Legs swell what to do if they swell. What to do if the legs are very swollen? Causes of swelling in the legs
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A large number of people suffer from swelling of the legs. To the question "Why does swelling occur in the legs?" - there is no single answer, since the reasons for their appearance are diverse. For example: accumulation of salts and toxins in the tissues of the kidneys, heart, diseases of the veins, arteries, heavy weight of a person, long forced position. Edema is the accumulation of fluid in a cavity. In this article, we will look at all the ways to get rid of leg swelling.
The causes of swelling in the legs are very diverse.
- The main reason is venous congestion. Renal edema on the legs appear due to insufficient functioning of the kidneys, the systemic circulation is overloaded, the kidneys cease to cope with their work normally. Toxins accumulate in the blood, water accumulates in the lower leg area, on the eyelids, and dark circles appear. Other causes: overweight, uncomfortable shoes, pregnancy, deep vein thrombosis.
- Pathology of the heart. With weakness of the heart muscle, the blood stops circulating in full. Puffiness is observed in the leg area. If heart failure is not treated, the "water" will rise, first to the level of the knees, thighs, then to the abdomen. In advanced cases, pulmonary edema can easily be earned. Therefore, it is important not to start the disease and immediately consult a doctor. Swelling of the shins is the first sign to seek help from a medical organization.
- Occupational diseases can also be the cause. In this case, they appear from being on their feet for a long time during the day, or in one position: sellers, massage therapists, pharmacists, farmers, drivers, bank employees.
How they look and what are swelling
- Venous edema - otherwise called edema of the legs. They occur due to the weakness of the venous walls, excess or lack of salt (sodium ion) in the body, varicose veins, deep vein thrombosis. Varicose edema of the legs appear in the evening, at night;
- Localization of edema of renal etiology is the face, abdomen, arms and legs;
- Cardiac edema. They are characterized by raising water to the upper body. The patient may die from the accumulation of fluid in the brain, an increase in toxic metabolites in the blood (an increase in uric acid), and cardiac arrest. Water can fill the pericardial sac and thereby stop the work of the heart muscle.
- Local swelling in the wrist area indicates the presence of a kidney or heart disease.
- Preventive measures include wearing comfortable shoes. If you have a flat sole, you need to buy orthopedic insoles at the pharmacy;
- People prone to swelling, before a long walk, be sure to wear compression stockings;
- Heavy bags need to be redistributed evenly in order to eliminate a large load on the muscles and vessels of the legs;
- If bloating still appeared in the evening, you can raise your legs up, lean against the wall and lie down in this position for 5-6 minutes. Pre-rub the swelling with your hands;
- There are more vegetables and fruits, a high content of vitamins, helps to strengthen the walls of the veins.
What to do with swelling of the legs - treatment methods
Edema can be dangerous for a person’s life, so the article is informative, only a doctor should prescribe treatment.
Today, the pharmacy has a large assortment of anti-edema products. And only one of them will suit you. To eliminate the underlying disease means to cure its manifestation forever.
Therapists and phlebologists recommend getting rid of leg swelling with the help of complex treatment. It includes: taking venotonic drugs (Venarus), wearing compression underwear, observing preventive measures.
Drug treatment of edema is reduced to taking diuretics: furosemide, lasix. The drug must be prescribed by your doctor.
It is worth noting a very important fact! All stagnant fluid in the body is waste - it is full of toxins and harmful substances that must be removed from the body.
Therefore, during the complex treatment of fluid stagnation, it is very important to take at least two liters of clean water per day.
How to get rid of swelling of the legs folk remedies
Some folk treatments help much more slowly than medication, and some give a very quick effect.
- Soda lotions are such a quick remedy;
Swelling in the legs often begins in the feet, where salts and toxins are deposited, causing pain, fatigue, and fluid retention. The best way to get salts to move is with an acid-base reaction. It is easy to carry out on the feet with the help of nightly lotions from soda slaked with boiling water. Feet, at the same time, should be placed in socks moistened with such a solution, and then in plastic bags so that the soda solution does not dry overnight. In this way, swelling on the feet is eliminated overnight.
- Fluid stagnation can be effectively treated with diuretic herbs. To do this, grind bearberry grass, knotweed, birch leaves, dill, lingonberry leaves through a meat grinder.
Grind one of the medicinal plant raw materials in a meat grinder. Place in a container and store in the refrigerator. In tea, you can add 1-3 tablespoons. Use no more than two weeks, because herbs can accumulate in the body and cause adverse reactions. You can store juice in a cool place for a long time - 3 years. The smell should remain the same;
The dried herb also contains medicinal compounds, but in smaller amounts.
Herbs for swelling: yarrow, parsley, dill, cornflower flowers, blackcurrant leaves, etc.
- Most patients, on the advice of doctors, take baths for swelling of the legs. They only help to cope with discomfort and slightly eliminate bloating. An example of herbal collection: chamomile, birch leaves, mint, it is better to use fresh grass. Make a concentrated hot decoction, add stir with cold water and steam the drumsticks for 12-15 minutes. For patients with hypotension, heart and kidney failure, foot baths should be taken no more than 2-3 times in seven days;
- Compresses for swelling of the legs in the application are very common. Pour cold water over the cabbage leaf, then fix it in the area of swelling (not too tight) for two hours or all night (make sure that the limbs do not go numb, the blood flow is not disturbed). You can also make compresses from raw potatoes, grate 2-3 tubers, mix well, make a compress. After completing the procedure, rinse the skin of the feet.
Even simple parsley helps to cope with leg swelling. Make a decoction of parsley and drink as tea 3-2 times a day. Contraindications: heart failure. Has a diuretic effect.
How to remove swelling in the legs with simple exercises against puffiness
With the stagnation of fluid in the legs, the following exercises help:
- Stretching the back surface of the legs, namely the calf muscle, by raising the feet to the wall, causes the stagnant lymph to move upward;
- Squats are a great way to eliminate leg swelling;
- Diaphragmatic breathing is ideal for eliminating fluid stagnation and its absolute absence. For those who breathe differently, it is recommended to breathe in the stomach for 10 minutes a day in the morning and in the evening.
Therapeutic exercise well helps to reduce swelling in the legs.
- Lie on your back, raise straightened legs above you, lower to the starting position. Repeat 6-7 times;
- Jump not high and often for 1 minute, hitting the heels on the floor;
- Jogging (useful for all vessels);
- Stand up like a “dog”, raise your leg back, then touch your knee with your forehead, put it in its original position;
- Lie on your stomach, unbend and bend your knee joints;
- It is also useful to put the shins on the wall in an upright position at night for 10 minutes.
