[45F] With high blood pressure and swollen lower legs and feet

What might be happening

Based on the information you've provided, several possible conditions could explain your symptoms:

• Hypertension (High Blood Pressure): Your blood pressure reading of 156/107 is significantly elevated. High blood pressure can lead to fluid retention, which might explain the swelling in your lower legs and feet.

  • Treatment: Lifestyle changes such as reducing salt intake, quitting smoking, and regular exercise can help manage high blood pressure. Medications may also be prescribed by your doctor.

• Chronic Venous Insufficiency: 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 cause swelling, particularly in the lower legs and feet.

  • Treatment: Compression stockings, elevating your legs, and avoiding prolonged periods of standing or sitting can help. In some cases, medications or procedures to improve vein function may be necessary.

• Congestive Heart Failure: This condition can cause fluid buildup in various parts of the body, including the lower legs and feet. Given your family history of heart disease, this is a possibility that should be evaluated by a healthcare provider.

  • Treatment: Medications, lifestyle changes, and in some cases, surgical interventions are used to manage heart failure.

• Lymphedema: This is a condition where the lymphatic system is unable to properly drain lymph fluid, leading to swelling. It often affects one limb more than the other.

  • Treatment: Compression garments, physical therapy, and in some cases, surgical options are available to manage lymphedema.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

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. Reduce Salt Intake: High salt intake can contribute to fluid retention. Aim to reduce your salt consumption.
3. Quit Smoking: Smoking can worsen high blood pressure and contribute to cardiovascular issues. Seek support to quit smoking.
4. Stay Active: Gentle exercises like walking can help improve circulation and reduce swelling.
5. Monitor Your Blood Pressure: Keep a log of your blood pressure readings to share with your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Sudden, severe swelling or pain in your legs
• Shortness of breath or chest pain
• Sudden severe headache or changes in vision
• Signs of infection, such as redness, warmth, or fever

Remember, while these tips can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.