What can swell from?
As a result of accumulation of excess liquid inthe body appears edema. The cause of its occurrence should be established together with the doctor. After all, this can lead to ordinary fatigue and overstrain of the legs, but in some cases, swelling indicates serious illness.
Experts can tell, from what swell legs. But for this it will be necessary to get acquainted with the whole classification of edemas. After all, liquid can accumulate when:
- cardiological problems;
- disturbances in kidney function;
- stagnant diseases resulting from increased vascular permeability and increased capillary pressure;
- Neuropathy (the cause of its development may be diabetes mellitus or excessive alcohol addiction);
- mechanical damage, such as injury.
These are the main options for answering the question: "What are the legs swelling from?"
But also the accumulation of fluid can begin atflat feet, excess weight, incorrectly picked up shoes. People with sedentary work suffer from swelling, and also those who experience constant excessive physical exertion. In addition, too weak muscles lead to edema - they are not able to provide adequate lymph drainage.
If you notice that your ankles are enlarged, your feet, it is better to start together with your doctor to decide what swells your legs and what to do.
The association of edemas with the state of health
It should be understood that the accumulation of fluid can betemporary or permanent. In the first case, problems can appear after a hard day's work, with sedentary work or even because of an uncomfortable position in a dream. These causes lead to a temporary disturbance of blood flow in the limbs.
Also the accumulation of liquid can contribute tothe use of salty or, conversely, sweet food. Such food causes a thirst, and the excessively consumed amount of liquid kidneys may not have time to process. By the way, even if you just drink a lot of water or tea at night, then in the morning you can notice small swelling in the area of the legs, hands and face.
Another answer to the question of whatswelling of the lower legs, can become alcohol. Alcoholic drinks dehydrate the body, so it begins to accumulate liquid. And the next day after consuming strong drinks often there is swelling. It has a bad effect on the removal of fluid from the body and heat, while breaking the outflow of lymph.
But it happens that swelling is a signal of seriousproblems. For example, swollen ankles should alert - they are poured in case of heart problems. As a rule, this symptom is manifested in the elderly. But the young often suffer from edema, if they have problems with blood vessels. With varicose veins, a frequent companion of swelling is a feeling of heaviness in the legs.
Specialists, after seeing the patient, can first guess what swells the legs and what to do. Treatment, however, will already be appointed after a full examination.
First of all, the doctor should establish howHave long been observed swelling, whether they are accompanied by pain. It is also important to find out what medicines the patient is using. After all, for example, non-steroidal anti-inflammatory drugs can provoke the appearance of swelling.
It is also important to clarify whetherexcessive accumulation of fluid pain. With deep vein thrombosis in the edema zone, the patient may experience pain, which will increase with palpation. This disease will be spoken by the sudden onset of fluid accumulation, which is noticeably increasing.
It is also important to confirm the absenceneoplasms. If they are and are located in the pelvic area, then they can pinch the lymph vessels. This breaks the outflow of lymph and causes swelling.
Determine, from which the legs swell, you can uselaboratory tests of blood and urine. When a D-dimer is detected, it is said that thrombosis appears, and atriopeptin is indicative of heart failure.
It is also important to have a general examination. It is necessary for "screening" patients with obesity. With it, there is a greater chance of thrombosis, venous insufficiency, there may be a brief stopping of breathing in sleep, called apnea.
Examination of the skin also helps to establishdiagnosis. For example, papillomatosis, hyperkeratosis, induration are signs of prolonged lymphatic edema. With CVI due to the deposition of hemosiderin, the skin appears brown. About the lymphatic edema will also testify to the inability to make a skin fold on the back of the foot in the region of the second finger.
Important and the place in which it began to gatherliquid. One leg may increase with thrombosis or venous insufficiency. But both extremities swell with problems with the heart, kidneys or intestines. Separately it is necessary to talk about what swells the legs down. Swelling of the extremities below the knee can result in lymphedema, frequent sitting, prolonged orthostasis, nephrotic syndrome.
In some cases, during a routine examination, a doctorcan call the cause of edema. But experts still advise to undergo a comprehensive examination. There may be several reasons, and each of them requires its own approach to treatment. In addition, the clinical picture can be blurred due to the use of certain drugs.
Taking aspirin, vasodilators,steroids, estrogens can cause blood flow disorders. As a result, hydrostatic pressure in the veins will be increased. It is caused by a prolonged stagnation of blood. First, the pressure increases in large vessels, and then in small ones. The liquid from them begins to be squeezed out into surrounding soft tissues and to accumulate in them.
Therefore, in order to understand, from whatswelling of the legs in women, the elderly or men, you need to carry out several diagnostic procedures. Among them - ultrasound of the lower extremities with Doplerography. This is done in order to see the state of veins and confirm (or refute) thrombosis or chronic venous insufficiency. It is also important to check the condition with the help of an echocardiogram and an electrocardiogram. These two examinations can identify problems with the cardiovascular system.