Regular yoga practice helps with swelling of the legs. Here is an approximate set of asanas for swelling of the legs:
Yoga asanas against swelling of the legs.
https://youtu.be/mhEigNJaGfU
Massage for swollen legs
With swelling of the legs, kinesitherapists strongly recommend doing massage. The work of certain muscle groups drives water to the vessels, during training, the fluid is absorbed back into the bloodstream and excreted through the kidneys. Contraindications renal failure, blood clots of various etiologies, infection, skin wounds.
General massage for swelling of the legs. All techniques are done 1-2 minutes.
- Apply oil to your hands (you can use any vegetable oil), warm it up by rubbing the area from the heel to the knee, first with the palm of your hand, then with your fist;
- Pinch lightly;
- Twist as if wringing out a rag;
- Pet.
By massaging the foot, you can remove the swelling of the sole of the entire foot.
How to quickly relieve swelling in the legs with medications
They cope with the cause of the disease so much that they help reduce the manifestation of leg edema, medical remedies.
Diuretics for swelling of the legs have a different chemical structure. The choice of the correct drug depends on the form and severity of the disease.
- Loop diuretics are the most powerful drugs. They have a fast and powerful effect. Representatives of the class: furosemide, lasix. They are available in ampoules and tablets. Often used in emergencies. Medicines inhibit the absorption of sodium, chloride and calcium ions, as a result of which swelling decreases. The drug reduces the function of the loop of Gentle. Drugs of this class are used for swelling of various etiologies.
- Thiazide. Mechanism: the absorption of sodium, water and chlorine decreases, a lot of potassium is released from the cells. A lot of calcium appears in the blood, which is very good for patients with osteoporosis. Contraindications: hypokalemia, heart failure, gout, diabetes mellitus, atherosclerosis, obesity, gastritis, metabolic alkalosis. With swelling of the legs, doctors often prescribe hypothiazide tablets.
- Diuretic, potassium-sparing diuretic drugs for leg edema have no less pronounced effect, they are indispensable helpers for heart failure and hypokalemia. These include: veroshpiron (spirolactone), amiloride. They help eliminate swelling in the legs, diuretics of this group act slowly, retain potassium in the body.
- Osmotic diuretics. Mechanism of action: drugs transfer water from soft tissues back into blood plasma (vessels), increase blood pressure. Do not use for high blood pressure, dehydration, kidney and heart failure and other diseases. See instructions. Representative of the group: mannitol. To relieve swelling of the legs, you need to drink drugs of this group once a day.
Pills for swelling of the legs help well: furosemide, mannitol. But only a doctor can prescribe, based on laboratory tests.
IMPORTANT! The medicine for swelling of the legs is selected only by a doctor.
Lasix and furosemide tablets for swelling of the legs are prescribed for people with an advanced form of the disease.
All medicines for leg edema should be combined with the main drugs (antibiotics, cardiac glycosides ..)
How to relieve swelling in the legs quickly: make an intravenous injection of furosemide.
The drug Mannitol for swelling of the legs has many contraindications, self-treatment can ruin your health even more.
- Ointments for swelling of the legs are made on a hydrophobic basis, gels, of course, are more effective, since they are created from a fine dispersion medium. Through the pores of the skin penetrate easier and faster, the effect occurs in an hour - two hours. Ointments: troxevasin, heparin, lyoton, venitan - from the HPS of horse chestnut. The main component is aescusan. Creams are in third place in terms of effectiveness, so we will not consider them in the article.
How to relieve swelling of the legs in pregnant women
Obstetricians and gynecologists are engaged in the treatment of edema of pregnant women. They often prescribe herbal preparations and give advice to avoid the appearance of edema.
Edema in pregnant women is a fairly common reason to go to the hospital. Pregnant women determine the presence of edema as follows: put the woman on the couch, press hard on the place of swelling. If there is swelling, a hole remains. In healthy people, the skin immediately rises to its place. To remove excess fluid, you should take a bag of staminate orthosiphon, pour boiling water over it, and drink it twice a day, no more than a week. Be sure to drink any diuretics only as prescribed by a doctor. Since trace elements useful for the fetus are excreted together with urine: calcium, magnesium, potassium.
If you drink diuretics for a long time during pregnancy, after a year the woman risks losing her teeth, or the child may be born very weak.
It is important during the course of diuretics to make yourself a vitamin salad of: dried apricots, raisins, prunes. It is not recommended to drink complex vitamins.
Dill seeds during pregnancy should be drunk very carefully, the decoction removes, like all diuretics, a lot of vitamins and useful trace elements. It is prohibited without a doctor's recommendation.
Puffiness of the lower leg is not only discomfort, pain, but also a prominent defect that repels interesting looks. To cope with edema forever is possible only by eliminating the main cause of the underlying disease. Attempts without following this rule are effective as "water through a colander", and only useless treatment.
Content
The appearance of swelling of the legs is a symptom that can be caused by a variety of reasons. With swelling, there is an increase in the circumference of the lower extremities, there is a possibility of simultaneous manifestation of other unpleasant signs. General diseases or certain pathologies are capable of provoking swelling of the legs. If they appear on the legs, they can differ in varying degrees of severity (only the toes suffer or the hips are also affected).
Edema in the legs is divided into several types:
- congestive. Such puffiness is formed with an increase in vascular permeability, an increase in pressure in the capillaries, and a decrease in the level of protein-albumin in the blood.
- Hydremic edema. They occur as a result of the accumulation of a large amount of excess fluid, which can occur with certain kidney diseases.
- Neuropathic. Can be formed in the presence of diseases such as diabetes and alcoholism.
- Cachectic edema will appear as a result of severe exhaustion of the body or with certain cardiovascular diseases (for example, stroke).
- Allergic (Quincke). They are deep skin swelling. They develop instantly and also quickly resolve if timely and correct treatment is provided.
- Mechanical edema develops as a result of injury, which can occur in the presence of tumors or during pregnancy.
The main causes of swelling of the limbs
Swelling in the legs can occur for a variety of reasons. It could be:
- violation of the correct metabolism in the body;
- drinking plenty of fluids throughout the day;
- the presence of a variety of immunological diseases;
- severe burns;
- manifestation of an allergic reaction;
- habit of constantly crossing legs when sitting;
- being overweight;
- manifestation of acute thrombophlebitis of superficial, deep veins;
- the presence of certain kidney diseases;
- long sitting on low or too soft seats causes puffiness;
- malfunctions of the cardiovascular system;
- development of varicose veins.
