Hello, It is most likely due to venous insufficiency (poor circulation causing fluid to pool in the legs), mild low protein levels, or side effects of certain medications like blood pressure tablets (e.g., amlodipine). It may also result from sitting or standing too long, high salt intake, or reduced physical activity. The swelling usually worsens by evening and improves with leg elevation or rest. Please do these tests: serum albumin, total protein, urine protein, venous Doppler of the legs
Limiting salt, staying active, elevating your legs, and using compression stockings can help. Avoid standing/sitting long periods without movement Proper treatment will cure your problem.Dont worry
I trust this helps Thank you
Swelling in the legs, feet, hands, and other areas, despite normal KFT, LFT, thyroid tests, and a normal ECG, suggests a few possible non-cardiac causes. One common issue is fluid retention or edema. This can occur due to a variety of reasons like prolonged standing or sitting, high salt intake in diet, medications (certain antihypertensives or NSAIDs), or even venous insufficiency. If the swelling is worse at the end of the day and goes down by morning, it might point more towards edema related to travel or activity levels. Conditions like lymphedema can also cause similar symptoms, though typically one notices firm, non-pitting edema, often after surgery or radiation. Sometimes, idiopathic edema, which is swelling of unknown cause, can also occur, more often in women. In these cases, monitoring weight changes and fluid intake can be beneficial. Be aware of other symptoms like shortness of breath, chest pain, or sudden increase in swelling, as these can indicate a need for immediate medical attention. Otherwise, enhancing lifestyle choices such as reducing dietary salt, moderate exercise, and leg elevation might help manage symptoms. Compression stockings may also be beneficial, though getting proper fitting and advice from a healthcare professional would be necessary. If the issue persists, a detailed evaluation with a specialist might be needed to pinpoint the underlying cause and ensure appropriate management.
Hello sir See as per clinical details there can be two main reasons Generalised oedema or dropsy due to kidney issues or metabolic disorders due to cardiac / digestive issues Iam suggesting some tests Please get them done and share results with general physician ( medicine) fir better clarity Serum ferritin Lft Rft Serum albumin globulin ratio Crp Serum troponin/ LDH RBS Serum cck Please share result with concerned physician only and take medication only after recommendation by concerned physician Hopefully you recover soon Regards
Hello Deepak By reading your history and evaluation your case it seems of pitting edema but cause is not clear as you have not mentioned in detail, according to me there can be following causes as follows - 1) Venous insufficiency that is poor blood circulation 2) prolonged sitting or standing 3) are you going through some medication? 4) low protein levels 5)high salt intake
Investigations - 1)Serum albumin and total protein
2)Urine protein test
3)Venous Doppler ultrasound of legs (checks for venous insufficiency or clots)
4)Echocardiogram (to assess heart function more deeply)
Please go through these tests and report me further for better evaluation …
Thank you
Hi Dear Deepak with your history the possible finding is PITTING PEDAL EDEMA it can occur due to chronic standing or excessive walking dependent area can get swelling Secondly some antihypertensives can cause Third Some arterial or venous issues in the limbs can be the cause Kindly do an USG Doppler of both lower limbs Kindly visit a nearby General Physician Keep two pillows and keep the limbs over that to decrease the swelling take care
