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admin | Category: Erective Dysfunction 2016 | 05.01.2015
Normally swollen feet should not be a concern for many of us whose job involves standing or walking for long time. Lymphedema: There will be accumulation of lymphatic fluid when there is some problem in the lymph nodes or lymph vessels. Insufficiency of veins: This is a condition in which blood randomly moves in the veins in the region from legs to feet and up to the heart. Presence of blood clots in the veins of feet may reduce the blood-flow from the legs to the heart. Prolonged use of contraceptives, repeated hormone therapy like estrogen can cause swollen feet.
Some doctors prescribe calcium blockers like cardizem, dilacor tiazac and plendil for certain types of hypertension, may cause inflammation. Do exercise regularly, drink plenty of water, stop using laxatives, cut down salt intake, and avoid standing in the same position for long time.
Venous insufficiency is a condition in which the veins do not efficiently return blood from the lower limbs back to the heart.
The superficial veins lie in the subcutaneous fatty layer of the body just beneath the skin and superficial to the deep fascia enveloping the body musculature.
The perforating veins penetrate the deep fascia and connect the superficial veins to the deep veins. The intramuscular sinusoidal veins are large, very thin walled, valveless veins within skeletal muscle. In systemic circulation oxygenated blood is pumped by the left ventricle through the arteries to the muscles and organs of the body, where its nutrients and gases are exchanged at capillaries, entering the veins filled with cellular waste and carbon dioxide. The de-oxygenated blood is taken by veins to the right atrium of the heart, which transfers the blood to the right ventricle, where it is then pumped to the pulmonary arteries and eventually the lungs. In pulmonary circulation the pulmonary veins return oxygenated blood from the lungs to the left atrium, which empties into the left ventricle, completing the cycle of blood circulation.
Phasic Flow: The breathing-related intra-abdominal pressure changes lead to respiratory fluctuation of venous flow with faster flow during expiration due to lower intraabdominal pressure (upward movement of diaphragm) and slower flow during inspiration due to higher intraabdominal pressure (downward movement of diaphragm). The muscle pump or the venous pump: The muscle pump mechanism is highly developed in the calf muscles. Clinical manifestations of venous insufficiency include various conditions such as telangiectasias, varicose veins, and axial incompetence. Lipodermatosclerosis: LDS or liposclerosis refers to a thickening in the tissues underneath the skin.
Performing a Tourniquet test is necessary to determine the level of valvular incompetence in the superficial system and to ascertain whether deep venous system involvement is present. The patient should wait in a supine position with the limb elevated for at least one minute before starting to perform the Tourniquet test.
If after removal of the below-knee tourniquet the lesser saphenous system fills, then presence of lesser saphenous incompetence is most likely. A Trendelenburg test determines the competency of the valves in communicating veins between the superficial and deep veins of the leg. The Trendelenburg test is often confused with Trendelenburg's sign, which is related to conditions affecting the hip and femur. The Perthes test is a clinical test for assessing the patency of the deep femoral vein prior to varicose vein surgery. This test is sometimes referred to as the Delbet-Mocquot test, named after French physicians Pierre Delbet and Pierre Mocquot. The test in done by applying a tourniquet at the level of the saphenofemoral junction to occlude the superficial pathway, and then the patient is asked to move in situ. The examination is often done in the upright position, as this is the best way to evaluate valve function.
MRI provides sagittal, coronal, and cross-sectional views and is able to detect acute occlusion. Thermography provides an infrared map of cutaneous temperature and can be used to help identify suferficial and perforating veins. Anti-inflammatory medication such as ibuprofen or aspirin can be used as part of treatment for superficial thrombophlebitis along with graduated compression hosiery – but there is a risk of intestinal bleeding.
More aggresive thrombolytic therapy with injectable low molecular weight heparins (such as lovenox or arixtra) can also reduce fibrin formation and has been successfully clinically to reduce the signs and symptoms of venous insufficiency [8].
CHIVA is the acronym for Conservative and Hemodynamic cure of Incompetent Varicose veins in Ambulatory patients translated from the French cure Conservatrice et Hemodynamique de l'Insuffisance Veineuse en Ambulatoire[5] published in France in 1988. CHIVA relies on an hemodynamic impairment assessed by data and evidences depicted through Ultrasound dynamic venous investigations. It generally consists in 1 to 4 small incisions under local anesthesia in order to disconnect the varicose veins from the abnormal flow due to valvular incompetence which dilates them.[6] The patient is dismissed the same day. Preserve the superficial venous capital for unpredictable but possible need for coronary or leg artery vital by-pass which increases with ageing. Consequences to be achieved properly, CHIVA method needs a comprehensive knowledge of both hemodynamics and Ultrasound venous investigation. Conventional surgery: Conventional surgery for varicose veins does relieve symptoms and has a role on the prevention of chronic venous ulceration. A commonly performed non-surgical treatment for varicose and "spider" leg veins is sclerotherapy. A Health Technology Assessment found that sclerotherapy provided less benefit than surgery, but is likely to provide a small benefit in varicose veins without reflux.[20] Complications of sclerotherapy are rare but can include blood clots and ulceration.