If the doctor sees that the patient has all the signs of lymphatic edema, then a computed tomography of the pelvic organs is needed. With her help you can see the new growth.
Also establish the causes of the appearance of lymphaticEdema can be treated with a special procedure - lymphoscintigraphy. It allows differential diagnosis and determine the type of edema - whether they are venous or lymphatic.
If the patient has problems with the kidneys, then swell,as a rule, both legs simultaneously. The back part of the feet is affected. Also, edema appears under the eyes, eyelids can swell. But no pain, no itching, no hyperthermia. If the kidneys fail, edema can appear on the hands and on the stomach. This is one of the most common reasons for what swollen feet in women in the morning. But a similar problem also occurs in men. By the evening the manifestations of the disease are decreasing. This is all accompanied by a decrease in the amount of urine released. Its color also changes.
By the way, to an excessive accumulation of fluid can lead to normal respiratory diseases. Some of them cause complications in the form of failures of the kidneys.
If edema is accompanied by diarrhea, and urination while remaining normal, the cause of problems can be covered in a violation of the functioning of the intestine.
In cases where problems begin in the evening,especially after a long standing on the legs, it is advisable to consult a phlebologist. He can check the condition of the veins and give an answer to the question: "What causes swollen legs and what to do?" After all, varicosity can lead to such a condition. At the initial stages, signs are almost invisible, but with progression of the disease, edema increases. Often thus there are ulcers on a skin, its or her separate sites are pigmented.
Edema, the appearance of which is associated with cardiacproblems, are the same on both extremities. But if a person is constantly in a recumbent position, the liquid accumulates in the lumbar region. Sometimes swelling is accompanied by a rapid pulse, the appearance of wheezing in the lungs, shortness of breath. In this case, it can last up to several days.
If you develop elastic swelling in the lowerparts of the lower leg, with pressure on which no pits remain, then it is worth checking the thyroid gland. Often this condition is accompanied by general lethargy, drowsiness, a feeling of chilliness.
Finding out from what the legs and hands of women swell, notforget about PMS. Before the expected menstruation in the body, minor problems with fluid withdrawal begin. This condition does not require treatment, if after the start of the next critical days swelling passes independently. True, some patients do not. In this case, it is likely that the adrenal glands overproduce aldosterone. If the diagnosis is confirmed, then the treatment is carried out with the help of "Spironolactone". The effect is noticeable already on the 2nd-5th day of therapy.
Swelling in the last trimesterpregnancy, also in most cases are quite normal. They arise because of the physiological changes that occur on their own after the birth. But women should constantly monitor their health so as not to miss the onset of gestosis.
The period of menopause is often accompanied by an increasedswelling. Some people during the menopause worried about nighttime apnea. This can be determined by daytime sleepiness, loud snoring at night, obesity, thickening of the neck. Confirm the diagnosis with polysomnography. In this case, swelling can be removed with diuretics, and the syndrome is treated by creating a constant positive pressure during sleep in the airways.
Specificity of problems in men
It is worth noting that women are more likely to face edema. Therefore, men should be alerted if they noticed that they began to accumulate liquid in soft tissues.
Obesity can lead to such a phenomenon,varicosity, thrombophlebitis, myxedema, lymphedema, heart problems, renal and hepatic pathology, infectious lesions, arthritis. Also, the fluid can begin to accumulate as a result of an allergic reaction to stimuli. But there are other reasons. So, from what swells the legs of men? Pathology may lead to a number of drugs, excessive fluid intake, flat feet and other orthopedic problems, mechanical damage (bruises, dislocations, hemarthroses).
If you notice swelling, then it is better to start the examination with a visit to the therapist. He will prescribe the necessary tests and send you to the doctors who can establish the exact cause.
Sometimes fluid retention is caused by problems withthe liver. This is characterized by the terminal stage of cirrhosis. In patients, edema begins, and this condition is accompanied by a drop in the amount of protein in the blood plasma. Often with this diagnosis, men who suffer from alcoholism. You can treat such swelling with diuretics. Assign the following drugs: Furosemide, Spironolactone, Torasemide.
Diagnosis of diseases in the elderly
Most often, pensioners turn to doctors withthe question "from what swollen legs and disturbed convulsions." How to treat it, they want to know already at the first reception. But without a comprehensive survey it is difficult to establish what caused the problems.
In elderly patients, as a rule,often reveal a whole complex of diseases that cause swelling. These can be heart problems, thromboses, and venous insufficiency. Also, with age, the excretory system begins to function worse, there are malfunctions in the functioning of the kidneys. Often this is due to a decrease in physical activity.
Doctors can help you figure out what is swellinglegs in the elderly. Most often this is due to heart failure. Such patients often have jugular paired veins around their neck, the doctor can listen to crepitus in the lungs. This is the sound that appears at the end of the inspiration - the beginning of the exhalation, reminiscent of a collection of clicks. There are such swelling due to increased permeability of blood vessels, capillaries. Also, the rhythm of the heart is disturbed. Confirm the diagnosis with the help of an electrocardiogram and ultrasound.