The foot may swell due to improperly selected shoes, increased load on the leg, or in the presence of flat feet. If such a phenomenon was provoked by thrombophlebitis, you should immediately seek help from a doctor, otherwise there is a possibility of developing serious health problems. In the case of persistent swelling of the legs, it is important to first determine the cause and only then begin treatment, otherwise this problem will soon appear again.
Heart failure
Swelling of the legs is a common phenomenon, which is one of the main signs of heart failure. In people suffering from such a disease, there is a significant weakening of the main function of the heart - pumping, it becomes difficult for it to distill blood from the legs to the upper body, which often causes edema.
During sleep, the body is in a horizontal position, which significantly reduces the load on the heart. When spending the whole day in a standing or sitting position, in the late afternoon, the resource of the heart is greatly depleted, which causes swelling in the legs, and the skin becomes unhealthy bluish. Only the foot can suffer from such edema, or it spreads to the entire leg, up to the level of the thigh.
After taking medication
Provoke the appearance of severe swelling of the legs can and taking certain medications:
- If glucocorticoids are taken for a long time (drugs that are prescribed in the treatment of allergic, autoimmune diseases, tumors), there is a possibility of swelling. Such drugs affect the functioning of the heart, as well as the circulatory process.
- The cause of edema can be male and female sex hormones, which retain excess fluid in the body. These substances are part of contraceptives. The intake of male sex hormones is prescribed for obesity and impaired male reproductive function.
- High blood pressure medications can also cause swelling. If such a problem occurs, you should consult a doctor.
Varicose disease
The initial sign of the development of varicose veins is swelling in the legs, which occurs for various reasons:
- The walls of the vessels are very thin and easily stretched.
- Sedentary lifestyle, overweight.
- Eating large amounts of salt and water provokes swelling not only of the lower extremities, but also of other parts of the body.
Liver disease
Legs may swell due to certain problems in the liver. The most common cause is cirrhosis, in which there is a pronounced disruption of the functioning of this organ. In this case, you will not be able to deal with the problem on your own. It is necessary to undergo an examination to determine the cause of the swelling, after which the doctor will prescribe a course of treatment.
Injuries
Injuries can provoke the appearance of edema in the legs:
- dislocation;
- bruised limb;
- fracture (ankle, ankle, bones of the foot, fibula and tibia, toes);
- hemarthrosis.
How to remove swelling of the legs at home
Swelling in the legs often deliver not the most pleasant sensations and discomfort. To completely get rid of them, you need to accurately establish the cause that caused their appearance. If you want to solve this problem, follow these simple tips:
- You can not sit in one position for a long time, tucking your legs under you.
- Try to change your shoes during the day so that your feet can rest (this primarily applies to girls who wear heels every day).
- If you are forced to stay upright all day, in the evening you need to lie down for at least half an hour, raise your legs higher to ensure the outflow of stagnant blood. Then make a light massage with pinching movements, which helps to quickly get rid of swelling on the legs.
- Diversify your daily diet with foods containing potassium (bananas, lettuce, honey, apricots, dried apricots, peaches).
- In the summer, try to eat more berries that have a diuretic effect (watermelons, lingonberries, strawberries), which prevents puffiness.
- During sleep, put a cushion or a small pillow under your feet so that they are above the level of your heart, and then in the morning you will not encounter this unpleasant problem.
Folk remedies
Quite successfully, traditional medicine is used to relieve edema. The best therapeutic effect against puffiness is achieved when using foot baths and compresses:
- Wraps with birch leaves. We take simple cotton bags (old pillowcases are also perfect), the height of which should cover the knee. We put a lot of fresh birch leaves in them, put bags on our feet. The foliage should fit tightly in a thick layer so that the legs begin to sweat. We wait until all the leaves are completely wet, and then remove the bags. It is necessary to carry out 2-3 procedures, and you can forget about swelling forever.
- Tincture of Kalanchoe leaves. Fill with vodka (500 g) finely chopped leaves of the plant (250 g), leave the medicine to infuse for 14 days. After the specified time, rub the tincture into problem areas overnight. In the morning, swelling and pain that they cause completely disappear.
- Garlic. Grind 1 head of garlic, pour boiling water (1 tbsp.), Leave for at least half an hour. As soon as the garlic gruel has cooled to room temperature, we rub it on swollen legs, after 25-35 minutes we wash it off with cool water, and the swelling completely disappears.
- Compress. We take a piece of plain cotton fabric and moisten it with warm water, wrap our legs, put a plastic bag on top, leave the compress on all night. In the morning we do a light massage. This tool helps to quickly get rid of edema.
- Turpentine. We mix turpentine and castor oil (warm) in a ratio of 1: 2. We rub the mixture into the skin, working well on each joint, put on warm socks, and leave the compress all night, in the morning the swelling disappears.
- Sea salt. We collect warm water in a basin and dissolve a little sea salt in it, keep our feet in the water for about 25-33 minutes, then rinse with cool water and do a light massage. This method helps to quickly remove swelling on the legs.
- Peppermint oil. We dissolve a couple of drops of oil in cold water and lower the legs into it for a couple of minutes. Regular procedures will help to forget about the problem of puffiness forever.
Tinctures and decoctions will help get rid of edema:
- An excellent diuretic is knotweed grass, which helps to quickly remove excess fluid from the body. Pour boiling water over raw materials (1 tablespoon) and insist for exactly an hour. During the day we drink filtered medicine and forget about swelling.
- Pour flax seeds (4 tablespoons) with a liter of water and boil over low heat for about 12-14 minutes, leave for an hour in a warm place. We drink a filtered drink against swelling of the legs warm every 2 hours for ½ cup. After 14 days, you will be able to forget about this problem.
- Pour boiling water (2 tablespoons) birch leaves (2 tablespoons) and her kidneys (1 tablespoon). We introduce soda (1/2 tsp) into the solution, and insist the decoction against swelling of the legs for at least half an hour, then filter and take 1/3 cup every day before meals (3 times a day).
- Grind parsley root and greens in a meat grinder. We take exactly 1 tbsp. a spoonful of the resulting mixture and pour boiling water (2 tbsp.), We insist for at least 10 hours. We drink a ready-made drink against swelling of the legs, 1 tbsp. spoon throughout the day. After a few days of treatment, the problem completely disappears.
