Swelling in the legs ( swollen legs , swollen legs ) - Causes, Symptoms and Treatment .MF .
By edema on the feet is meant an increase in the volume of the lower extremities, especially pronounced in the excessive use of liquid, increasing in the evening, after prolonged standing or walking.
edema syndrome is not an independent disease.This is only a symptom of another disease, but rather a sign of the terrible.In physiological terms, the swelling liquid is accumulated in tissue (intercellular) slots, which leads to an increase in tissue volume.
Causes of leg edema
reason edema may be in violation of any fluid diversion (blood and lymph) of the lower limbs or in the enhancement of its education.
most common causes of mechanical obstruction group.Detected compression of the veins, or tumors of the uterus of a pregnant, when clogged vein thrombi, in violation of the outflow of lymph through the lymph vessels.In this case, there is an increase of pressure in the smallest capillaries and increase their propotevanie liquid blood plasma into the surrounding tissue.
in the bloodstream hold liqui
certain medications, including physician and recommended, can promote fluid retention.First of all (due to the reception frequency) it belongs to the group of glucocorticoids, designated allergies, inflammatory diseases of the joints, asthma, cancer.But the side effects are seen only during chronic administration.The same effect drugs have sexual hormones, both female and male.Female sex hormones are accepted as a means of contraception (estrogen and progesterone oral contraceptives), and testosterone (male sex hormone) is appointed for men in treating sexual impotence and obesity.Also pay attention to the preparations for the treatment of high blood pressure - from the group of ACE inhibitors.
Causes swelling of feet during pregnancy
Often swelling of the legs complain pregnant women.And there are several reasons.In - First, hormonal.To maintain normal pregnancy, and in the body is excreted in large amounts hormone progesterone, which relaxes the smooth muscles of uterus not only, but also contributes to vascular and fluid retention.Secondly, in the second half of pregnancy large uterus compresses large veins in the abdomen, making it difficult for him bloodstream.This increases pressure in the veins of the lower extremities, and they swell.Thirdly, swelling of the feet (and not only) can be a sign of preeclampsia (toxemia of late pregnancy), which is progressing (developing) can be life-threatening as the future mother and baby.
diseases with edema feet
diseases that are accompanied by edema of the lower extremities, are quite diverse.
is believed that one of the most frequent causes of edema is varicose veins .In a healthy body veins - the vessels, diverting blood from the tissues to the heart (with rare exceptions).On his feet there is a system of deep and superficial veins associated with each other perforating (connecting) veins.Normally, almost the entire load bear the deep veins.But if they fail, then they come to the aid of the surface.To the blood moving from the bottom up, the veins have valves that prevent blood from flowing backward.To push the blood through the veins surrounding the leg muscles (foot, lower leg, thigh).In valvular malfunction, deep vein occlusion, muscle weakness blood delay occurs in the veins of liquid and propotevanie them into surrounding tissue.This in turn leads to disruption of supply of tissues, their oxygen starvation and varicose veins.
Contributing factors are pregnancy and childbirth, female, work on your feet and with weight lifting, use of oral contraceptives.With varicose veins, together with edema observed symptoms such as tired legs in the evening, the asymmetry of edema on the right and left foot (more than where more impressed veins), the appearance of spider veins leg skin areas darkening on legs or visible visually enhanced subcutaneousveins.
Limfedema - it is a serious disease caused by a violation of the outflow of lymph through the lymph vessels of the lower extremities.Lymphatic vessels collect liquid from products intercellular exchange cells for transporting it in the same direction as veins.It is very thin and fragile blood vessels, so in the event of obstacles in their way, their function is disrupted and the liquid remains in the tissues.On the feet is often the case, as a result of frequent acute erysipelas.After treatment of the disease of the connective tissue seal formed at the site of injury, which is clamped lymphatics.As a rule, once appeared, this swelling remains forever.The last stage is limfedemy saying called "elephantiasis" from - the similarity of the appearance of the patient's legs and the largest herbivore.
order not to bring the legs to the point, it should be time to see a specialist for consultation.
swelling in the legs is quite typical for heart disease.Draw a small digression into the anatomy.Heart - a muscular organ divided into four cavities.The left half of it (atrium and ventricle) pumps blood through the arteries throughout the body.These vessels, branching is carried to the tissues of nutrients and oxygen.Then, in the tissue collecting carbon dioxide and other metabolic products, merging into larger vessels - veins carry blood to the right side of the heart.From there, the blood is pumped to the lungs, where again saturated with oxygen and enters the left side of the heart.
