[54M] With chronic leg burning and swelling
Patient Description
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Arora's Assessment
What might be happening
Based on your symptoms of burning sensation, swelling, redness, and itching in your legs and feet, here are some possible explanations:
- Peripheral Neuropathy: This condition involves damage to the nerves outside of your brain and spinal cord, often causing burning pain, tingling, and numbness. It can be caused by diabetes, infections, or other underlying conditions.
- Cellulitis: This is a bacterial skin infection that can cause redness, swelling, and pain. The presence of yellow pus and the fact that you had a scrape on your leg a week ago suggest that an infection might be present.
- Chronic Venous Insufficiency: This condition occurs when the veins in your legs are not working effectively, leading to swelling, pain, and skin changes. It can cause a feeling of heaviness or burning in the legs.
What you can do
For Peripheral Neuropathy:
- See a doctor: It's important to get a proper diagnosis and treatment plan. Your doctor may recommend blood tests, nerve function tests, or imaging studies.
- Manage underlying conditions: If you have diabetes or another condition that could be causing neuropathy, managing that condition is crucial.
- Pain relief: Over-the-counter pain relievers like ibuprofen or acetaminophen may help. Your doctor may also prescribe medications specifically for nerve pain.
For Cellulitis:
- Seek immediate medical attention: Cellulitis can spread quickly and may require antibiotics. If you notice increasing redness, swelling, or fever, go to the emergency room.
- Keep the area clean: Wash the affected area with soap and water and keep it covered with a clean bandage.
- Elevate your leg: Elevating your leg can help reduce swelling.
For Chronic Venous Insufficiency:
- Consult a doctor: A healthcare provider can recommend treatments such as compression stockings, medications, or procedures to improve blood flow.
- Elevate your legs: Elevating your legs above the level of your heart can help reduce swelling.
- Exercise regularly: Physical activity can improve circulation and reduce symptoms.
What you should look out for
Given the severity of your symptoms and the possibility of an infection, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Increasing redness, swelling, or pain
- Fever or chills
- Pus or other signs of infection spreading
- Difficulty walking or standing
Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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5 mo ago