Before using this or that folk remedy in the fight against swelling of the legs, you need to know that not all of them are safe for health. If the swelling was triggered by varicose veins, pregnancy, diseases associated with the genitourinary system, or other diseases, such treatment can harm your overall health.
Medical treatment
Modern medications will help relieve swelling, which should be used taking into account the characteristic health disorder. If the swelling was caused by heart or kidney disease, your doctor may prescribe diuretics. With varicose veins, creams, gels and ointments containing blood-thinning and venotonic components will help. If the calves of the legs are very sore during swelling, when buying creams, give preference to those products based on horse chestnut extract or leeches.
How to deal with swelling during pregnancy
In almost all cases, as soon as the pregnant woman eliminates the cause that provokes swelling in the legs, they disappear on their own after a couple of days. It is necessary to limit the consumption of table salt, do not forget about proper rest, minimize exposure to the sun. Some women mistakenly believe that in order to get rid of edema, it is worth drinking more liquid, but on the contrary, its amount must be reduced, not forgetting the daily rate.
It is advisable to drink plain clean water with the addition of a small amount of lemon juice. Cranberry and cranberry juices, which have a diuretic effect, also benefit. It is necessary to completely exclude coffee from the daily diet, other factors provoking the appearance of swelling of the legs. For example, do not eat salty, spices, foods containing a large amount of sodium (nuts, seeds, etc.), carbonated drinks, smoked and fried foods. It will be helpful to increase the amount of protein in the diet.
It is not recommended to sit in one position for a long time (a common cause of swelling of the legs), walk in the heat, and exercise. To avoid this problem, arrange for yourself more frequent walks in the fresh air and good rest. During daytime sleep, it will be useful to put your feet on a small hill. Alternative medicine methods can also help relieve swelling during pregnancy (but it is strictly forbidden to use them without the permission of a doctor):
- A decoction of dried apricots. Pour boiling water over dried apricots and leave overnight. We drink the resulting compote in the morning about 35-45 minutes before the start of the meal.
- Diuretic herbs for swelling of the legs. Decoctions from lingonberry or bearberry leaves, bear ears, kidney fees, hawthorn berries and flowers, cherry stalks, and horsetail help to cope with this problem. Treatment lasts no more than a month and no more than one glass of medicine is taken in one day.
It is not recommended to resort to self-treatment of edema in the legs with the use of modern medications. The use of folk methods and other means of treatment must be agreed with the doctor. Cool foot baths can help with swelling. By doing regular light foot massage, you will make it easier for yourself to fight puffiness.
All of the above methods help to get rid of physiological swelling of the legs, which are considered the norm and appear in about 77-82% of expectant mothers. They are completely safe, do not pose a threat to the health of the child, but such puffiness must be eliminated. However, edema is not always harmless during pregnancy, so it is necessary to pay attention to them in time and take appropriate measures in a timely manner to treat them.
Video
If after a tiring day at work or during hot weather your legs get very tired and swelling appears, a simple set of exercises shown in the video below will help you.
Attention! The information provided in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment, based on the individual characteristics of a particular patient.
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Swelling of the legs: causes and treatment
Swollen, swollen legs are a very unpleasant phenomenon. Unfortunately, many people suffer from swollen feet: both men and women of all ages, and even children.
Swelling of the legs, of course, cannot be called a normal condition, since in most cases it indicates the presence of pathological processes in the body. Today we will figure out what causes this problem and what to do if your legs are very swollen in the ankles and ankles.
Causes of swelling of the legs
In fact, edema is the usual excess accumulation of fluid in the tissues, where it should not be. Why is this happening?
The capillaries absorb the waste fluid that regularly accumulates in the intercellular space, and it is transported further along the venous bed. The ability to qualitatively perform the functions of capillaries is influenced by such factors as the permeability of the vascular walls, the content of potassium and protein in the body, pressure in the peripheral vessels, etc.
If some of the well-functioning mechanisms of our body work fail, the fluid stagnates, and the legs swell.
Quite often, such a problem has a simple physiological explanation, and the legs can swell a lot in absolutely healthy people. Why does swelling occur?
The reasons may be:
- Abuse of salty foods. For example, if you ate salted fish in the evening and drank a decent amount of water after that, due to the increased load, the kidneys begin to work in a less intensive mode, which makes the release of fluid slower;
- Passion for alcoholic beverages. Ethyl alcohol contributes to dehydration of body tissues, disruption of ionic balance, acid-base balance and negatively affects the work of the cardiovascular and urinary systems. Especially often people who are too fond of alcohol suffer from this problem;
- Increased physical activity. Pain, heaviness and swelling of the lower extremities are chronic companions of people who spend a lot of time in a standing position, namely: waiters, teachers, salesmen, conductors, postmen, inspectors, etc. Edema also occurs due to sitting in an uncomfortable position, with legs thrown one over the other. And in adolescents and people with weakened immune systems and unaccustomed to such loads, edema can appear even after one day of being on their feet, for example, after a long walk, hiking, hiking, outing, etc .;
- High temperature and humidity. One of the mechanisms for protecting our body from overheating is the expansion of peripheral vessels, as a result of which pressure decreases in them and the microcirculatory process is disturbed. This also leads to the accumulation of excess fluid in the tissues of the lower extremities;
- New and/or uncomfortable shoes. Compression of blood vessels leads to impaired blood circulation and causes swelling of the feet, accompanied by pain and discomfort;
- Second and third trimester of pregnancy. Almost all expectant mothers complain about swollen legs and come to the gynecologist with the question of what to do if their legs swell during pregnancy. The explanation is simple: in the body of a pregnant woman, the amount of the hormone progesterone increases, which protects the uterus from premature contractions and at the same time leads to the accumulation of potassium, which slows down the release of fluid. In addition, in a woman's body, the volume of circulating blood increases by almost one and a half times, and, accordingly, the pressure on the walls of blood vessels increases. In the last stages of pregnancy, when the baby reaches a large size, it compresses the renal veins and the flow of fluid slows down.
However, the reason why swelling of the lower extremities occurs may be a serious disease that requires mandatory treatment.
- Diseases of the veins. The accumulation of fluid in the tissues of the lower extremities is accompanied by inflammatory processes such as thrombophlebitis and phlebitis. At the same time, the legs turn red and hurt both in motion and at rest. If the tissues do not turn red, this indicates the development of varicose veins. Venous edema is soft to the touch, and the skin has a bluish tint. A phlebologist can determine the presence of varicose veins and recommend treatment.
- Heart failure. This disease is characterized by the accumulation of fluid in the ankles and above, in the thighs. It is accompanied by everything else severe shortness of breath. At the same time, the skin is cool to the touch, stretched, has a bluish-pale tint. Symptoms appear in the evening. In this case, consultation with a cardiologist is necessary.
- Kidney diseases. In this case, not only both limbs are affected, but also the hands, as well as the face and stomach. There are circles under the eyes, the color of urine changes, its volume becomes smaller. Such symptoms appear, as a rule, in the morning, and decrease in the late afternoon.
- Hypothyroidism. If there are no pits on the skin when pressed, elasticity is preserved, the covers have a natural color, the cause of severe swelling of the legs is a lack of thyroid hormones (hypothyroidism). The condition is characterized by drowsiness, increased fatigue, irritability, chilliness and constipation. In this situation, the help of an endocrinologist is needed.
- Protein deficiency. If you were on a strict diet and noticed that your legs were very swollen, while attacks of diarrhea or, conversely, constipation became more frequent, this indicates a low protein content in the blood plasma. In this case, you should stop the diet and start eating a balanced and rational diet.
- Allergic reaction. If the swelling is accompanied by itching, redness, rashes on the skin, most likely the cause of the disease is a common allergy. In this case, you need the help of a specialist - an allergist.
Treatment of swelling of the legs
First of all, you should figure out what is the cause of this ailment, because legs swollen in the ankle or lower leg are not a disease, but only a symptom.
Even if it seems to you that you are absolutely healthy, you still need to go to the clinic and consult with a competent therapist. If necessary, he will prescribe tests and determine the cause of the accumulation of excess fluid in the tissues of the lower extremities and prescribe the necessary treatment.
Now let's find out what to do if the legs are very swollen, but this phenomenon is not associated with any serious disease.
Basic Rules:
- Try to rest as often as possible in a horizontal position, placing a pillow or a folded blanket under your legs. For the outflow of blood, the lower limbs must be in an elevated position;
- Do not abuse salty foods (sit for a while on a salt-free diet), alcohol and smoked meats;
- Wear comfortable, comfortable shoes with heels or platforms no higher than 4-5 cm. But you should not completely abandon heels;
- Observe the drinking regime. It is recommended to drink about 2 liters of pure water per day, but sugary drinks and soda should be excluded;
- Include natural diuretics in your diet - watermelons, melons, cherries, green tea without sugar, etc.;
- Drink herbal teas with a diuretic effect (the therapist can recommend which one is right for you);
- Do a contrast shower every day at least once a day. Pour the legs alternately, first with cold, and then with a warm stream of water;
- Exercise is a great help in coping with the problem. Sign up for swimming, walk more often in comfortable sports shoes;
- Use ointments and creams for swelling of the extremities. A therapist or phlebologist can also help you choose the right one.
The same recommendations apply to expectant mothers, however, they need to take medicinal and homeopathic remedies with extreme caution and only on the recommendation of a gynecologist. As a rule, after childbirth, this problem disappears by itself and nothing needs to be done.
What is leg swelling?
Swelling of the legs is an overflow of cells and intercellular space of the muscle tissues of the legs with fluid. Such pathological changes are most often exposed to the distal segments of the lower extremities - lower legs and feet. This phenomenon is associated with the highest functional load, which is performed by the feet and legs of a person in the process of life, and their lowest position in relation to the central parts of the body when in a vertical position.
All fluid in the body is located in the vascular and intercellular spaces. The possibility and degree of edema increase depends on the balance between them.
In this self-regulating mechanism, the key links belong to:
Hydrostatic pressure of blood on the vascular wall;
Hydrodynamic characteristics of blood flow;
Indicators of osmotic and oncotic activity of plasma and intercellular space.
Edema of the legs can have different degrees of severity, but they are always evidence of an imbalance between the actual possibilities of physiological mechanisms for regulating fluid exchange and the load on the intercellular space. Swelling of the legs can be both an adaptive normal reaction of the body to environmental conditions, and the first manifestation of serious diseases.
It is possible to understand and suspect the presence of swelling of the legs on the basis of certain symptoms. They can have varying degrees of severity, and at the same time they are able to remain at a stable level or progress. In the first case, they talk about the physiological mechanisms of the appearance of edematous syndrome. In the second - definitely about the pathology. Therefore, considering such issues, one cannot ignore any manifestations of edema, which may indicate a dangerous disease.
Alarming symptoms include:
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pasty. It is a diffuse light impregnation of the skin and subcutaneous tissue of the legs in the lower third and the area of the ankle joint around the entire circumference on both limbs. Its presence is evidenced by light traces remaining after strong pressure on the skin of the anterior surface of the lower leg in the projection of the tibia. The same diagnostic value belongs to traces of socks;
Local swelling. As a rule, it is located on one or two limbs in the ankle area or around the circumference of the ankle joint;
Causes of swelling of the legs
Swelling of the legs is not a separate disease, but a symptom that must be correctly interpreted in relation to determining the possible cause of its occurrence. There are several groups of diseases manifested by swelling of the legs. All these diseases and the main differential diagnostic criteria are given in the table:
Group of causative diseases |
What does swelling look like |
Edema of the legs in healthy people, caused by overload of the lower extremities and hydrostatic effect on the vessels of the microvasculature against the background of a long stay in an upright position. |
Both legs and feet swell to the same extent. Edema is represented by pastosity in the lower third around the entire circumference of the legs. Appears in the evening after standing or physically hard work. After rest, such swelling disappears. |
Swelling of the legs as a sign of heart failure |
In diseases of the heart, accompanied by circulatory failure, there is a constant stagnation in the veins. This is manifested by edema of different density and prevalence: from mild and insignificant in the initial stages, to dense and widespread up to the knee joint during decompensation. Both limbs swell. In the morning, swelling may decrease slightly. |
Swelling of the legs in renal pathologies |
The shins and feet swell most of all with nephritic syndrome and severe renal failure. Mandatory the same expression on both limbs. Unlike cardiac edema, these edema are more pronounced in the morning, and decrease in the evening. Puffiness of the face is more characteristic than the lower extremities. |
Edema of the legs in diseases of the venous system of the extremities (varicose veins, thrombophlebitis, post-thrombophlebitic syndrome) |
Edema is necessarily unilateral, and if bilateral, then with a predominant lesion of one of the legs. Such edema is very persistent and dense. Sharply increase after staying in an upright position, especially motionless. The edema of the ankle region is most pronounced. After staying in a horizontal position, the swelling decreases. |
Edema of the legs in diseases of the lymphatic system of the extremities (erysipelas and its consequences, lymphovenous insufficiency, lymphedema) |
Like venous, edema is located mainly on one side. Differ especially in high density and firmness. Rarely decrease from any manipulation and action. A characteristic manifestation of edema of lymphatic origin is localization on the dorsum of the foot in the form of a pillow. |
Swelling of the legs in the pathology of the musculoskeletal system |
Almost always unilateral, limited, localized in the area of the affected joint or bone, accompanied by pain and dysfunction of support and walking. |
Edema of the legs with inflammatory and purulent-infiltrative diseases of the skin and soft tissues, with injuries of the limbs |
The swelling is limited. Expression may vary. With bites and injuries, edema spreads around the focus. With deep abscesses, the entire affected segment increases in volume. For fractures, local swelling at the site of the fracture is more typical, for torn ligaments and sprains, widespread edema of the type of hematoma is more characteristic. |
Other causes of leg swelling: Myxedema and hypothyroidism; Premenstrual syndrome and pregnancy; Hyperaldosteronism and adrenal hyperfunction; Alimentary exhaustion and cachexia of other origin; Neuroparalytic vascular disorders against the background of the pathology of the nervous system. |
Edema is soft, uniform, located on both limbs. The exception is cases of diseases of the nervous system, accompanied by unilateral paralysis. In such a situation, edema is localized on the affected limb. These swellings are relatively stable throughout the day, but may increase in the evening. They do not reach great severity, except in cases of decompensation of diseases and aggravation of the general condition, due to the addition of other causes of increased swelling. |
When determining the possible causes of swelling of the legs, the general condition and accompanying symptoms must be taken into account. If there are any, these are definitely pathological edema requiring medical intervention!
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Treatment of swelling of the legs is not always the right and grateful thing. After all, the elimination of a symptom cannot save a person from the disease. Therefore, it is more correct to treat not edema, but the disease that led to their appearance. The exception is cases of hydrostatic edema in healthy people against the background of overexertion of the legs.
Differentiated treatment tactics for swelling of the legs can be as follows:
Limitation of physical activity on the legs;
Periodic unloading for the calf muscles in the form of their elevated position, gymnastics and massage;
The use of compression stockings (stockings, stockings, tights), which help to retain fluid in the vascular space by compressing soft tissues;
Specialized measures are not required due to the physiological origin of edema. It is acceptable to use ointments and gels, described in the section "treatment of edema of venous origin".
Diuretics. Various loop (furosemide, lasix, trifas), thiazide (indapamide, hypothiazide) and potassium-sparing (veroshpiron, spironolactone) diuretics are used. The frequency of administration, dosage form and duration of treatment depend on the degree of heart failure. Severe edema is treated with injectable loop diuretics with a gradual transition to tablet intake of identical drugs or drugs from another group. For long-term decongestant therapy, thiazide diuretics are best suited in combination with veroshpiron;
Potassium preparations (panangin, asparkam). Necessarily are part of drug therapy with loop diuretics. This is necessary in order to compensate for the loss of potassium ions, which are excreted in the urine when diuresis is stimulated. But such drugs are contraindicated in renal failure.
Cardioprotective agents. They do not have a direct anti-edematous effect, but strengthen the heart muscle, the weakness of which causes heart failure and swelling of the legs.
Compression of the legs and feet with elastic bandages or special knitwear. This event should be the first in the complex treatment of edematous syndrome, since it not only helps in the fight against swelling of the legs, but is a really good method for preventing the progression of venous insufficiency. The main thing is to follow all the rules of elastic bandaging;
Phlebotonics (escusan, troxevasin, detralex, normoven). The mechanism of the anti-edematous action of drugs in this group is to strengthen the walls of the veins and vessels of the microvasculature. Phlebotonics of plant origin (escusan) can also be prescribed in the absence of obvious signs, if there is a pronounced pastiness that goes beyond the usual hydrostatic edema;
Blood-thinning agents (aspekard, cardiomagnyl, lospirin, clopidogrel). The mechanism for reducing swelling of the legs is associated with a decrease in blood viscosity. If it becomes more liquid, then its outflow improves, and this prevents stagnation and sweating in the tissue in the form of edema;
Local preparations in the form of ointment and gel (lyoton gel, heparin ointment, troxevasin, hepatrombin, venohepanol, aescin, venitan). Their local application is quite effective, both in venous pathology and in edema against the background of habitual leg fatigue as a result of overstrain.
Hydrostatic edema in persons without pathology:
Cardiac and renal edema:
Edema of venous origin:
Diuretics for swollen legs
Diuretics for swelling of the legs have a common name - diuretics.
They, in turn, are divided into several classes:
Saluretics, which can be represented by: loop drugs (Bumetanide, Torasemide, Ethacrynic acid, Lasix, Furosemide), thiazide agents (Cyclomethiazide, Hypothiazide), carbonic anhydrase inhibitors (Diacarb, Acetazolamide) and sulfonamides (Clopamide, Chlortalidone).
Potassium-sparing diuretics, including: Spironolactone, Amiloride, Veroshpiron, Triamteren, Eplerenone.
Osmotic are Mannitol and Urea.
All these drugs differ in effectiveness, in duration of action and in the speed of onset of a therapeutic effect. They have indications and contraindications and are prescribed exclusively by a doctor in accordance with the patient's disease.
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Swelling of the legs can be observed in any person. Often this condition is preceded by excessive stress. It can be a long stay in a standing position, a long walk. Wearing tight clothes, uncomfortable shoes that compress blood vessels leads to swelling. But sometimes such a problem is a symptom of various ailments. And in some cases - quite serious. Therefore, we will consider if the legs are very swollen, what to do with such manifestations.
Main reasons
Why are my legs swollen so much? Unfortunately, there is no definite answer. Doctors identify many different causes that lead to swelling of the lower extremities. Among them, a special place is occupied by harmless sources. As a rule, they are associated with wrong habits, a negative lifestyle. In this case, it is easy to understand if a person's legs are very swollen, what to do. Just fix your lifestyle.
The main causes of leg swelling are:
- Wrong nutrition. According to statistics, this is the main source of an unpleasant state. An unbalanced diet leads to fluid retention in the body.
- The use of large amounts of salt. It retains fluid in the body. The heart does not have time to cope with such a load. As a result, blood stasis occurs. As a rule, it is in the lower extremities.
- Prolonged or excessive loads. Edema can be provoked by being in an uncomfortable position, long walking. Any load on the legs, especially for an unusual person, can cause an unpleasant effect.
- Overweight. It is much more difficult for the heart of such people to push blood through fatty tissues.
- Age changes. Often there is severe swelling of the legs in the elderly. As we age, blood vessels lose their elasticity. In addition, pathologies that can also cause swelling can be diagnosed in such individuals.
Systemic causes
Sometimes completely different sources provoke severe swelling of the legs. The reasons may be hidden in the pathologies that develop in the body. Only a specialist can determine what caused this symptomatology. Therefore, people who observe systematic swelling are advised to definitely go to the doctor. Only a doctor can recommend if the legs become very swollen, what to do in such a situation.
Among the diseases that can provoke this situation, the following are distinguished:
- Varicose veins. Swelling of the extremities is the initial stage of the pathology. Often this condition is observed in the evening. In this case, the patient experiences a feeling of heaviness, pain, numbness, fatigue.
- Heart failure. With such a pathology, swelling is observed in the evening, because during the day the heart “gets tired” of pumping blood. In the morning, this symptomatology practically does not occur. Puffiness may be accompanied by a bluish tint of the legs. Shortness of breath is observed, pressure rises. As a rule, patients experience pain in the heart. In addition, they are prone to fatigue. Sometimes the legs and feet are very swollen. In some cases, only the fingers are affected. It depends entirely on the heart. Or rather, on how the body does not cope with its function.
- Thrombophlebitis. This is a disease in which blood clots form in the lumen of the veins. Swelling of the legs is accompanied by unpleasant symptoms: tingling, numbness, "crawling crawls." With an illness, an increase in temperature can be observed. Failure to act can lead to pulmonary embolism. In other words, a blood clot can break off and block the vein. The result will be death.
- Renal pathologies. As a rule, puffiness is observed on both legs. In this case, mainly the back side suffers. The patient does not experience itching, pain. Dark circles under the eyes, puffiness of the eyelids may indicate problems with the kidneys. Changes in the color of urine, there is a decrease in its quantity. In addition, swelling is observed not only in the evening, when the legs are tired. Unpleasant symptoms appear in the morning.
- Thyroid ailments. Such pathologies can also cause swelling of the legs. As a rule, such a symptom is accompanied by lethargy, chilliness, drowsiness, and a tendency to constipation. There may be swelling of the shoulders, tongue.
- Diseases of the liver. Cirrhosis often provokes unpleasant symptoms. In this case, the patient may experience: jaundice, exhaustion, accumulation of fluid in the body cavities, skin itching.
Local sources of swelling
Some violations can cause severe swelling of the legs. The reasons are hidden in a variety of pathologies:
- injuries, fractures, bruises;
- allergic reactions;
- rheumatoid arthritis;
- cellulite;
- bites of snakes, insects.
Edema during pregnancy
Almost all women who are preparing to become mothers face a similar problem. The question arises: if the legs swell during pregnancy, what should I do? Initially, you should determine the reason why this symptomatology is observed. After all, most often puffiness is caused by physiological changes and is temporary.
Severe swelling of the legs during pregnancy can be caused by the following reasons:
- Enlargement of the uterus. The growing organ compresses the veins located in the pelvis. This leads to impaired blood flow. The result is swelling of the legs. As a rule, in a horizontal position, the uterus ceases to put pressure on the organs and blood vessels. The swelling subsides fairly quickly.
- Changing nutrition. Very often, pregnant women abuse salty foods. After all, they are simply drawn to salt. To eliminate such symptoms, you should limit the use of table salt.
- Preeclampsia 2nd half of pregnancy. That's a rather unfortunate reason. A woman may experience increased pressure, headache. With this pathology, not only the legs swell, but also the hands and face. In this situation, the expectant mother requires adequate treatment in a hospital.
Despite the fact that most often the culprit of this symptomatology is a physiological cause, it is necessary to consult a doctor if a woman notices that her legs swell during pregnancy. What to do in such a situation, only the doctor will tell.
It is strictly forbidden to resort to diuretics without the appointment of a specialist. A pregnant woman must understand that such drugs affect not only her, but also the body of the crumbs. Some of the diuretics are able to wash out the minerals necessary for the full development of the baby.
Symptoms of puffiness
Unfortunately, some people are not always able to identify such a condition. Unpleasant manifestations are completely ignored. A person notices a negative state only when the puffiness is clearly visible visually. But, as a rule, in this case, the ailments that develop in the body are already progressing. There are several simple recommendations to identify pathology.
So, if your legs have become very swollen, then use the tips:
- Unpleasant symptoms can be determined by the increased volume of the feet, lower legs.
- Puffiness is indicated by the stripes left after the removed sock or shoes.
- When pressed with a finger on the skin, a trace remains on the surface. It will quickly disappear, but such a phenomenon indicates puffiness.
Do not forget that you should not joke with such symptoms. Therefore, consider the following question: "If the legs begin to swell, what should I do?"
Treatment Methods
Patients whose legs are very swollen and sore are advised to definitely start with a visit to the doctor. After all, sometimes unpleasant symptoms are provoked by ailments. It should be remembered that it is extremely dangerous to deal with pathologies on your own. Therapy will be selected depending on what disease provoked severe swelling of the legs.
- Varicose veins. In the initial stages, it is quite easy to cope with unpleasant sensations. The doctor will prescribe a special ointment that will eliminate puffiness. If necessary, wearing special stockings or wrapping the limbs with elastic bandages will be recommended. It is necessary to periodically do cold baths for the legs, do gymnastics. During sleep, it is recommended to put the limbs on a raised platform. This will ensure free blood flow.
- Heart failure. With such a pathology, treatment is prescribed only by a cardiologist. Therapeutic measures include: the appointment of diuretics, drugs that support the functioning of the heart. The doctor will prescribe medications that can fight the underlying disease (hypertension, atherosclerosis, ischemia). The patient is advised to do gymnastics, improve nutrition. As a rule, with this pathology, the legs in the ankle are very swollen. What to do? Patients are often prescribed to wear elastic stockings.
- Thrombophlebitis. The therapy is prescribed by a phlebologist. In case of pathology provoked by infectious diseases, antibiotic therapy is prescribed. In some cases, surgery may be recommended.
- Renal pathologies. The patient needs treatment. Therapy is prescribed by a nephrologist.
- Diseases of the liver. The patient must be observed by a hepatologist. If the symptoms are provoked by viral hepatitis, then an infectious disease specialist should be consulted.
How to relieve fatigue?
An unpleasant state is most often provoked by harmless causes. Sometimes, as a result of excessive loads, fatigue, the legs swell greatly. What to do in such a situation?
- Special baths. However, it should be remembered that with dilated veins, such a procedure is contraindicated. So, if the legs in the ankle are very swollen, what should I do? It is recommended to resort to contrast baths. Soak your feet for 5 minutes in hot water. Then lower for 10 seconds in the cold. It is recommended to add salt and herbs to the water.
- Massage. This event is very useful for tired legs. Use an ointment or cream. Lightly rub the medicine into the feet, ankles, calves.
- Raise your limbs up. Make yourself comfortable on the sofa. At the same time, put a roller under your feet. Feet should hang freely. You can put your limbs on a chair or stool in a sitting position. It is enough to spend 15-20 minutes in this position.
- Therapeutic stockings, tights. Such funds can be easily purchased at the pharmacy. They allow you to save your legs from fatigue. In addition, tights and stockings are an excellent prophylactic against varicose veins.
- Cold compresses. They are able to quickly get rid of puffiness. You can use this method with tired legs. It is quite effective for puffiness provoked by inflammatory processes.
Diuretics
It is fluid retention in the body that causes severe swelling of the legs. Treatment includes diuretics. However, such drugs can only be prescribed by a doctor, since they all have contraindications and can cause a wide variety of side effects in a person.
However, there are still folk remedies that allow you to achieve the desired result. They have fewer contraindications, and often do not cause negative reactions. However, before using such recipes, be sure to consult a specialist.
The following agents have a diuretic effect:
- Parsley infusion. It is necessary to thoroughly wash the whole plant (with the root). Pass it through a meat grinder. To make the medicine, you need 1 glass of green composition. Transfer the resulting mass to a thermos. Pour boiling water - 0.5 liters. During the night, this remedy should be infused in a thermos. Strain the composition in the morning. To this remedy, add the juice of 1 lemon. This amount of medicine is designed for 1 day. It should be drunk in 3 doses. The use of infusion is completely independent of the adoption of food. The scheme of treatment with this remedy is as follows. For 2 days, you need to take an infusion of parsley. Then a short break is made - for 3 days. And again the 2-day course is repeated.
- Flax seeds. They also help remove excess fluid from the body. You will need 1 tsp. Flaxseed. Such a component is poured into 1 liter of boiling water. The mixture must be boiled on a small fire for about 15 minutes. Then close the pan tightly and leave the broth warm for about 1 hour. It is recommended to use this product hot. Every 2 hours, you should drink 0.5 cups of medicine. During the day you get 6-8 receptions. This therapy should continue for about 2-3 weeks. Its duration depends entirely on the patient's well-being.
- Medicinal collection. It is necessary to mix the following components in equal proportions: flowers of calendula, linden; fruits of hawthorn, wild rose, viburnum; leaves of birch, blueberry, plantain. Finely grind all the ingredients and mix them. You will need 2 tbsp of this composition. l. Fill them with boiling water - 0.5 liters. Such a remedy should be infused in a thermos all night. Take the medicine should be 3-4 times a day for ⅓ - ¼ cup. The duration of therapy can be 2-3 months.
- Watermelon rinds. It is necessary to grind the dry component. Fill it with water in the ratio: 1:10. Such a composition should be boiled for about 5 minutes. Strain the cooled broth. It should be taken 0.5 cup 3-4 times a day.
Also useful:
- decoction of birch buds;
- cranberry juice;
- decoction of bearberry leaves;
- lingonberry juice;
- infusion of field horsetail.
If unpleasant discomfort is provoked by malnutrition, you should definitely reconsider it. As a rule, such measures are enough to get rid of discomfort.
- Avoid salt. It is advisable to reduce such seasoning to a minimum, if it is impossible to completely abandon it. In some cases, doctors prescribe a salt-free diet to the patient.
- Drink lots of fluids.
- Refuse to take coffee, alcoholic beverages.
- Diversify your diet with vegetables. Steamed food is very useful.
If the patient is prescribed diuretics, then you should eat foods that protect the body from washing out potassium. Dried apricots, beans, baked potatoes, cabbage have such properties.
It is useful to introduce into the diet products that have a diuretic effect: celery, pumpkin, garlic, parsley. It is recommended to diversify the diet with the following foods: onions, watermelons, black currants, grapes. We should not forget about fermented milk products - yogurt, cottage cheese, kefir.
Gymnastics for swelling
These activities are very helpful. They will relieve the patient of discomfort if the ankles of the legs swell strongly as a result of wearing tight shoes or fatigue.
- Can be performed in a standing or sitting position. It is necessary to alternately press the toe to the floor surface, then the heel.
- A few minutes (1-2) walk around the room on your toes.
- Try to pick up a pencil or a small ball from the surface of the floor. Exercise should be performed with bare feet. Hands should not help.
- Squeeze your toes. Then spread them out. Do this exercise several times.
- Rotate your feet. Describe them circles in one direction, then in the other.
Be sure to consult a doctor if there is a very strong swelling of the legs. In most cases, the doctor will recommend the use of an ointment. However, it should not be forgotten that this remedy is a medicine. Therefore, resorting to self-therapy is highly undesirable.
The doctor can prescribe the following remedies to effectively get rid of swelling of the lower extremities:
- Heparin ointment. It stimulates blood circulation in the damaged area. Such an ointment is able to dissolve microscopic blood clots. In addition, it has anti-inflammatory properties.
- Essaven Gel. The medicine has a beneficial effect on the damaged area. The gel strengthens the walls of veins and capillaries. The drug significantly improves blood circulation and is able to eliminate microthrombi.
- "Venitan". The drug is based on the extract of horse chestnut. Ointment perfectly strengthens the walls of blood vessels.
- "Troxevasin". The drug has a cooling effect and analgesic effect on the body. This ointment also helps to strengthen the veins and capillaries.
Now you know the answer to the question: "If the legs are very swollen, what should I do?" However, remember that it is important to correctly identify the cause causing the problem. Unpleasant symptoms are the consequences of an illness developing in the body. Therefore, in order to get rid of puffiness, it is necessary to eliminate its cause.