[28F] Experiencing severe swelling and pain in feet

Patient Description

A 28-year-old female presents with severe swelling and pain in her legs, ankles, and feet, which is most pronounced in the forefoot. The symptoms started two days ago, and the patient rates the pain as a 7 out of 10, describing it as stabbing when walking and throbbing when at rest. The patient has a medical history of type 2 diabetes diagnosed in 2017, chronic back pain since 2018, and degenerative disc disease identified in 2020. She is currently taking 1000mg of Tylenol four times a week for mid-back pain. The patient has allergies to iodine, penicillin, NSAIDs, sulfa drugs, and IV dye. There have been no recent injuries, immobility due to travel, or family history of similar symptoms, though there is a family history of blood clotting disorders. No redness, warmth, fever, chest pain, shortness of breath, color changes, or skin ulcers have been observed.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Deep Vein Thrombosis (DVT): This is a blood clot that forms in a vein deep in the body, most often in the lower leg or thigh. A DVT can cause leg pain or swelling, but also can occur with no symptoms. You are at higher risk for DVT if you have certain medical conditions, such as diabetes, or a family history of blood clotting disorders.

    • Treatment typically involves anticoagulant medications to prevent the clot from getting bigger and to stop new clots from forming.
  • Venous Insufficiency: This occurs when your leg veins don't allow blood to flow back up to your heart. Symptoms can include swelling, pain, and tiredness in the legs.

    • Treatment often involves lifestyle changes and sometimes procedures to improve blood flow.
  • Lymphedema: This is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system. It can cause swelling and pain in the legs and feet.

    • Treatment typically involves physical therapy, compression garments, and good skin care.

Please note that these are possible explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do to help manage your symptoms:

  1. Elevate your legs above the level of your heart when possible. This can help reduce swelling.
  2. Avoid standing or sitting for long periods of time. Try to move around every hour or so to help improve blood flow.
  3. Wear loose-fitting clothes. Tight clothes can restrict blood flow.
  4. Stay hydrated and maintain a balanced diet. This can help prevent fluid retention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden or severe swelling in your legs, ankles, or feet.
  • Chest pain or difficulty breathing.
  • A leg that is swollen, red, or very warm to touch.

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of Deep Vein Thrombosis (DVT)?

Common symptoms of DVT include swelling in one leg, pain or tenderness in the leg, which may feel like cramping or soreness, and skin that feels warm to the touch. However, some people may not experience any symptoms.


How can venous insufficiency be managed or treated?

Venous insufficiency can be managed with lifestyle changes such as regular exercise, elevating the legs, wearing compression stockings, and avoiding long periods of standing or sitting. In some cases, medical procedures may be necessary to improve blood flow.


What is lymphedema and how is it treated?

Lymphedema is a condition characterized by swelling due to a compromised lymphatic system. It is treated with physical therapy, compression garments, and good skin care to manage symptoms and prevent complications.


What precautions should someone with a family history of blood clotting disorders take?

Individuals with a family history of blood clotting disorders should maintain a healthy lifestyle, stay active, avoid smoking, and discuss with their healthcare provider about potential screening or preventive measures, especially if they have other risk factors.


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