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Q. What can be the reason for lower leg swelling?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 12, 2017 and last reviewed on: Sep 16, 2019

Hi doctor,

I am a healthy and active 17 year old female. I have swelling in my right calf or lower leg when sitting. There is no foot swelling. The swelling is present in the calf and it goes away within an hour if I move around. I do have night sweats. I get easily bruised, feel constantly cold and fatigue. I was ruled out for circulation problem and varicose veins. My blood tests show positive ANA, slightly low WBC and RBC, and slightly anemic. This leg swelling has been happening for the last two months.

#

Hi,

Welcome to icliniq.com.

  • The reason for swelling is either venous or lymphatic. I guess you have undergone venous Doppler for deep vein thrombosis and it was normal.
  • The next thing left is a lymphatic cause, so you need lymphoscintigraphy and thyroid test done. Also, restrict salt intake.
  • You have mentioned about positive ANA (antinuclear antibody). Have you undergone anti-dsDNA? If not, then you should. You should get evaluated yourself for SLE (systemic lupus erythematosus).
  • Also, get vitamin B12, folic acid and iron studies for the cause of anemia as it can aggravate the swelling.
  • You can keep pillow below your legs during sleep.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


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