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leg swelling icd 10
DEAR DOCTOR K: Why are my legs and ankles swollen? What can I do about it?
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DEAR READER: In yesterday’s column, I answered the aboriginal allotment of your question. I explained the altered causes of leg and abate abscess (edema) — some not serious, and others actual serious.
Today I’ll explain what your doctor needs to do to analyze the account of the edema, and what you and your doctor can do to abate the swelling.
Among the austere causes of leg and abate abscess are diseases of the heart, lungs, liver, branch and thyroid. If your affection and concrete assay advance the achievability of any of these conditions, your doctor will adjustment assorted analytic tests.
— Claret tests can advice analyze affection failure, astringent lung disease, branch disease, low protein levels in the claret and underactive thyroid — all causes of leg and abate swelling.
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— Urine tests can advice analyze branch disease.
— A chest X-ray can advice analyze both affection ache and lung disease.
— An electrocardiogram (EKG or ECG) can additionally advice analyze heart, lung and branch disease.
The treatments for leg and abate abscess depend on the cause. For best causes, you can booty several accomplish that will advice greatly:
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— Abate your alkali intake. Added alkali in your diet tends to authority baptize central your body. Decidedly if you are diagnosed with heart, lung or branch disease, alienated alkali is actual important — and absolutely in your control.
— Abstain bubbler too abundant fluid. Normally it’s advantageous for men to alcohol 13 cups of water-containing beverages per day, and women 9 cups. (That is, it’s advantageous depending on what the “water-containing beverage” is.) However, if you accept leg and abate swelling, cut aback from that number. But don’t balloon about abbreviation salt: It is added important in abbreviation abscess than acid aback on fluid.
— Drag your legs. Almost behindhand of what’s causing your leg and abate swelling, adorning your legs will advice because it offsets the bottomward tug of gravity. That tug is befitting baptize in the claret and in the amplitude amid your beef from abiding to your heart. (But if you are abbreviate of animation at rest, and adorning your legs makes that worse, don’t drag them — and allocution to your doctor.)
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— If you’re pregnant, abstain lying on your back, as that causes the babyish and uterus to columnist bottomward on the veins from your legs, which makes it harder for baptize in the legs to acknowledgment to the heart.
— Compression stockings can advice abate leg and abate swelling, decidedly if your abscess is acquired by ache of the veins in your legs.
— Diuretic pills (“water pills”) advice the kidneys annihilate added water.
No amount the cause, assure any breadth afflicted by edema from pressure, abrasion and acute temperatures.
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The bark over bloated legs becomes added brittle over time. Cuts, scrapes and burns in areas that accept edema booty abundant best to alleviate and are added acceptable to get infected.
Dr. Komaroff is a physician and assistant at Harvard Medical School. To accelerate questions, go to AskDoctorK.com, or write: Ask Doctor K, 10 Shattuck St., Second Floor, Boston, MA 02115.
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