[34F] With swollen legs, red blotchy itchy spots, and pain while walking

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

• Cellulitis: This is a bacterial skin infection that can cause redness, swelling, warmth, and pain in the affected area. It often occurs after a break in the skin, although this isn't always noticeable. Given the warmth, redness, and tenderness you described, this could be a possibility.

  • Treatment: Cellulitis typically requires antibiotics. It's important to see a doctor for an accurate diagnosis and appropriate treatment.

• Venous Insufficiency: This condition occurs when the veins in your legs have trouble sending blood back to your heart. This can cause swelling, pain, and changes in skin color.

  • Treatment: Compression stockings, elevating your legs, and medications to improve blood flow may be recommended. A healthcare provider can offer more specific advice.

• Allergic Reaction or Contact Dermatitis: Given the itching and red blotchy spots, an allergic reaction or contact dermatitis could be a possibility. This can occur due to exposure to allergens or irritants.

  • Treatment: Avoiding the allergen or irritant, using antihistamines like Benadryl, and applying topical corticosteroids can help. A doctor can provide a more precise diagnosis and treatment plan.

What you can do

While you wait to see a healthcare provider, here are some steps you can take to manage your symptoms:

1. Elevate Your Legs: Try to keep your legs elevated above the level of your heart when sitting or lying down. This can help reduce swelling.
2. Apply a Cool Compress: A cool, damp cloth can help soothe the itching and reduce inflammation.
3. Avoid Scratching: Scratching can worsen the irritation and potentially lead to infection.
4. Stay Hydrated: Drink plenty of water to help maintain good circulation and overall health.
5. Over-the-Counter Medications: Continue using Benadryl for itching, but avoid any medications you're allergic to.

What you should look out for

Seek medical attention promptly if you notice any of the following:

• Increased Redness or Swelling: This could indicate worsening infection or inflammation.
• Fever or Chills: These symptoms could suggest a systemic infection.
• Red Streaks: Streaks extending from the affected area could indicate a spreading infection.
• Severe Pain: If the pain becomes severe or unmanageable, it's important to seek medical help.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment. If your symptoms worsen or you have any concerns, please seek medical attention immediately.