[44M] With sudden leg swelling, pain, and itching

Patient Description

A 44-year-old male reports sudden onset of swelling, pain, and severe itching in the left leg for three days. The pain is described as a mix of sharp, dull, and other sensations, and is relieved by submerging the leg in a moderately hot bath. The swelling began suddenly in the afternoon and is accompanied by redness, warmth, and a magenta to bright red discoloration. The patient has noticed a few sores in the affected area. There is no history of injury, fever, or chest pain, but the patient feels easily chilled and extremely tired with exertion. The patient is a heavy smoker, consuming a pack of cigarettes daily, and spends long hours sitting at a computer. There is a history of numbness in extremities over several years, but no diagnosis of blood clots or circulation issues. The patient is not on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, there are a few possibilities to consider:

  1. Deep Vein Thrombosis (DVT): This is a blood clot in a deep vein, often in the leg. Symptoms include swelling, pain, redness, and warmth. DVT is serious and requires immediate medical attention to prevent complications like a pulmonary embolism.

  2. Cellulitis: This is a bacterial skin infection that can cause redness, swelling, warmth, and pain. It often requires antibiotics and medical evaluation.

  3. Venous Insufficiency: This occurs when veins have trouble sending blood from the legs back to the heart, leading to swelling and skin changes.

These conditions require prompt evaluation by a healthcare professional. Testing might include an ultrasound to check for blood clots or blood tests to assess for infection.

What you can do

  • Seek Immediate Medical Attention: Given the potential seriousness of your symptoms, it's important to see a healthcare provider as soon as possible. If the pain worsens or you experience shortness of breath, call 911 or have someone take you to the emergency room.

  • Avoid Smoking: Smoking can worsen circulation issues. Consider seeking help to quit smoking.

  • Elevate Your Leg: While waiting for medical care, try to keep your leg elevated to reduce swelling.

  • Avoid Tight Clothing: Wear loose-fitting clothes to avoid restricting blood flow.

Please remember, this information is not a substitute for professional medical advice. It's important to consult with a healthcare provider for a proper diagnosis and treatment.

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2 mo ago

People Also Ask


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

Symptoms of Deep Vein Thrombosis (DVT) include swelling, pain, redness, and warmth in the affected leg. It can also cause a heavy or aching feeling in the leg. DVT is serious and requires immediate medical attention to prevent complications like a pulmonary embolism.


How is cellulitis different from other skin infections?

Cellulitis is a bacterial skin infection characterized by redness, swelling, warmth, and pain in the affected area. It differs from other skin infections by its rapid onset and the potential to spread quickly, often requiring antibiotics for treatment.


What lifestyle changes can help improve venous insufficiency?

Lifestyle changes that can help improve venous insufficiency include regular exercise to improve circulation, elevating the legs to reduce swelling, wearing compression stockings, maintaining a healthy weight, and avoiding long periods of sitting or standing.


Why is smoking a risk factor for circulation issues?

Smoking is a risk factor for circulation issues because it damages blood vessels, reduces blood flow, and increases the risk of blood clots. Quitting smoking can improve overall circulation and reduce the risk of developing conditions like DVT and venous insufficiency.


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