Endovenous laser ablation (EVLA) is a relatively simple and quick technique which can be performed under a local anesthetic.
The Australian Medical Services Advisory Committee (MSAC) in 2008 has determined that endovenous laser treatment for varicose veins "appears to be more effective in the short term, and at least as effective overall, as the comparative procedure of junction ligation and vein stripping for the treatment of varicose veins."[22] It also found in its assessment of available literature, that "occurrence rates of more severe complications such as DVT, nerve injury and paraesthesia, post-operative infections and haematomas, appears to be greater after ligation and stripping than after EVLT".
Two prospective randomized trials found speedier recovery and fewer complications after radiofrequency obliteration (AKA radiofrequency ablation) compared to open surgery.[24][25] Myers[26] wrote that open surgery for small saphenous vein reflux is obsolete. Scrotal swelling is abnormal enlargement of the scrotum, the sac surrounding the testicles. Considerations Scrotal swelling can occur in males at any age. Swelling in the extremities is often caused by idiopathic edema or excess salt consumption. Swollen hands and feet are commonly caused by idiopathic edema, which is usually not serious.
Everyone in Bali is born with one of four first names, based on birth order: Wayan, Made, Nyoman, or Ketut. Sometimes women suffer from idiopathic edema during certain portions of their menstrual cycle. Swollen hands and feet from idiopathic edema can often be reduced by lying down for several hours and reducing the amount of salt in your diet. Other signs that swelling in your hands and feet may be serious are if it is coupled with a shortness of breath, unexplained weight gain or nausea. While frequent bouts of swelling in the hands and feet can be troubling, in most cases it is no cause for alarm. Finally, (OK, this is icky and you might not want to do it but it won't harm you at all) stroke your lymph nodes. I am a 45 year old female with no hypertension or diabetes, but I have had pain in my right side and swelling on my face, and in feet and ankles for the last six months. I'm now finally back to eating better and determined to begin walking although it's painful.


These are the following symptoms I struggle with badly: Swollen and burning hands and feet and face. When the doc couldn't find any irregularities after weeks and months of testing, he recommended Prozac, as it was possibly “all in my head” and I was depressed because I had gained weight.
Now, what I was eventually diagnosed with may not be the underlying issue that causes your health problems, but you might want to check it. Anyway, I hope this helps you in the further investigation of the causes for your health issues. My daughter had severe swelling in her hands and feet, skin rashes, loss of energy, severe weight gain and many other symptoms described on this site.
At ages 21 to 24 I had chronic headaches, swelling in the feet, and tingling in the arms and legs.
Undiagnosed swelling in the hands, feet, stomach (with severe pain), face and throat could possibly be a result of a very rare condition called Hereditary Angioedema. What do I do when I have swollen feet, ankles and toes and my doctor has no idea what is causing it?
I have been on anti-depression and anti-convulsion medications and seven days ago, I had a horrible allergic reaction to my Lamictal which made me break out all over my body with a red rash and hives. I walk around and shake my hands to make them "wake" again, but most of the time it doesn't help. Please, if anyone ever had an allergic reaction from medication, please let me know that this is part of it and will go away. There will be continuous movement of lymphatic fluid in the bloodstream and due to any reason, if it gets blocked, it may give rise to lymphedema. Here the veins flow the blood moving in one way direction thus keeping the blood flow insufficient. They would get nerve problem called diabetic neuropathy causing foot infection leading to formation of sores and blisters causing nerve damage. There is every chance for fluid accumulation in the feet when kidneys are not functioning properly or when there is leakage in liver or when there is sudden heart failure.
Using antidepressant drugs like norpramin, aventyl, amitriptyline, endep and nardil can cause swelling of feet.
The principal veins in the legs are the great and lesser saphenous veins and their tributaries; in the arms they are the basilic and cephalic veins and their tributaries. It is common in the extremities for there to be two or more veins accompanying a small to medium sized artery. Those along the inner (medial) side of the lower leg play a major role in the pathogenesis of the postphlebitic leg. Flow in the arterial system is dependent on the pumping action of the heart and the elasticity and muscular activity of the arteries.
