfunction. This can be assessed by physical examination, but an ultrasound of the heart would be more precise in assessing heart function.

If the evaluation is normal, the most common cause of swelling is from chronic venous insufficiency. When someone that is overweight develops swelling, it is often because of an exacerbation of chronic venous insufficiency. She may not have had swelling when she was heavier in the past because the veins were in better shape previously.

If she has not yet had an evaluation for the various conditions above, it would be appropriate to perform that evaluation. If the evaluation has been done, there are a couple of home interventions that can be done to try to help ease the swelling. It can help to use medical compression stockings, such as TED stockings. Regular walking may also help by massaging the veins. There also is a supplement, horse chestnut, that may be able to help improve venous tone and ease the swelling.

If I can provide any additional information, please let me know.

Expert:  Dr. D. Love replied 1 year ago.

Please let me know if I can provide any further assistance.