Why there is edema on the legs
Pathologies. NET -> Symptoms -> Why does swelling develop on my legs? How to determine the cause of edema?
Edema on the legs is one of the most frequent symptoms,with which doctors face almost all specialties, since more or less pronounced puffiness can be observed in a variety of diseases. In the people there is a common prejudice that edema is a consequence of cardiac pathology. Someone blindly believes in this statement and begins to drink tinctures of hawthorn or broths of wild rose. someone goes to the cardiologist, and someone thinks that now you need to worry less, the heart will calm down, and the swelling will pass by itself.
In fact, swelling is almost always an indicationneglected pathology, and their appearance requires the beginning of a quality and effective treatment, in which the herbs can act only as an addition to the main treatment. The edemas on their legs certainly will not dissolve.
An appeal to a cardiologist is a good option,because even if the appearance of the symptom is not associated with the pathology of the heart, the specialist will send you to another doctor who can provide the necessary help. But it must be said that cardiac diseases are only one of dozens of causes of edema on the legs.
How can you determine what is the reason for the appearance of a terrible symptom in your case, and where should you turn for help to you?
Edema syndrome with heart diseases
Violation of the heart muscle with developmentThe syndrome of heart failure is indeed one of the most common causes of edema on the legs. By itself, heart failure can occur with angina pectoris, and develop due to myocardial infarction, and even take place with atherosclerotic cardiosclerosis.
In other words, any form of ischemic diseaseheart, any myocardiopathy, myocarditis or rheumatism, valvular or vascular defects - all this can cause heart failure and edema on the legs.
To establish that it is heart failureis the cause of edema is simple: almost always there are manifestations from the heart, pain or heaviness behind the sternum, there may be a history of myocardial infarction, complaints of interruptions in the work of the heart, increased blood pressure and so on. In this case, almost always there are no signs of other diseases that lead to the appearance of edema on the legs.
In addition, with a pronounced cardiacInsufficiency of edematous syndrome persists almost constantly, in the morning the expression of swelling is less, after walking or prolonged stay in a sitting position - more, but completely they almost never leave. Because of edema and heart failure, the tolerance of physical exertion is significantly reduced: a person can no longer pass as much as before, walking, climbing to the floor and any other physical activities are more difficult.
Edema in case of varicose veins
Varicose disease is the second mosta common cause of edema on the legs. In this case, as a rule, there are enlarged veins or a pronounced venous network on the legs, and there are no changes from the heart. Of course, one can not exclude the combination of coronary heart disease with varicose veins, but in this case, swelling can be caused by both reasons.
With varicose edematous syndrome in the morning, asrule, is absent. Most people suffering from this ailment prefer to sleep with their legs elevated, which are laid on the pillow. By the way, patients with heart pathology raise, on the contrary, head and trunk, sleep half-sider, but not with raised legs, because in the latter case, blood flows to the heart, and it does not cope with its function, and the person begins to feel worse.
During the night, blood flows from the lower limbs andin the morning a person does not feel fatigue and does not notice edema - at least, such a picture takes place at the beginning of the disease. Physical stress during the day, prolonged stay in a static position standing or sitting, lead to stagnation of blood in the lower extremities due to the fact that the veins can not fulfill their function. There is swelling, pain and a feeling of heaviness in the leg, often there is burning in the veins and other unpleasant symptoms.
Liver diseases and swelling
It would seem that the liver has nothing to do with swelling,especially on his feet. In fact, this is not so, and that's why. The liver takes an active part in the synthesis of proteins that are found in the blood. It is these proteins that take water from interstitial space. In liver diseases, we are talking, first of all, about cirrhosis, when the protein-synthesizing function is disturbed, although this can be observed in severe hepatitis, the amount of protein in the blood decreases. As a consequence, the fluid from interstitial space simply does not go out, it remains there and leads to the onset of edematous syndrome.
In this case, other diseases that cancause edema, usually absent, but there may be a combination of one or more reasons, so treatment in such a case should be comprehensive. With a decrease in the amount of protein in the blood, albumin infusions are performed, which allows to restore the oncotic pressure and eliminate the edematous syndrome, but against this background, another therapy aimed at treating the underlying disease should be carried out.
Edema on the feet with kidney disease
There is a widespread opinion that whenkidney diseases have swelling under the eyes, and with the pathology of the heart - on the legs. In fact, this is a too rough understanding of the problem, since with pyelonephritis, glomerulonephritis, kidney damage in HIV infection or diabetes mellitus, there may be no swelling under the eyes, but they can occur on the legs.
The fact is that they can differ significantlycauses of edematous syndrome. Edema on the feet appear, most often, it is with diabetic nephropathy, since renal damage in diabetes mellitus leads to a significant loss of protein. As a consequence, the pathogenesis of edema is the same as in liver lesions. A similar condition occurs with glomerulonephritis. and with kidney damage in HIV infection, and in severe pyelonephritis.
But if there is a pronounced lesion of the kidneyswith the development of renal failure, then swelling can occur as a consequence of the violation of excretion of fluid from the body. And in this case they actually appear under the eyes, although it all depends on the degree of manifestation of the insufficiency, sometimes it comes to the generalized edema - anasarca.
Edema on the feet of pregnant women
Normal pregnancy is not accompanied byedema on the legs, but the development of preeclampsia (gestosis) is accompanied by the loss of protein in the urine and the development of pronounced swelling, sometimes covering the foot, shin and even thigh. Ocular syndrome always disappears as quickly as it develops after delivery. Treatment is carried out depending on the condition, but the diagnosis does not cause any difficulties.