This pressure dependent flow pattern is transmitted through the upper leg veins into the major deep veins in the distal lower leg and into the major superficial veins (great and small saphenous veins) in the recumbent patient.
Venous claudication may mimic arterial intermittent claudication, though it typically takes longer to subside after stopping exercise. This maneuver empties the veins by reducing venous congestion in the superficial venous system. If the superficial veins of the calf segment fill, perforating vein incompetence is usually present. In following step, the above-knee tourniquet is removed to assess the competence of the Hunter's canal perforator. The leg is raised above heart level until the veins become empty, then the leg is quickly lowered.
In addition, the function of valves in each segment of the evaluated veins can be assessed by determining the direction of blood-flow using Doppler ultrasound.
In extensive superficial thrombophlebitis, consideration should be given to anti-coagulation, thrombectomy or sclerotherapy of the involved vein. It has phase II and III clinical trials that demonstrate its effectiveness as a fibrinolytic agent. According to this new concept, the clinical symptoms of venous insufficiency are not the cause but the consequence of various abnormalities of the venous system.
For traditional surgery, reported recurrence rates, which have been tracked for 10 years, range from 5-60%.
Anaphylactic reactions are "extraordinarily rare but can be life-threatening," and doctors should have resuscitation equipment ready.[21] There has been one reported case of stroke after ultrasound guided sclerotherapy when an unusually large dose of sclerosant foam was injected.
Endovenous laser techniques employ an 810 nm-diode laser to heat the long or short saphenous vein (or major tributaries), inducing a combination of endothelial damage, focal coagulative necrosis, shrinkage of the vein and thrombotic occlusion.
Myers said these veins should be treated with endovenous techniques, citing high recurrence rates after surgical management, and risk of nerve damage up to 15%. Changes of cutaneous microcirculation from elasto-compression in chronic venous insufficiency. Department of Surgery and Radiology, Hospital of Varberg, Sweden Long saphenous vein saving surgery for varicose veins.
Saphenofemoral junction incompetence treated by ultrasound-guided sclerotherapy, Dermatol Surg. The problem, however, is not limited to women and not necessarily to a particular time of the month.
Some doctors treat idiopathic edema with ACE inhibitors or progesterone, but this does not consistently treat the condition. Swelling in the extremities can be a symptom of heart disease, or problems with the liver or kidneys. Any of these symptoms, combined with swelling of the hands and feet, are a signal that something potential serious may be going on in the body.
By reducing salt consumption and resting during the day, much of the swelling can be alleviated. It may not be that, but from what you said, it should help with the symptoms and it's totally non-invasive. The stockings, the sleep, the stroking-- none of it will hurt you, and you never know; it may help. I've been to two doctors who say it is systemic (yeah, tell me something I don't know) but they couldn't say much other than that. First one will swell then the others and like the next day, my big toes do the same thing but it's one at a time.
Since then I have been sick with vomiting, fevers, profuse sweating and fatigue and joint pain. While I do recognize that certain symptoms may be or have psychological reasons, this certainly was not the case, and I was not pregnant, so I promptly took my boob out and 'squeezed' and the breast milk sprayed into his direction, calmly saying, “And in whose head is this now? I am now 41 and three years ago, it was accidentally discovered that I have genetic hypertriglyceridemia and a virus in my pancreas.
I finally cleared up the rashes but now my feet, right leg and hands are swelling and have pain with it. In case of abdominal pain, nausea or vomiting symptoms, then you should consult your doctor immediately.
Sometimes, the ligaments may not sit properly when stretched beyond its limit for some reasons. Due to this process, the valves get damaged and in turn blood drains down the veins causing accumulation of fluid in lower legs, causing swollen feet.


They would not feel any sensation in their feet and hence swollen feet during diabetes is truly a matter of concern. You need to consult your doctor when you have symptoms of fatigue, loss of breath, sudden weight gain and loss of appetite along with swollen feet. Venous insufficiency is a condition in which the veins fail to return blood efficiently to the heart. In contrast, venous insufficiency may be refractory to treatment as in the severely damaged postthrombotic limb which manifests segmental occlusion in combination with universal venous reflux. Over time, long standing stasis of blood leads to the deposition of hemosiderin, giving the skin a dark, speckled appearance. At the end, if the superficial venous system remains empty, then the high thigh tourniquet is removed to detect saphenofemoral incompetence. Superficial veins of the leg normally empty into deep veins, however retrograde filling occurs when valves are incompetent, leading to varicose veins. Function of the proximal valves is evaluated during Valsalva maneuver in the recumbent patient and Doppler sampling in the common and superficial femoral veins during increased abdominal pressure.
For example,a varicose vein being overloaded, may be dilated not only because of valvular incompetence (the most frequent) but because of a venous block (thombosis) or arterio-venous fistula, and so the treatment has to be tailored according the hemodynamic feature.
