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Peripheral edema is a pathological condition that is caused by excessive accumulation of fluid in the extravascular region of tissues, i.e., interstitium.
Causes. Edema can occur as a result of diseases:
- of cardio-vascular system,
- thyroid gland and other endocrine structures.
In a number of cases, swelling is caused:
- ingestion of an allergen into the body (angioedema),
- lack of protein,
- a local obstruction to lymphatic or venous outflow.
Symptoms. Edema can be:
- hidden (in the presence of 5-7 l of excess fluid),
The patient may note the following symptoms:
- increase in body weight (often rapid, 1-2 kg per day),
- puffiness of face,
- an increase in the size of the legs and feet,
- need to buy shoes and clothes 1-2 sizes larger,
- rare urination,
- Shortness of breath.
Other clinical manifestations depend on the affected organ.
Diagnostics. A comprehensive survey is conducted:
- laboratory tests of blood and urine,
- Ultrasound of the abdominal cavity + kidney,
- consultations of the endocrinologist, nephrologist, cardiologist.
Depending on the identified changes, the range of diagnostic activities can be extended.
To assess the dynamics of edema:
- daily weighing,
- measurements of the drumsticks.
Treatment. Therapy is aimed at eliminating the causes of the disease.
- A selection of drug therapy aimed at compensating for cardiac, renal and / or hepatic insufficiency is being conducted.
- Symptomatic is the receptiondiuretics. With long-term admission, it is necessary to focus on potassium-sparing drugs, and if necessary - in addition to fill the deficiency of electrolytes.
- Drugs for the treatment of urinary incontinence. including - nocturnal enuresis. can provoke swelling. Therefore, if possible, the means of this group are canceled.
The drug Spazmeks can be found
in a convenient patient pharmacy, including using on-line services, for example.