[41F] With persistent splotchy discoloration and swelling in lower legs

What might be happening

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

• Chronic Venous Insufficiency (CVI): This condition occurs when the veins in your legs are not working effectively, making it difficult for blood to return to the heart. This can lead to varicose veins, swelling, skin discoloration, and ulcers.

  • Treatment: Management typically includes wearing compression stockings, elevating the legs, and avoiding prolonged standing or sitting. In some cases, medications or procedures to improve vein function may be recommended.

• Stasis Dermatitis: This is a skin condition that can occur in people with CVI. It causes redness, scaling, and sometimes ulcers on the lower legs.

  • Treatment: Treatment involves managing the underlying venous insufficiency, using topical corticosteroids to reduce inflammation, and keeping the skin moisturized.

• Lymphedema: This condition involves swelling due to a buildup of lymph fluid, often in the legs. It can cause skin changes and discomfort.

  • Treatment: Management includes compression therapy, manual lymph drainage, and exercises to improve lymphatic flow.

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. Continue Wearing Compression Stockings: These can help reduce swelling and improve blood flow in your legs.
2. Elevate Your Legs: Try to elevate your legs above the level of your heart for 15-30 minutes several times a day to reduce swelling.
3. Stay Active: Regular exercise, such as walking, can help improve circulation in your legs.
4. Skin Care: Keep the skin on your legs moisturized to prevent dryness and irritation. Avoid using harsh soaps or hot water.
5. Monitor Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

• Worsening Swelling or Pain: If the swelling or pain in your legs becomes severe or does not improve with self-care measures.
• New or Worsening Ulcers: If you develop new ulcers or if existing ones become larger or more painful.
• Signs of Infection: Redness, warmth, increased pain, or discharge from any ulcers or skin lesions could indicate an infection.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.