In comparison, radiofrequency ablation has been shown to control 80% of cases of small saphenous vein reflux at 4 years, said Myers.
In Davy A and Stemmer R, editors: Phlebology '89, Montrouge, France, 1989, John Libbey Eurotext. The testicles and penis may or may not be involved. Testicular torsion is a serious emergency in which the testicle become twisted in the scrotum and loses its blood supply.
There is no health risk associated with this swelling, so rest and reduction of salt seem to be the best treatment.
In this case, a doctor will first determine that the swelling is not part of a greater health concern. Start at your knee and using both hands stroke the entire thigh (or as much of it as you can get). I know that is extremely simplistic, but doctors will blame obesity on anything they can get away with (and a few that are criminal) so always seek a second opinion if you're getting nothing from your first doctor. I also noticed that the veins that are usually slightly visible under my skin had become huge highways of blue a good eighth of an inch raised above my hand. When all four go through this process I'll be OK for three weeks to a month and doctors just say it's the weather. The swelling lessened and eventually went away, until I tried walking the same distance and not making it all the way around before I started limping. The doctor took me off a new pill, thinking I was allergic and now have removed one of my blood pressure pills, amlodopine. I have been drinking a water pill every morning for the last month and it has done nothing. The swelling and inability to use the bathroom seems like it is related to internal swelling, which can be MS related. Seems to me it is on your desk and very nearly on your face!” Not my proudest moment, but I am sure you can sympathize with my frustration! Pancreatic issues are apparently very difficult to diagnose but in short, my health issues started with hormonal disturbances, subsequent endometriosis, and ended up affecting my pancreas, although I was told three years ago that I had contracted a virus in my pancreas but cannot imagine it was in me for 25 years!
My husband has been diagnosed with this disease after two years of not knowing what was wrong with him.
Sometimes, this condition can become fatal if there is no absolute blood flow from the heart to the feet area. Contractions of the calf muscles can produce a sufficient pressure to empty the sinusoids into the deep veins. If removing the ankle tourniquet fills the superficial venous system, presence of perforating vein incompetence is suspected. If not, he may recommend elastic stockings to help reduce the swelling and alleviate the discomfort.
Your symptoms of black out, tingling, fatigue, swelling, and numbness are symptoms, and so are depression, headaches, irregular heartbeat (racing, or feeling like is slowing down), restless sleep and joint pain. I've been told that I might have fibromyalgia, or have a rare congenital back spinal cord among other injuries. I am going to a cardio specialist to address that because it took six years to reduce my blood pressure and I was told to stay on all three meds for that since my blood pressure was finally under control. I have itchiness in my hands and feet and cheeks and also have pins and needles if I put pressure on a body part for not even like five minutes. This is all endocrine system-related, and I am pretty sure that the food I was eating then (which was heavily processed irradiated meat injected with hormones, etc.) started the ball rolling.
They could occur throughout the day when I was at work and I had no idea how I got home, or even drove home, for that matter. However, I have a pain in my lower stomach and have to take deep breaths when using the restroom.
You can also apply ice packs or keep the leg in elevated position for reducing inflammation. The deep veins are affected with the similar compressing force due to a strong fascial structure. Symptoms include swelling of the legs and pain in the extremities such as a dull aching, heaviness, or cramping. This occurs as a result of gravity working against an already ineffective blood return system. I accidentally overdosed on lithium four years ago, which they say didn't destroy my kidneys, but I don't believe them. The same foot has had prior injuries, and I’ve had a broken outer right fibula, with a screw placed in it. The rheumatologist, says the naturalist is a witch doctor and I should continue getting worse no matter my diet. Patients with severe arterial insufficiency, on the other hand, may have relatively pale skin as a result of under perfusion. If you look on the labels of the food you eat, you will see how much sodium is in each product you consume. When their legs are placed in a dependent position, gravity enhances arterial inflow and the skin may become more red as maximally dilated arterioles attempt to bring blood to otherwise starved tissues.
The combination of a physical exam and history will determine whether you need any tests. Your health care provider may prescribe antibiotics and pain medications, or recommend surgery.
In cases of severe ischemia, the affected areas (usually involving the most distal aspect of the foot), can appear whitish or mottled, giving the leg a marbleized appearance.
When doctors know that you are taking these meds, they expect a higher reading on sodium so they do not take the test results as being high over medical problems.
After all that, you need to do it all again, starting from the ankles and finishing at the ears. Drink more milk since vitamin D3 helps absorb sodium and calcium within the digestive tract, which helps remove and balance one's sodium level within the blood.



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