Severe swelling may indicate an advanced heart failure .When coronary heart disease due to lack of oxygen supply for vessels clogged by atherosclerotic plaque, is unable to operate at full capacity, which reduces the speed of the passage of blood through the vessels.The longer the blood flowing through the vessel, the more fluid manages to pass from the blood into tissues.Poor heart function also slows removal of blood from the lower extremities.Therefore, swelling appear primarily on the feet and are accompanied by symptoms such as shortness of breath and pain in the heart, under the left shoulder blade and left arm, worse on exertion, cyanosis of the lips and nails, weakness, palpitations.For heart disease characterized by symmetric swelling, longer in the evening, leaving a hole with pressure, enlargement of the liver.Such patients need medical supervision and, if necessary, consult a cardiologist.
swelling in the legs can also be a sign of kidney disease .In this case, they are developing rapidly in the background pain in the lower back, temperature, color change and the amount of urine, swelling of the face around the eyes.Often it is preceded by a week or two colds or sore throat.Edema develop in this case due to the violation of salt and water excretion by the kidneys affected, as well as due to reducing the amount of protein in blood plasma and increased vascular permeability.Protein albumin is produced in the liver and stored in the blood and tissues.Normally albumin does not penetrates through the kidneys into urine.Therefore, if the analysis of urine you will find a protein, it is a serious sign of zabolevaniya.Takih patients are often treated with nephrologists and urologists together with the therapist.
When hypothyroidism (decrease production of thyroid hormones) are marked swelling, does not leave a hole with pressure, combined with the overall weight gain, lethargy, apathy, tendency to constipation and depression.
local swelling on the leg may appear when inflammatory joint diseases feet.In this case the swelling is detected only on the affected joint, the area has a high temperature to the touch, motion in the joint is painful, its function is impaired.This may be a sign of arthritis or arthritic joints.In this case, you may need to consult a rheumatologist.
When liver cirrhosis can also be marked edema in the lower extremities and in the cavities of the body (in the abdominal cavity around the heart and lungs).This may be the violation generation albumin or liver blood flow disturbance due to scarring of the liver tissue, through which a large amount of blood to the heart.In such a patient, there is usually a long flowing of liver disease on the background of viral hepatitis, toxic alcoholic liver disease or heart disease.Such patients are observed in hepatology and infectious disease.
patient survey with swelling in the legs
Independently identify swelling is easy.First, try to make pressure on the area of the lower leg in the tibia and wait a few seconds.If after this simple manipulation remains fossa, which persists for a long time - it is a clear sign of swelling.
patient survey with edema starts with a visit to a therapist, who, after a thorough survey and inspection may designate a circle of possible causes of this condition.
Thereafter, the patient is examined in the laboratory and, if necessary, be sent for consultation to a specialist.It is necessary to take a blood and urine tests, not only common, but also showing the function of the kidneys and liver, do an electrocardiogram (ECG).
Treatment of leg edema
For the treatment of lower limb edema must first identify its cause and to influence it: choose the heart medication, cure kidney disease, normalize the functioning of blood vessels.Independently salt intake can be reduced (it is delayed with fluid in the body), and excessive water usage.If the doctor did not reveal any contraindications, you can use herbal teas, which is composed of jasmine, lemon, mint, cranberries, cranberry.If possible, eliminate the wearing of high-heeled shoes, and house Give your feet elevated position (above the heart).Accent your attention to the fact that diuretics, including herbs, are accepted only by prescription and under medical supervision.Uncontrolled taking them can lead to increased excretion of potassium, which is fraught with serious violations of the heart.
Complications of leg edema
leg swelling should not be underestimated.It is best to visit your doctor to make sure that the reason for this just fatigue and the heat, and not a serious disease.After undiagnosed heart disease makes it possible to prevent heart attack and stroke, and kidney disease were treated with time does not lead to chronic renal failure.
One of the most feared complications of venous lesions of the lower extremities - a violation of the integrity of the skin, until the development of ulcers and gangrene, while showing lower limb amputation.
If untreated DVT may develop pulmonary embolism.Help
any medical specialists may be required when swelling in the legs?
- therapist or a general practitioner (family doctor).
- Vascular surgeon.
- Endocrinologist Rheumatologist
Take care of your health.And remember that it is up to you.
Moskvina Anna M., therapist