Hi, I have a problem with the swelling of my legs and I was told it is the problem with the veins. I have been using metoz as a drug and the swelling has not stopped. However when I do not use metoz the swelling becomes big but when I use the swelling is not so big. What do I do and this legs are always stressing me coz of the swelling. Please assist.

Dr. Nitin SahuEndocrinologist36yrs exp

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Blood and fluid can pool in the lower legs as damaged varicose veins struggle to pump blood against gravity, causing swelling. Aside from the visible symptoms, there are a number of other symptoms that you may experience as a result of your varicose veins. One of these is swelling in the ankles and feet. This swelling is attributed to the poor circulation in the legs that is often both a cause and effect of varicose veins. Varicose veins are damaged veins; they are stretched, enlarged or swollen, and this causes their valves to leak. This allows blood to flow backwards, further damaging the vein. Sometimes blood and other fluids leak out of the vein and into the surrounding tissue. It is this leaking and pooling that causes swelling of the ankles and feet as gravity pulls these fluids down. This symptom is particularly common at the end of the day, especially if you have spent much of it sitting or standing still. This swelling is attributed to the poor circulation in the legs that is often both a cause and effect of varicose veins. It is usually not serious, but you should consult your gp if swelling appears suddenly, is severe, does not improve or is causing pain or discomfort. Why can varicose veins cause swollen ankles and feet? Varicose veins are damaged veins; they are stretched, enlarged or swollen, and this causes their valves to leak. This allows blood to flow backwards, further damaging the vein. Sometimes blood and other fluids leak out of the vein and into the surrounding tissue. It is this leaking and pooling that causes swelling of the ankles and feet as gravity pulls these fluids down. This symptom is particularly common at the end of the day, especially if you have spent much of it sitting or standing still. Self-help tips there are a number of things you can do to reduce the swelling in your ankles and feet. Firstly, try elevating your feet above your heart whenever you get the chance. This allows gravity to pull blood towards the heart from the legs, giving the veins in your legs a rest. It should also allow any build-up of fluid to drain away from the feet and ankles. If you can manage to elevate your legs above your heart, for example if you work at a desk, try at least elevating them slightly, by propping them on a foot rest. This slight elevation will still aid circulation wearing compressions socks may also help as these encourage the upward movement of blood so may help to prevent pooling of blood and fluid in the lower legs improve the circulation in your legs by getting more exercise. Cycling and swimming are great for circulation, but less strenuous exercise such as a walk or yoga will also help greatly. Even simple leg exercises at your desk can be beneficial: try flexing your ankles up and down, or bending and straightening your legs. Anything that gets your legs moving for a couple of minutes will help boost circulation make sure you drink enough water ? lack of water will cause the concentration of salt in your body to increase, triggering your body to retain as much water as possible, which can lead to swelling. Likewise, try to reduce the salt in your diet by avoiding processed foods, salty crisps or snacks, smoked meats and any other food that is typically high in salt.  

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