Im on Diuretics but Feet Started Swelling Again

Foot, leg, and talocrural joint swelling

Swelling of the ankles - feet - legs; Talocrural joint swelling; Foot swelling; Leg swelling; Edema - peripheral; Peripheral edema

Painless swelling of the anxiety and ankles is a common problem, especially among older people.

Aberrant buildup of fluid in the ankles, feet, and legs tin can cause swelling. This fluid buildup and swelling is called edema.

The abnormal buildup of fluid in the body is called edema. Edema is unremarkably seen in the feet and ankles, because of the effect of gravity, swelling is peculiarly noticeable in these locations. Mutual causes of edema are prolonged standing, prolonged sitting, pregnancy, being overweight, and increment in age.

Painless swelling of the feet and ankles is a common trouble, particularly in older people. Most of the fourth dimension swelling can be relieved by elevating the legs above the eye while lying down and avoiding sitting or standing without moving for prolonged periods of time. Although swelling of the anxiety and ankles tin can be a minor problem, information technology can also exist an indication of more than serious illnesses such equally middle failure, renal failure, or liver failure.

Considerations

Painless swelling may touch on both legs and may include the calves or even the thighs. The effect of gravity makes the swelling most noticeable in the lower part of the body.

Causes

Foot, leg, and ankle swelling is common when the person likewise:

• Is overweight
• Has a blood clot in the leg
• Is older
• Has a leg infection
• Has veins in the legs that cannot properly pump blood back to the heart (called venous insufficiency, virtually often due to varicose veins)

Injury or surgery involving the leg, talocrural joint, or pes can as well cause swelling. Swelling may also occur later pelvic surgery, particularly for cancer.

Long aeroplane flights or automobile rides, too every bit standing for long periods of time, often lead to some swelling in the feet and ankles.

Swelling may occur in women who take estrogen, or during parts of the menstrual cycle. Most women have some swelling during pregnancy. More than astringent swelling during pregnancy may exist a sign of preeclampsia, a serious condition that includes high blood force per unit area and significant swelling.

Swollen legs may be a sign of heart failure, kidney failure, or liver failure. In these weather, there is too much fluid in the torso, and information technology collects in the legs.

Certain medicines may also cause your legs to swell. Some of these are:

• Antidepressants, including MAO inhibitors and tricyclics
• Blood pressure level medicines called calcium channel blockers
• Hormones, such as estrogen (in nascence control pills or hormone replacement therapy) and testosterone
• Steroids

Dwelling Care

Some tips that may help reduce swelling:

• Put your legs on pillows to heighten them above your eye while lying downwards.
• Exercise your legs. This helps pump fluid from your legs back to your eye.
• Follow a low-salt diet, which may reduce fluid buildup and swelling.
• Wear support stockings (sold at virtually drugstores and medical supply stores).
• When traveling, take breaks often to stand up upwards and move around.
• Avoid wearing tight clothing or garters effectually your thighs.
• Lose weight if you need to.

Never finish taking any medicines yous think may exist causing swelling without first talking to your health care provider.

When to Contact a Medical Professional person

Call 911 or the local emergency number if:

• You experience brusque of breath.
• You lot have chest pain, especially if it feels similar pressure or tightness.

Call your provider correct away if:

• Y'all have heart disease or kidney illness and the swelling gets worse.
• You have a history of liver affliction and at present take swelling in your legs or belly.
• Your bloated foot or leg is reddish or warm to the touch.
• You have a fever.
• You are pregnant and have more than than just mild swelling or take a sudden increase in swelling.

Also phone call your provider if self-care measures practise non aid or swelling gets worse.

What to Expect at Your Office Visit

Your provider will take a medical history and exercise a thorough physical test, paying special attention to your center, lungs, abdomen, lymph nodes, legs, and feet.

Your provider will ask questions such equally:

• What body parts groovy? Your ankles, feet, legs? Above the knee or below?
• Practise you have swelling at all times or is it worse in the morning or evening?
• What makes your swelling meliorate?
• What makes your swelling worse?
• Does the swelling become better when y'all raise your legs?
• Have you had claret clots in your legs or lungs?
• Have yous had varicose veins?
• What other symptoms practice you take?

Diagnostic tests that may be done include:

• Blood tests, such as a consummate blood count (CBC) or blood chemistry
• Chest x-ray or extremity 10-ray
• Doppler ultrasound examination of your leg veins
• Electrocardiogram (ECG)
• Urinalysis

Your treatment volition focus on the cause of the swelling. Your provider may prescribe diuretics to reduce the swelling, merely these can have side furnishings. Home treatment for leg swelling that is not related to a serious medical condition should be tried before drug therapy.

References

Magee DJ, Manske RC. Lower leg, ankle, and human foot. Magee DJ, Manske RC, eds. Orthopedic Physical Assessment. 7th ed. St Louis MO: Elsevier; 2021:chap 13.

Quick CRG, Biers SM, Arulampalam THA. Pathophysiology, clinical features and disgnosis of vascular disease affecting the limbs. In: Quick CRG, Biers SM, Arulampalam THA, eds. Essential Surgery: Problems, Diagnosis and Management. sixth ed. Philadelphia, PA: Elsevier; 2020:chap xl.

Seller RH, Symons AB. Swelling of the legs. In: Seller RH, Symons AB, eds. Differential Diagnosis of Mutual Complaints. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 31.

Version Info

Terminal reviewed on: 4/24/2021

Reviewed by: David C. Dugdale, 3, Dr., Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington Schoolhouse of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial squad.

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Source: https://www.mountsinai.org/health-library/symptoms/foot-leg-and-ankle-swelling

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