The patient is swollen legs
Have your legs started to swell? Swelling of the feet often develops with varicose veins. At pregnancy, swelling of the feet is also not uncommon. Swelling of pregnant women can be caused by many reasons, but often serve as a sign of pregnancy-initiated varicose veins. Therefore, many young mothers do not observe a decrease, but even an increase in edema of the legs after pregnancy.
Edema of the legs with varicose veins have one feature -they develop gradually. Therefore, phlebologists are often treated with other symptoms of varicose veins. Patients pay little attention to such a symptom as swelling of the extremities, or consider it a sign of some other disease.
In the beginning of varicose veins, the legs do not swellstrongly, therefore swelling is not noticeable. This process is directly related to the vertical position and therefore the swelling of the legs in the evening is the strongest. After rest or sleep, they disappear and appear again only in the afternoon. Progression of varicose veins provokes and intensifies edema of the legs. They become more visible, they are accompanied by pigmentation on the skin, sores. In varicose veins, the swelling of the legs is often asymmetrical and usually only on one leg.
Why swollen feet with varicose veins?
Bacchus, as we already know, is a violation ofoutflow of blood. As a result, in the large veins, the pressure rises, then pressure increases in the small veins. So the pressure in the capillaries becomes higher than the pressure in the intercellular space. There is a tendency to squeeze fluid from the vessels into the tissue. The cause of swelling in the face.
However, swelling on the legs may indicatedisorders and in other organs and systems of the body. So, pronounced edema of one or both legs, which does not stop from several hours to several days - a very uncharacteristic edema for varicose veins. The cause of edema of one leg is often acute deep vein thrombosis, and two - thrombosis or acute heart failure.
The peculiarity of edema in heart failure- a strong dependence of the edema on the position of the body. So, with constant movement, the legs swell symmetrically on both legs, mainly on the legs. In bedridden patients, "cardiac edema" is formed in the lumbar region.
Edema on the legs can serve as a symptom of acutethrombophlebitis. However, edema in thrombophlebitis necessarily accompanied by inflammation - redness, fever, pain along the vein. Much less often, swelling can occur as a violation of the outflow of lymphatic fluid through the vessels.
Any treatment of leg edema is a treatmentthe disease that caused him. Diuretics that relieve edema of the legs are not recommended. These are medications and not always when the legs swell, they are allowed to use.
As a rule, swelling signals the presence ofany disease, and therefore, when they appear, you must always consult a doctor. Your path leads to a phlebologist and cardiologist. The detection of the causes of edema and the treatment of edema of the feet should be handled by professionals.
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Author phlebologist, and therefore puts forward the mainthe cause of edema venous insufficiency, but it is secondary, and swelling arises from the lymphostasis of the lower extremities. Women suffer 3 times more often than men.
There are two forms of lymphostasis:
* acquired lymphostasis.
Congenital (primary) form is most often associated withunderdevelopment of the lymphatic system, there are rare cases associated with the presence of amniotic constrictions and strains of tissue that squeeze the surface lymphatic vessels. There are cases of hereditary form of lymphostasis, which is immediately manifested in several members of the same family by the disease of Milroy.
Malformation of lymphatic vessels is anatomically manifested by aplasia, hypoplasia or ectasia of lymphatic reservoirs with a deficiency of the valve apparatus.
The most numerous group consists of cases of acquired (secondary) lymphostasis.
The causes that lead to a violation of the process of lymph drainage from the limbs, that is, lymphostasis is very different.
These include: soft tissue tumors, post-operative scars, as well as specific processes in the lymph nodes, changes in the area of the lymph nodes after their removal, traumatic injuries, radiation therapy, inflammatory processes in the skin, subcutaneous tissue lymph nodes and nodes.
In some countries, secondary lymphostasis isconsequence of parasitic lesions of lymphatic vessels. Lymphostasis develops again in chronic venous insufficiency in patients with decompensated forms of varicose veins of the extremities, postthrombophlebitic syndrome, arteriovenous fistulas - as a result of compensatory elimination of excess tissue fluid, lymphatic vessels dilate, their tone decreases, and valve insufficiency develops, ie, lymphovenous insufficiency develops .
Secondary lymphostasis is observed with cardiac,renal pathology, hypoproteinemia, when lymphatic capillaries and vessels do not provide an outflow of excess tissue fluid. Possible development of lymphostasis in patients with a sedentary lifestyle (in "recumbent" patients).
In any case, you need to contact a specialist.