Don’t Neglect Your Swollen Feet

Many office workers have been busy for a day, and after returning home from get off work, they often feel that their shoes become tight and their lower limbs swell.1 strokes self-examination for lower limb swelling.

For edema, you can press the skin next to the ankle with your fingers. If the depression exceeds 0.6 cm and there is no way to return to the old view for more than 10 seconds, it can be considered as moderate to severe edema.

Edema can occur on one side of the lower limbs, or on both sides. If it only occurs in one leg, the problem of venous or lymphatic drainage is usually considered first. For example, deep venous thrombosis caused by long-distance flight, commonly known as economy class syndrome, is an example.

Venous thrombosis can be detected by ultrasound and blood draw. For treatment, anticoagulant drugs can be used to help the thrombus dissolve, or elastic stockings can be worn to improve blood circulation in the lower limbs. If the edema is accompanied by skin redness, heat, and pain, it may be a local skin infection or cellulitis, which requires antibiotic treatment. In addition, some drugs (such as calcium ion blockers such as Maiyou) can cause lower extremity edema, which is not a major health problem.

What about edema on both legs? The problem can be much more serious
Common causes of lower extremity edema include: heart failure, liver cirrhosis, kidney disease, and other causes such as thyroid disease and so on. Kidney disease can cause the mechanism of edema, mainly because of poor kidney function, which affects the excretion of water and salt.

In addition, severe proteinuria can lead to insufficient serum albumin, decreased blood viscosity, and water in blood vessels easily leaks to surrounding tissues. If these conditions are not properly treated, they may lead to irreversible chronic renal failure.

If lower extremity edema is accompanied by bubble urine, special attention is needed. This is likely to be chronic glomerulonephritis or diabetic nephropathy with severe proteinuria. If not handled properly, it may eventually embark on the path of dialysis.

Diuretics can only treat symptoms of lower limb swelling
The treatment of edema must prescribe the right medicine, first check the heart, liver, kidney and endocrine function to confirm and actively treat the cause. The inspection items include blood test, urine test, and ultrasound examination if necessary. Diuretics are very useful tools for the treatment of edema, which can help the body expel accumulated water and salt.

Diuretics usually only treat the symptoms; they have no therapeutic effect on proteinuria. Without careful evaluation, buying diuretics in the pharmacy on your own may cause electrolyte imbalance. At the same time, it will temporarily relieve the symptoms, which makes us ignore the severity of the disease. Therefore, if you often feel that your shoes are tight and your lower limbs are swollen, please go to the hospital as soon as possible!


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