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What to do for swollen feet?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have got swelling in feet and excess pain over last few days. I have breathing problem while walking. I also feel weakness since few days. Please help.

Answered by Dr. Md. Kais Haider Chowdhury

Hello,

Welcome to icliniq.com.

If your leg is swelling like when you press your finger on your leg and see pushing marks of your finger (use thumb) then there is a real need for emergency care and treatment. If your leg swelling is also associated with swelling of the body and face then it needs urgent care. Please go to your nearest hospital to have better treatment. Thank you and take care. Regards.

Investigations to be done

Investigations to be done are CBC (complete blood count), urine R/E (routine examination) and C/S (culture and sensitivity), serum creatinine, serum electrolytes, prothrombin time (PT), serum total protein, serum albumin, chest x-ray P/A view (posteroanterior), ECG (electrocardiogram) and echocardiography. Get your BP and pulse checked.

Differential diagnosis

The differential diagnosis are as follows 1. Nephrotic syndrome.

2. Cor pulmonale.

3. AGN - acute glomerulonephritis.

Probable diagnosis

The probable diagnosis: CCF (congestive cardiac failure).

Treatment plan

The treatment plan is as follows: 1. Tablet Furosemide (Lasix) 40 mg only at morning for five days. 2. Capsule Omeprazole 20 mg two times daily morning and night half an hour before meal for 10 days.

Preventive measures

The preventive measures are: 1. Do not take fluid more than one liter. 2. Do not eat any fruit or drink any fruit juice now and do not take extra salt or added salt with your food. 3. Now have vegetable and no meat or fish has to be taken.

Answered byDr. Md. Kais Haider Chowdhury

Medically reviewed byiCliniq medical review team

Published At April 17, 2016
Reviewed AtJanuary 31, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Md. Kais Haider Chowdhury
Dr. Md. Kais Haider Chowdhury

General Practitioner

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