Suggest Treatment For Swelling On The Legs

Posted on Wed, 20 Jul 2016

Question: leg swelling did chest ct.. showed suboptimal opacification of the pulmonary arteries and smaller segmental emboli cannot be excluded. what does this mean?

Answered by Dr. Manisha Jain (1 hour later)

it means that you suffered from pulmonary embolism episode which has now healed. it could give rise pilm. hypertension which can be a cause of your leg swelling.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (9 minutes later)

all my blood work was negative except my aptt was low at 24.3 seconds.. how does is resolve on its own? so does that mean I had a clot and it dissolved or moved?

Answered by Dr. Manisha Jain (52 minutes later)

Brief Answer:
Need some details

Detailed Answer:
hello and welcome to HCM. first of all I would like to ask that when was the ct scan done, did you have any episode of respiratory distress ? was d diner and echocardiography done as apart of investigation ct finding means that u had an emboli which might have dissolved over a period of time . did you suffer from DVT, or unilateral leg swelling with pain some time back? many a times pulmonary embolism episodes can be asymptomatic. but can give rise to pulmonary hypertension which can lead to right ventricle dysfunction and that can lead to bilateral leg swelling. regards Dr Manisha Jain

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (8 minutes later)

ct was done last night. I just had fast heart rate like 135 range normal is 105 for me..d dimer was done and was normal range..they checked for dvt Monday and was negative..this happened a yr ago and nothing came of it... the other night I suffered extremely bad XXXXXXX horses in left leg which is swollen.. i put heat on it and swelling went to my thigh then... but am i okay now? should I be worried?

Answered by Dr. Manisha Jain (11 minutes later)

Brief Answer:
Yes, seek medical attention

Detailed Answer:
hello again, I would advise you to seek medical attention as it can be an episode of recurrent DVTwhich can embolise to lungs. they will probably do a Doppler of your lower limbs to see for thrombosis . I hope everything comes out allright.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (4 minutes later)

I just got out of the ER this morning.. and that was my results. they cleared me of dvt the other day. they did ultra sound of my leg was clear. I'm confused

Answered by Dr. Manisha Jain (9 minutes later)

Brief Answer:
Echocardiogram advised.

Detailed Answer:
hello again. sorry for confusion. then it's okay. just get an echocardiogram done to see for effects on heart due to possible previous emboli episode.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (2 minutes later)

Okay thank you.. one more question what could of caused the episode? and is there a chance of it returning

Answered by Dr. Manisha Jain (4 minutes later)

Brief Answer:
Welcome

Detailed Answer:
hello again, in half of rha cases it is idiopathic that is no cause is found. in rest it can be due to prolonged bed ridden statedue to any illness or surgey. air travel carries very little risk . yes it can be recurrent so proper work up and prophylaxis is essential . most importantly it is preventable.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (3 minutes later)

thank you

Answered by Dr. Manisha Jain (4 minutes later)

Brief Answer:
Welcome .

Detailed Answer:
if you are on OCPs then also it can lead to thrombotic state. better option would be to use barrier method for contraception.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (3 minutes later)

no I'm not anything I did have a d&c done in april due to heavy bleeding and clotting could that have done this

Answered by Dr. Manisha Jain (5 minutes later)

Brief Answer:
No

Detailed Answer:
no, this would have been the reason.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar