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Swollen ankles can be caused by a number of factors, including dehydration, kidney disease, or fluid retention. Tonic water is a carbonated soft drink in which quinine (a natural white crystalline alkaloid which has analgesic and anti-inflammatory properties) has been dissolved. Add a few drops of grapefruit essential oil to a bucket full of nice warm water, and soak your feet and ankles in this mixture for 10 to 15 minutes. Fluid retention in the hands can cause numbness or pins and needles in the hands (calledĀ carpal tunnel syndrome). Be reassured it will get better after you have your baby, though sometimes fluid retention is worse immediately after the birth. Elevation of legs as much as possible, wearing support stockings and comfortable shoes are the best ways for coping with swelling in your legs. Fluid retention in the hands can be temporarily relieved by leaving your hands in water for a prolonged period. Swelling of the ankles or ankle oedema, as it is known in medical parlance can be caused by a minor problem or could indicate a major medical condition.
Some of the common causes of swelling in the ankles are injury or trauma to the ankle joint, maintaining the same posture for a long time as the gravity can cause fluids to accumulate in lower parts of the body. Here are some of the questions commonly asked by our HealthCentral community members about living with RA and the answers provided by our patient expert Lene Andersen. With various remedies, whether natural from home or prescriptive from a physician, swollen feet and ankles can often subside.
DisclaimerThe information provided herein is intended for a general knowledge only and is not a substitute for medical advice or a treatment for specific medical conditions. If you do not wish to soak them, just mix 4 to 5 drops of grapefruit essential oil with a carrier oil (sweet almond oil or olive oil), and massage your swollen ankles and legs with this mixture. It serves as an excellent cleanser for the blood, and helps the body release excess fluids naturally. Fluid retention can result in significant weight gain and can make you feel more uncomfortable in pregnancy. Thus it is always advisable to see a doctor to know the reason of the swelling in the ankles.

If I want to stay healthy, shouldn't I avoid chemicals?A: For most people, medication is necessary to suppress RA. What do I do?A: Pharmaceutical companies have to list every single possible side effect and it can be scary to read. As well, there are a number of programs that offer financial assistance for medication and tips you can use to lower your prescription costs. Osteoarthritis is also called "wear and tear arthritis." It happens as people age or after injuries. Can I still exercise with RA?A: Staying active is an important way of staying healthy and keeping your joints mobile. Do other people with RA feel like this?A: Being diagnosed with RA is hard and it's normal to feel depressed.
It is true that women who are expecting will have a problem fitting into their shoes for the last few weeks of their pregnancy. Someone who stands for many hours, possibly because of a job like a hair stylist, or a cashier at a grocery store, will have foot swelling along with puffy ankles. Other causes include over-exertion, eating a lot of salts and carbohydrates, pregnancy or PMS, sodium retention, or trauma. You can use both room temperature or cold tonic water for soaking, depending upon your preferences, as both are equally effective.
Add half a cup of Epsom salt to the bucket, and you will soon observe a significant reduction in the swelling. If your ankles are frequently swollen, start your days by drinking a glass of warm water containing one tablespoon of lemon juice.
Without medication, your disease will progress, causing damage to your joints that can affect your mobility in the future. Common side effects of most RA meds are fatigue and gastrointestinal symptoms for a few days following the medication. Your doctor or pharmacist may also be able to help you get the medical care and medication you need.
If you're having trouble getting good pain control, ask for a referral to a pain management specialist who treats pain with a multidisciplinary approach.

Ask your rheumatologist for a referral to a physical therapist who can develop an exercise program that can help you stay fit, while protecting your joints from extra stress.
You have to grieve the loss of your health before you can move on and it may be a good idea to find a counselor to help. Always consult with your doctor or other professional healthcare provider for a medical advice. Irrespective of the reason behind the swelling, there are certain home remedies that may be effective in ridding your body of excess fluids, relieving pain, and reducing swelling. With its anti-inflammatory properties, the quinine present in tonic water helps relieve pain and reduce swelling.
Allow your feet and ankles to soak in this mixture for 8 to 10 minutes, and then pat them dry with a towel. Besides being rich in citrate, lemon juice is also high in potassium, and helps protect against kidney stone formation. However, most good rheumatologists will make a diagnosis based on your medical history and physical exam, using blood tests only to confirm a diagnosis.
Medication can also protect you from the systemic effects of RA, such as an increased risk of heart attack and stroke. Most people find a way to manage the side effects and go on with their life (also see Managing Stomach Side Effects and RA Meds and Alcohol).
One of the more popular, widely known remedies for swelling of the ankles and feet is to keep feet elevated above the heart when lying down. A number of things can help you build and maintain your energy, including controlling your RA, getting enough sleep, using vitamins D and B12 and finding emotional support. This stimulates the blood to effectively flow through the lower extremities and the rest of the body without the blood just pooling down at the ankles and feet.
If other symptoms besides feet and ankle are being experienced, such as shortness of breath, low urine output, fever, etc., a healthcare professional should be contacted to rule out more serious issues.

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