[33F] Experiencing severe lower leg swelling and pain with red bumps

Patient Description

A 33-year-old female presents with severe swelling, pain, and red bumps on the lower left leg, ankle, and foot. The symptoms appeared suddenly a few days ago. The patient describes the pain as a constant throbbing sensation, with the affected area feeling hard and tight to the touch, making it sensitive and painful to walk. No recent injuries or accidents were reported that could account for the symptoms. The redness and swelling begin approximately a hand's length below the knee, with pain and achiness extending above the knee. The patient also notes that the skin feels stretched to its limits and mentions the presence of a few odd-looking, initially icy bumps. There is no mention of fever or other systemic symptoms.

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Arora's Assessment

What might be happening

Based on your description, here are some possible causes for your symptoms:

  • Cellulitis: This is a common bacterial skin infection that can cause redness, swelling, and pain. The skin may also feel warm to the touch. It often affects the lower legs, but can occur anywhere on your body or face.

    • Treatment typically involves antibiotics to fight the infection.
  • Deep Vein Thrombosis (DVT): This is a blood clot that forms in a vein deep in your body, most commonly in your lower leg or thigh. It can cause swelling, pain, and redness.

    • Treatment usually involves medications to prevent the clot from getting bigger, break it down, and prevent new clots from forming.
  • Gout: This is a type of arthritis that usually affects the big toe, but can also affect other joints. It can cause sudden, severe attacks of pain, redness, and swelling.

    • Treatment typically involves medications to control pain and inflammation, and to lower uric acid levels in your body.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Rest and elevate your leg to help reduce swelling and relieve discomfort.
  2. Apply a cool compress to the area to help reduce pain and inflammation.
  3. Avoid putting weight on your leg if it's causing pain.

What you should look out for

Seek immediate medical attention if:

  • The pain and swelling get worse or spread to other areas.
  • You develop a fever or chills.
  • You notice a red streak running up your leg.
  • You have difficulty breathing or chest pain, as these could be signs of a serious condition like a blood clot in your lungs (pulmonary embolism).

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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11 mo ago

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People Also Ask


What are the common symptoms of cellulitis?

Common symptoms of cellulitis include redness, swelling, warmth, and pain in the affected area. The skin may also feel tight and tender. In some cases, fever and chills may accompany these symptoms.


How is deep vein thrombosis (DVT) diagnosed?

Deep vein thrombosis (DVT) is typically diagnosed through a combination of a physical examination, medical history, and imaging tests such as an ultrasound. Blood tests may also be conducted to check for clotting disorders.


What lifestyle changes can help manage gout?

To manage gout, lifestyle changes such as maintaining a healthy weight, staying hydrated, limiting alcohol intake, and reducing consumption of foods high in purines (like red meat and seafood) can be beneficial. Regular exercise and a balanced diet can also help manage uric acid levels.


When should I seek immediate medical attention for leg swelling and pain?

You should seek immediate medical attention if the pain and swelling worsen or spread, if you develop a fever or chills, if you notice a red streak running up your leg, or if you experience difficulty breathing or chest pain, as these could indicate a serious condition.


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