Q. What to do for swollen feet?

Answered by
Dr. Md. Kais Haider Chowdhury
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 17, 2016 and last reviewed on: Jan 25, 2020

Hi 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.

#

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.

Investigations to be done:

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:

1. Nephrotic syndrome.
2. Cor pulmonale.
3. AGN - acute glomerulonephritis.

Probable diagnosis:

CCF - congestive cardiac failure.

Treatment plan:

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:

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.

Regarding follow up:

Revert back with the investigation reports to a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner


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