Edema (swelling)EDEMA OVERVIEWEdema is the medical term for swelling caused by a collection of fluid in the spaces that surround the body's tissues and organs. Edema can occur nearly anywhere in the body. Some of the most common sites are.
Pulmonary edema, which makes it difficult to breathe and can be life threatening, is a symptom of heart failure and is discussed in more detail separately. This typically is worse in the areas of the body that are closest to the ground (because of gravity). Therefore, edema is generally the worst in the lower legs (called peripheral edema) after walking about, standing, sitting in a chair for a period of time, or at the end of the day. It accumulates in the lower back (called sacral edema) after being in bed for a long period. Pushing on the swollen area for a few seconds will leave a dimple in the skin (figure 1). Edema AND Weight loss: Causes of All Symptoms; Edema OR Weight loss: 2231 causes; Edema: 166 causes; Edema: Introduction; Weight loss: 2113 causes. This can lead to fluid collecting in the lower legs, thinning of the skin, and, in some cases, development of skin sores (ulcers) (figure 2). In this case, the edema is mostly limited to the feet or ankles and usually affects only one side (the left or right); other conditions that cause edema usually cause swelling of both legs. Swelling commonly develops in the hands, feet, and face, especially near the end of a normal pregnancy. Swelling without other symptoms and findings is common and is not usually a sign that a complication, such as preeclampsia (sometimes called toxemia), has developed. This type of edema is common but does not require treatment, because it resolves on its own. Drugs — Edema can be a side effect of a variety of medications, including some oral diabetes medications, high blood pressure medications, non- prescription pain relievers (such as ibuprofen), and estrogens. Kidney disease — The edema of kidney disease can cause swelling in the lower legs and around the eyes. Heart failure can cause swelling in the legs and abdomen, as well as other symptoms. Heart failure can also cause fluid to accumulate in the lungs (pulmonary edema), causing shortness of breath. This can be a very dangerous condition requiring emergency treatment. People with cirrhosis can develop pronounced swelling in the abdomen (ascites) or in the lower legs (peripheral edema). This is common and is not usually a sign of a problem. The table provides tips to minimize leg swelling during travel (table 1). If your leg(s) remain swollen or you develop leg pain hours or days after the flight, contact your healthcare provider. Continued swelling and pain can be signs of a blood clot (DVT). This can cause rapid swelling in the face, lips, tongue, mouth, throat, voice box, limbs, or genitals. Symptoms may include hoarse voice, throat tightness, and difficulty swallowing. Swelling of the throat can interfere with breathing and may be life threatening. Sometimes, this type of swelling occurs in the bowel (the intestinal wall) and can result in abdominal pain. Lymphedema — Surgical removal of lymph nodes for the treatment of cancer (most commonly breast cancer) can cause swelling of a limb or limbs with thickening of the skin on the side of the surgery. Swelling of both legs because of lymph problems can also be an inherited condition that becomes apparent in childhood or young adulthood. DIAGNOSING THE CAUSE OF EDEMAIf you develop new swelling in one or both of your legs, hands, in your abdomen, or around your eyes, you should call your healthcare provider to determine if you need to be evaluated. Using compression stockings and elevating the legs may also be recommended. Edema related to pregnancy or menstrual cycles is not usually treated. Peripheral edema and ascites are usually treated slowly to minimize the side effects of rapid fluid loss (such as low blood pressure). Reduce salt (sodium) in your diet — Sodium, which is found in table salt and processed foods, can worsen edema. Reducing the amount of salt you consume can help to reduce edema, especially if you also take a diuretic. Guidelines on how to reduce sodium are available separately. Diuretics must be used with care because removing too much fluid too quickly can lower the blood pressure, cause lightheadedness or fainting, and impair kidney function. You may have to empty your bladder more frequently after taking a diuretic. However, other side effects are uncommon when diuretics are taken at the recommended dose. Compression stockings — Leg edema can be prevented and treated with the use of compression stockings. Stockings are available in several heights, including knee- high, thigh- high, and pantyhose. Knee- high stockings are sufficient for most patients. We all finish does weight loss help edema our workout with some stretching on the T Bow which elongates muscles and makes them feel good.Some stockings can cause skin irritation or pain, although proper measurement and fitting of the stockings can reduce the risk of discomfort. More detailed compression stocking tips are available in the table (table 2 and figure 3. A- C). Effective compression stockings apply the greatest amount of pressure at the ankle and gradually decrease the pressure up the leg. These stockings are available with varying degrees of compression. A healthcare provider may take measurements for stockings or may write a prescription for stockings and then have a surgical supply or specialty store take the necessary measurements. Elevating the legs may be sufficient to reduce or eliminate edema for people with mild venous disease, but more severe cases require other measures. Rapid weight gain when pulmonary edema develops as a result of congestive heart failure. Mayo Clinic does not endorse companies or products. In addition, it may not be practical for those who work to elevate their legs several times per day. WHERE TO GET MORE INFORMATIONYour healthcare provider is the best source of information for questions and concerns related to your medical problem. This article will be updated as needed on our web site (www. Related topics for patients, as well as selected articles written for healthcare professionals, are also available. Some of the most relevant are listed below. Patient level information — Up. To. Date offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. These articles are best for patients who want a general overview and who prefer short, easy- to- read materials. Patient education: Chronic kidney disease (The Basics)Patient education: Swelling (The Basics)Patient education: Preeclampsia (The Basics)Patient education: Glomerular disease (The Basics)Patient education: Growth hormone treatment in adults (The Basics)Patient education: Tricuspid regurgitation (The Basics)Patient education: Tricuspid stenosis (The Basics)Patient education: Diastolic heart failure (The Basics)Patient education: Systolic heart failure (The Basics)Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in- depth information and are comfortable with some medical jargon. Patient education: Cirrhosis (Beyond the Basics)Patient education: Heart failure (Beyond the Basics)Patient education: Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) (Beyond the Basics)Patient education: Chronic venous disease (Beyond the Basics)Patient education: Deep vein thrombosis (DVT) (Beyond the Basics)Patient education: Preeclampsia (Beyond the Basics)Patient education: Chronic kidney disease (Beyond the Basics)Patient education: Low- sodium diet (Beyond the Basics)Professional level information — Professional level articles are designed to keep doctors and other health professionals up- to- date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based. Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading. Clinical manifestations and diagnosis of edema in adults. Idiopathic edema. Clinical features and diagnosis of peripheral lymphedema. Clinical staging and conservative management of peripheral lymphedema. Pathophysiology and treatment of edema in patients with the nephrotic syndrome. Mechanism of action of diuretics. Neurogenic pulmonary edema. Overview of heavy proteinuria and the nephrotic syndrome. Pathophysiology and etiology of edema in adults. Treatment of refractory edema in adults. General principles of the treatment of edema in adults. The following organizations also provide reliable health information. Our peer review process typically takes one to six weeks depending on the issue.
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