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admin | Category: Male Dysfunction Treatment 2016 | 12.08.2014
Swelling (edema) of the legs result from liquid from veins (made leaky by the local high blood pressure) seeping (yellow arrows) into the surrounding tissue. Chronic venous insufficiency is a pathological condition of the skin and subcutaneous tissues in the lower extremity caused by long-term pooling of the blood which may affect both the superficial and the deep venous system. Signs of venous insufficiency can range from edema and development of varicose veins (seen early in the disease) to skin color changes and ulceration (resulting from long-term or chronic presence of disease). If you believe you have venous insufficiency, then you should see your healthcare provider, or a Family Practice, Internal Medicine, or Hematology specialist.
Swollen Ankles and Swollen Feet Symptoms, Treatment, Causes - What causes swollen ankles and swollen feet? By clicking Submit, I agree to the MedicineNet's Terms & Conditions & Privacy Policy and understand that I may opt out of MedicineNet's subscriptions at any time. As some may wonder about the title of this article, Main Causes Of Peripheral Edema, let me begin by defining what peripheral edema is. Now as you have already guessed, since I mentioned the liver and the kidneys, they are the next two main causes for peripheral edema. First in our quest for the main causes of peripheral edema, I address the kidney first since it concentrates and filters our urea, or fluid to become urine. If the kidney is diseased, or blocked, and like the heart, you could write a book on these diseases, but we will hit the kidney as a whole. Now that we have defined this, if the kidneys are not functioning, you guessed it, no fluid is filtered out of the body so it must go somewhere, and that is usually first the dependent feet.
There is a portion of the tubular system in the kidney called the ‘loop of henley’; it’s main function is to filter Na+ and K+, sodiom and potassium. Then you have the liver as one of the main causes of peripheral edema. The liver is actually Central Nervous System tissue and generally does not heal very well at all because it is nervous tissue which has little ability to rejuvenate. Now that we have identified the main causes of peripheral edema, I am going to briefly address pulmonary edema-fluid in the lungs.
Venous insufficiency develops when the valves of the veins, that usually keep venous blood flowing out of the legs towards the heart and lungs, become diseased and no longer close properly.


Valvular incompetence resulting in backward flow of venous blood causing local high blood pressure and resultant capillary dilation (right).
Chronic venous insufficiency causes pooling, reverse flow, and abnormally high pressure of the venous blood of the lower extremities. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. Learn about transmission, symptoms, treatment and prevention for this potentially fatal viral infection that affects the liver. To understand why fluid, swelling, edema may begin or start, one must first understand some rudimentary ideas of pathophysiology.
If for any reason, for which there are many and we won’t be going into these diseases, that is a topic for a whole other article which could actually be a textbook.
If it can’t do that because it is sick, then sodium (Na+) is retained and water loves sodium so fluid is retained. So the moral of the story is, is watch your weight, your salt intake, your urine output, alcohol to a minimum and get some exercise.
He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. As you may have guessed by the prefix of the word ‘peri’ refers to the periphery of a body or an object.
But for our purposes, the heart pumps our fluid or blood around in massive volumes each minute.
Well, there comes all the problems with a sodium and potassium imbalance, like heart palpations, arrythmias (heart problems with conduction and contraction) and viola- more edema problems.
The main cause for liver failure unless there is a genetic component is cirrohosis; which is a diseased liver usually caused by constant irritants or poisons, like ETOH-alcohol. As we have discussed the fluid and path of least resistance, we touched on internal organs.


IMHO, the prolific diseases and accidents due to alcohol, it should be reconsidered for abolition. To obtain this freedom, it helps greatly to have a large amout of immediate and residual income. He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident. With congestive heart failure, CHF, the lungs start to fill with fluid which is why the doctor listens to you breathe, listening for fluid, among other things, and listening to the pattern and sounds of your heart.
Watch for the main causes of peripheral edema, but believe me, if you don’t watch them, they will find you in one way or another, you. So I challenge you to put your information in the places where directed and get free information to be able to Live The Dream. If he doesn’t hear a regular rythym and sounds of ‘lub-dub’ the opening and closing of your 4 heart valves, he will know something needs to be investigated ie: Main causes of peripheral edema. But when the words are used in this context, it is referring to an illness, or a disease process. Once to that state, there is something called ‘pitting edema‘, in other words, one could press in on the edematous area and it would leave a dimple where the finger pressed. The swelling continues in the least resistant path until it reaches internal organs like the liver, lungs and the kidneys. But before it gets there, there is a condition called ‘ascites’ which means fluid in the abdomen or belly.



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