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Edema is common to consider the heart and liver.
Lungs and kidneys. I hope you go to the hospital for a detailed examination.
Some elderly people often have swollen legs, especially after sitting for a long time, and the legs are uncomfortably swollen. Press your calf with your hand and press a pit at a time. The swelling of the legs in the elderly is partly related to heart, kidney, liver and endocrine diseases, and a considerable part is idiopathic senile edema.
This kind of edema is mostly due to the loose space of the subcutaneous tissue in the elderly, and the water is easy to penetrate into the tissue space, resulting in subcutaneous edema. In addition, the vasomotor function and sweat gland secretion function of the elderly are reduced, the water evaporated by ** is reduced, and the heart, lungs, and kidney functions are reduced, and the endocrine function is not stable enough. The combination of these factors causes sodium and water retention in the subcutaneous space and aggravates subcutaneous edema.
For senile edema, the first thing to figure out is **. If it is related to the disease, the primary disease should be actively controlled; It is idiopathic edema and does not need to be a**. No matter what the cause of the edema of the lower limbs, we should pay attention to diet and life conditioning, supplement protein appropriately, strengthen exercise, and wear shoes and socks with appropriate elasticity to prevent injury.
When the edema is severe, you can take traditional Chinese medicine that promotes the lungs, strengthens the spleen, and benefits the kidneys, such as astragalus, cinnamon branches, poria cocos peel, tangerine peel, atractylodes, etc. These drugs should be used rationally under the guidance of a doctor. Swollen legs in the elderly are very common, accounting for more than 1 3 of the elderly.
There are two common types of diseases in clinical practice: one is systemic serious diseases, such as heart disease, such as heart failure; kidney disease, such as proteinuria, renal insufficiency; liver disease, such as cirrhosis; Patients with cachexia with advanced cancer and advanced wasting disease. The other type is lower limb congestion disease, and there are three main types:
One is superficial venous valve regurgitation of the lower limbs, also known as varicose veins of the lower limbs. The disease is associated with long-term standing work and cold injuries to the lower limbs. The patient feels that the affected limb is heavy, sore, and weak, and the calf muscles often spasm.
Due to local malnutrition, eczema dermatitis, ulcers, erysipelas, etc. will also occur. The second is deep venous valve regurgitation of the lower limbs. The affected limb is heavier and more sore, swelling and pain.
Persistent deep venous hypertension and perforating branch insufficiency cause deep venous blood to flow backward into the superficial veins, resulting in varicose veins of the lower limbs. The third is deep vein thrombosis of the lower limbs. It is mainly seen in the following four situations:
1.After pelvic lower extremity surgery and other major surgeries; 2.Seriously ill and bedridden; 3.
venous contusion, intravenous fluids, and venous inflammation; 4.Blood hypercoagulable states, such as after splenectomy, cancer, use of hemostatic drugs or dehydrating agents, myocardial infarction, cerebral infarction, atherosclerosis, etc. The clinical feature is a sudden onset of rapid swelling and pain in the affected limb (unilateral) that worsens when standing.
Local ** blue and purple, often called "femoral bruising". The thighs and calves of the affected limbs can be thickened, the gastrocnemius muscles are markedly tender, and the dorsia of the foot is painful. Patients are prone to pulmonary embolism, which is life-threatening, and should be admitted to the hospital urgently.
Generally**, including antithrombosis, viscosity reduction, the application of blood circulation and diuresis of Chinese and Western drugs, daily life care should pay attention to elevating the affected limb, moderate exercise, wearing elastic stockings, regular follow-up doctors, so as to observe and deal with it in time.
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Hello, I think that swelling of the lower limbs is nothing more than a common condition of several conditions:
1. Cardiogenic swelling: swelling of the lower limbs occurs in right heart failure, of course, accompanied by general discomfort symptoms such as dyspnea, and it should be symmetrical in both lower limbs.
2. Nephrogenic swelling: When kidney disease or poor kidney function is poor, swelling of the lower limbs accompanied by swelling of the face and face will also occur. In general, urine routine and kidney function tests will find problems, and they should also be symmetrical in both lower limbs.
3. Liver function damage: After liver disease or liver function damage, the liver's ability to synthesize protein decreases, and hypoprotein edema appears, which is generally accompanied by jaundice, emaciation, fatigue, poor diet, and should still appear symmetrically in both lower limbs. Liver function or hepatitis B markers can be checked.
4. Venous valve function of the lower limbs: the venous blood return is not smooth, and the low-hanging part is swollen when standing. On weekdays, pay attention to standing as little as possible, and rest is to elevate both lower limbs to promote venous return. If the swelling is worse and the area is wider, compression stockings can be worn**.
5. Cellulitis: that is, local swelling, increased skin temperature, and obvious tenderness, intravenous antibiotics can be used**. Usually 1-2 weeks**.
6. Deep vein thrombosis: common for the elderly who have been bedridden for a long time, most of them are unilateral limb swelling, and the blood vessels of the lower limbs can be clarified by ultrasound, which needs to be further advanced to avoid the thrombus falling off and wandering, forming embolism in other parts.
7. Decreased thyroid function may also form mucous swelling of the lower limbs, accompanied by fatigue, fatigue, weight gain, and inability to tolerate cold. This is followed by drowsiness, unresponsiveness, etc. Thyroid function tests can be done.
The swelling of the elderly after long-term bed rest, I tend to be caused by deep vein thrombosis, of course, renal and cardiogenic swelling can not be ruled out, these are all that need to be actively treated, there is no way, I can only go to the hospital for medical treatment. You can call the local 120 to escort the elderly to the hospital, which is more professional.
I hope it will be useful to you, and I wish the old man a speedy **!
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It is likely to be kidney disease, it is recommended to go to the hospital for a urine routine examination, if the urine test has a protein plus sign, it is a problem for the kidneys, and then further diagnose what kidney disease is, if there is no plus sign, you can not be careless, you need to check the 24-hour urine protein quantification to determine whether there is protein in the urine. If there is no problem, it can be caused by exertion. If there is chronic heart function, it can be incomplete and swollen.
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The elderly are now mainly edema of the hands and feet, and drink a lot of water, but there is no urine discharge, this needs to be alert to the possibility of kidney failure, but it cannot be said that the elderly have kidney failure simply by virtue of the above one of the circumstances, which is too arbitrary, and further examinations are needed to clarify the diagnosis and differential diagnosis Therefore, it is recommended that the elderly can go to the local regular hospital to hang the nephrology department, first describe the condition to the attending doctor in detail, and conduct renal function, glomerular filtration rate, urinary system color ultrasound and other examinations. The purpose is to find the best and make a clear diagnosis, and only a clear diagnosis can be more targeted.
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Boiling water with corn silk as a tea can be relieved.
It is best to go to the geriatric department of a regular large hospital for examination**. It is likely to be due to weakness of multiple organs. A stem cell transplant is necessary.
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It may be caused by abnormal cardiopulmonary function, active **high blood pressure, check the electrocardiogram and chest X-ray to confirm the condition and then treat the symptoms**.
Cold hands and feet are only a symptom, not a problem.
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