Often the cause of problems is the venousfailure. It is often provoked by obesity, varicose veins. Signs of CVI are usually visible even when viewed, but you can evaluate the condition of the veins with Doppler. Through this survey, you can also determine the stage of the disease.
Before going to the doctor to find out what is swellinglegs, you need to remember the list of all medications taken. Usual aspirin, anti-inflammatory non-steroid drugs, antidepressants, androgens, interferons can give very unexpected complications. Therefore, the doctor should be informed about all the medications that you often take.
Swelling of expectant mothers
Most pregnant women in the third trimesternotice that they begin to accumulate fluid in soft tissues. Do not suffer from the question "from what swelling of the legs in women during pregnancy", only 20% of expectant mothers. In some cases, this is considered a completely normal physiological phenomenon, because in the normal course of pregnancy in a woman's body can accumulate up to 7 liters of excess fluid. At the same time, the blood circulation in the limbs slows down.
But the state of the future mother should be monitored by her gynecologist, because sometimes swelling is a sign of gestosis. Determine the pathology can be through regular pressure measurement and urine analysis.
Finding out what the legs swell from pregnant women,it should be noted that experts identify 4 stages of problems. On the first of them, only ankles grow in volumes. The second stage is characterized by swelling of the feet and lower abdomen. On the third, hands are markedly marked. But with the last, fourth degree, the entire body swells.
Sometimes concealed swelling may disturb pregnant women. The condition is characterized by the fact that there are no external manifestations. Only a sharp jump in weight can be indicative of the problems that have begun, provided that the nutrition of the future mother has not changed.
When found in urine protein, pressure jumps,which accompany these diseases, pregnant women are recommended to be treated in a hospital. Only in moderate cases is it possible to take home therapy. But the gynecologist will have to show it much more often.
Having established the exact cause and understanding, from which swelllegs in women, a doctor can build a treatment regimen. If a malfunction is detected in the functioning of the cardiovascular system, diuretics are prescribed. This may be Furosemide, Arifon, Hypothiazide. Angiotensin receptor blockers are also required. The doctor can prescribe medications "Cosaar", "Diovan", "Atakand", "Mykardis" or other similar means. Patients are also prescribed cardiac glycosides, for example, "Digoxin."
After the swelling subsides, they begin to treat heart failure. This is done with the drug "Ivabradine" and beta-blockers.
With venous insufficiency, often even witha routine examination can be established, from which the legs swell in women. And what to do in this situation, you need to consult only with your doctor. The main recommendation is to purchase and wear special compression underwear. Stitching stockings help to ease the condition of patients at all stages of the disease. Also, the use of preparations made on the basis of horse chestnut may be recommended. The most popular are such tools as "Venoplant", "Escuzan", "Escizan". Good results are provided by the treatment with "Pentoxifylline", designed to improve the rheological properties of blood and its microcirculation. Corticosteroids and moisturizing ointments are also used.
But there are also cardinal methods, which are used in the treatment of older people. These include radioablation, sclerotherapy, phlebotomy, endovascular therapy.
Finding out together with the doctor, from what the feet swelland how to treat it, you will learn that it is important to reduce salt intake to 2 g per day. It is also necessary to abandon the products provoking thirst. But the physical load should increase. Ideal for people suffering from swelling is water aerobics. It is also important to wear compression hosiery regularly. If you notice swelling, you must lie down for at least 15 minutes, lifting your legs. Massage will also be effective.
Folk and preventive methods
Many are trying to get rid of excessivefluid accumulation in soft tissues through the use of various herbs, infusions. In some cases, traditional medicine methods are very effective. But do not forget that, having figured out what the legs flow from during pregnancy, treatment should be selected together with the doctor. After all, the future should be very careful not only with medicines, but also with most herbs.
The rest of the patients can try infusionfrom birch leaves, parsley. If there is no desire to select and brew herbs yourself, you can buy a special collection called "Kidney Tea" in the pharmacy. Drink also recommend decoctions of berries and elderberry bark.
When varicose veins are better to forget aboutrubbing and steaming. The nodes are recommended to apply steamed elderberry leaves. With foot fatigue, the tub with cool water helps, in which sea salt is added. A good effect is the wiping of the limbs with ice, prepared from a decoction of chamomile, yarrow, sage. Traditional healers are also advised to make baths with chamomile, horsetail and sage. These herbs are mixed in equal proportions and boiled for about 15 minutes. The broth is diluted with 3 liters of water and proceeds directly to the procedure.
You can rub the swollen areas with a mixture of vegetable oil and lemon juice.
As a prophylaxis of the appearance of edema,perform simple exercises. For example, stand up alternately on different legs, resemble a socks, move the weight of the body from the heel to the toe and back, repeat the bounce several times with the emphasis on the front of the foot.