Vascular surgery can cause swelling in lower legs
To Your Good Health
Q: Every morning, my husband takes the following medicines: lisinopril for blood pressure, levothyroxine for his thyroid, an aspirin and a B-complex vitamin.
He had his aorta replaced in 2012 and has trouble with marks on his legs from his socks. He is 79 and has no other health problems.
What could be causing this? His heart doctor thought that it was his blood-pressure medicine, and, at the time, he was taking 10 milligrams of amlodipine in the morning.
A: The imprint of the socks indicates swelling (edema) in the loose tissues of the legs. Although leg edema can result from serious problems with the heart, kidneys or liver, or even from blood clots, it is far more likely that it is not any of these serious conditions.
After a major vascular surgery, it is common to have a bit of swelling in the legs. In fact, most people close to their 80s have some degree of swelling, usually from imperfect valves in the veins or lymphatic vessels that don’t work as well as they did 50 years earlier.
Amlodipine (Norvasc) and medicines like it often cause a degree of swelling that isn’t dangerous.
A careful physical exam and a few blood and urine tests are all that is necessary to be sure that the leg swelling isn’t being caused by a potentially dangerous condition.
(Agree with Dr Roach that a competent couple of tests, – blood and urine should give some answers. Actually much of the answer on the second question would probably work on this as well. But the major thing I wanted to suggest would be the taking of Nattokinase to insure the blood is not sluggish or too thick to flow right. Want to take 2000FUs capsules – one, twice daily to get that under control. And Ubiquinol, 100 mg; 2 or 3 daily with food. Make sure drinking plenty of good pure water to make sure the kidneys are okay. Maybe could use a little help with some Silymarin aka Milk Thistle. Swelling legs often suggest kidneys could use a cleanse or maybe the coffee enema to freshen it up a bit. Jan)
Q: I am 71, with high blood pressure, chronic obstructive pulmonary disease, diabetes and spinal stenosis. I smoke. After I eat breakfast or lunch, I rapidly fall into a daze during which I can hardly hold my head up. Sleep seems to be the only solution, but I still feel tired and listless the rest of the day.
I have read about chronic fatigue syndrome and autoimmune conditions, and the prognosis isn’t good. There must be some treatment for me.
A: Fatigue is a common symptom, but it is perhaps the most nonspecific one in medicine. Many conditions cause fatigue. The specific condition of chronic fatigue syndrome, by definition, is unexplained after a clinical evaluation.
Although COPD and even spinal stenosis can cause fatigue, the association with eating makes me wonder about your blood sugar levels because poorly controlled diabetes can cause fatigue. Smoking doesn’t cause fatigue, but quitting smoking will certainly keep your COPD from progressing. All sleep disorders, but especially obstructive sleep apnea, cause fatigue that might not improve with sleeping.
I always consider thyroid disease, hemochromatosis and multiple sclerosis in anyone with profound fatigue. That list is only a small part of the many conditions for which a clinician is on the lookout in someone with fatigue.
If, after a thorough evaluation, your diagnosis turns out to be chronic fatigue syndrome, the most effective therapies are cognitive behavioral therapy and a graded exercise program.
Meanwhile, keep a food diary. Many people find that sugary foods cause a loss of energy.
Dr. Roach answers letters only in his North America Syndicate column but provides an order form of available health newsletters. Write him at P.O. Box 536475, Orlando, FL 32853-6475; or ToYourGoodHealth @med.cornell.edu .
(My own impression on this query is centered around the nutritional needs, so in this sense, I believe Dr Roach’s advice to keep a food diary is excellent.) And I say this because in so doing, little patterns show up and often, items one took to be safe and natural are in fact, harming us. . . . especially helpful in dealing with autoimmune suspicions. It can be food that we normally handled well can no longer be tolerated for any of many reasons. Additionally, our food has changed in the manufacturing processes and even the growing process. So some of it could be environmental, but truly, much is also self-inflicted in poor choices. I do understand, because HBP and COPD are familiar to me and millions of others as well.
Querant’s hormonal balance is being interfered with, pancreas of course and maybe adrenals and other organs. The energy system is not functioning as it should. One can not get up and go when there is no energy. This person is existing, not living. I have become a true believer in supplying the body with the necessary tools to correct it’s problems. When the mitochondria isn’t able to receive and utilize the necessary raw materials in an orchestrated delivery of amino acids, these little energy factories can’t nourish the thousands of cells which depend on it. We notice such things especially in the cardio-pulmonary systems which equally affect the brain and central nervous system. I have at least 4 to 6 previous posts discussing the amino acid protocol which I am using personally, so I won’t go into all that again, here, now. Must mention in passing tho, that one of those AA I take, the D-Ribose, (if I had a favorite, it would be this one — but need them all for my particular needs) has shown great effectiveness in dealing with CFS.
I would like to touch on another area now and that is eliminating wastes and impurities from the body. Health is more than just eating good, nutritious food, it also requires keeping all systems functioning well and that would include eliminating that which is unneeded. . . and if allowed to amass, would build some or many dysfunctions presenting still more problems for us or perhaps difficult disease structures. Many take simple water enemas, others — more pithy organic coffee enemas while still others like to go for cleanses like Dr Clark advocated. Whatever works for you. The easiest and simplest thing to do is use a mini trampoline. Mine stays available to me for instant use. A few minutes here and there is all it takes, and it feels good and is kinda fun. You know what it does for you don’t ya?
Well, briefly, your lymphatic system is the body’s ‘sewage processing plant’ responsible for removing waste, toxins and other unwanted material out of your cells and tissues so that this gunk can be flushed out of your body. If your lymph system slows down, doesn’t flow like it should. . .toxins pile up and if not addressed on a timely basis, waste accumulates in your cells and tissues. Not a good thing. Your body movement is what activates the necessary flow within the system. If we are more inactive that equates to a less active lymph system. See, our blood circulation has our magnificent heart pumping along to keep all working, but our lymph requires US to move. If we don’t, waste and toxins build up in those cells and tissues. And believe it or not, our fat cells get 500 to 1,000 times more toxins dumped into them than in our other cells. And I read that this is a causative factor behind cellulite. . .which fortunately, I’ve never had. . .but who cares, huh?
So finally, here is a link which I wanted to share. It’s quite good. Jan)