[40F] With sudden onset of swollen feet and ankles

What might be happening

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

• Peripheral Edema: This is swelling caused by fluid accumulation in the tissues, often in the lower extremities. It can be due to various reasons, including prolonged standing, heat, or certain medications. Given your history of atrial fibrillation, it could also be related to heart function.

  • Treatment: Elevating your legs, reducing salt intake, and wearing compression stockings can help. If the swelling persists, a doctor may prescribe diuretics to help reduce fluid retention.

• Venous Insufficiency: This occurs when the veins in your legs have trouble sending blood back to your heart, leading to pooling of blood and swelling.

  • Treatment: Compression stockings, leg elevation, and regular exercise can improve blood flow. In some cases, medical procedures may be necessary.

• Medication Side Effects: Both Geodon and Dilantin can cause swelling as a side effect, although this is less common.

  • Treatment: Consult your doctor to discuss whether your medications could be contributing to your symptoms and if any adjustments are needed.

• Stress-Related Swelling: Acute stress can sometimes lead to physical symptoms, including swelling.

  • Treatment: Stress management techniques such as deep breathing, meditation, and exercise can be beneficial.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Elevate Your Legs: Try to keep your legs elevated above the level of your heart for 15-30 minutes several times a day to reduce swelling.
2. Stay Hydrated: Drink plenty of water to help flush out excess fluids.
3. Reduce Salt Intake: Lower your sodium consumption, as salt can cause your body to retain water.
4. Wear Compression Stockings: These can help improve blood flow and reduce swelling.
5. Monitor Your Symptoms: Use the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider.
6. Manage Stress: Practice stress-relief techniques such as deep breathing exercises, meditation, or yoga.

What you should look out for

Seek medical attention if you experience any of the following:

• Increased Shortness of Breath: This could indicate a more serious issue related to your heart or lungs.
• Severe Pain or Redness: If the pain or redness in your legs returns or worsens, it could be a sign of an infection or blood clot.
• Rapid Weight Gain: Sudden weight gain can indicate fluid retention and should be evaluated by a doctor.
• Persistent or Worsening Swelling: If the swelling does not improve or gets worse despite self-care measures, consult a healthcare professional.

Remember, while these tips can help manage your symptoms, it's crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.