Q. How to find the reason for the swelling of the feet?

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Hi,

Welcome to icliniq.com.

• Four years is a long time to have swelling of the feet. But, since you have met so many doctors and have taken so many treatments. I suggest you to kindly send me some more data regarding your investigations, x-rays and any other investigation you have done.

• Also, send me some clinical pictures of both the feet and also tell me more about the aggravating factors and color of the feet.

• Let us find out the root cause of it and reduce the swelling.

• Till that time just apply an elastocrepe bandage six inches from the toes to below the knees.

For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist

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Hi,

Welcome back to icliniq.com.

I have seen all your reports (attachment removed to protect patient identity) and there are a few tests which need to be done before coming to the diagnosis. So, let us go in a step-by-step manner.

• The tests you need to do now are USG scan of abdomen and pelvis, Doppler study of both lower limbs (arterial and venous), ESR - erythrocyte sedimentation rate, CRP - C-reactive protein and serum electrolytes.

• These tests along with your earlier reports will help us reach a diagnosis and then treat the swelling.

• Till then what you need to do is wear a pressure socks whole day to reduce the swelling.

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The Probable causes:

Idiopathic edema or venous insufficiency or chronic infection.

Preventive measures:

Pressure socks.

Regarding follow up:

Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist

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Hi,

Welcome back to icliniq.com.

Yes, sure. Please come back with the reports.

Revert back with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist

# Hi ,
Good day ,

I went through the reports ,

And have come to a differential diagnosis ,

So you need to take the following medications ,

Tablet hydrochlorothiazide 12.5 mg 0-1-0 x 1 month after food ,
Tablet augmentin 625 mg 1-1-1 x 5 days after food ,
Tablet rabeprazole 20 mg 1-0-1 x 5 days before food ,

Use the pressure socks that i had given you earlier ,
Keep your leg elevated ,
Do your normal routine activities daily ,

You will need to follow up after 1 month with serum electrolytes blood reports ,

It will take 1 month to see the benefit and so let me know after 1 month,

Regards

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Investigations to be done:

Serum electrolytes after 1 month

Differential diagnosis:

Idiopathic edema / lymphedema/ chronic low grade infection

Probable diagnosis:

Idiopathic edema / lymphedema/ chronic low grade infection

Regarding follow up:

Follow up after 1 month to tell me the difference and also blood reports

# Pls do follow up after 1 month with blood reports as it is important to check the blood levels of serum electrolytes ,,

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