[55F] With leg swelling, itching, and additional symptoms

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Swelling and Itching in Lower Legs

1. 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. Symptoms include swelling, itching, and redness. The burning sensation when you scratch could be due to inflammation or irritation of the skin.
2. Heart Failure: Given your history of heart disease and the presence of swelling, heart failure could be a contributing factor. Heart failure can cause fluid to accumulate in the legs, leading to swelling and discomfort.
3. Allergic Reaction or Dermatitis: Although you haven't used new products, stress can sometimes exacerbate skin conditions like dermatitis, leading to itching and redness.

Shortness of Breath and Irregular Heartbeats

1. Heart Failure: Shortness of breath, especially when bending over, and irregular heartbeats could be signs of heart failure. This condition can cause fluid buildup in the lungs and affect your breathing.
2. Atrial Fibrillation: This is a type of irregular heartbeat that can cause palpitations and shortness of breath. It is more common in people with a history of heart disease.

Weight Gain and Puffiness

1. Fluid Retention: The weight gain and puffiness could be due to fluid retention, which is common in conditions like heart failure and chronic venous insufficiency.
2. Stress-Related Eating: Stress can lead to changes in eating habits, which might contribute to weight gain.

Numbness in Arms and Legs

1. Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness and tingling in the limbs. It can be related to diabetes, but other causes include prolonged pressure on the nerves.
2. Circulatory Issues: Poor circulation can lead to numbness, especially if you notice it when squatting or sitting in certain positions.

What you can do

Swelling and Itching in Lower Legs

• Elevate Your Legs: Try to keep your legs elevated when sitting or lying down to help reduce swelling.
• Compression Stockings: Wearing compression stockings can help improve blood flow and reduce swelling.
• Cold Compresses: Continue using cold water or cold compresses to relieve itching and reduce swelling.
• Avoid Scratching: Try to avoid scratching to prevent further irritation and potential infection. You can use over-the-counter anti-itch creams or antihistamines to help manage the itching.

Shortness of Breath and Irregular Heartbeats

• Monitor Symptoms: Keep track of your symptoms, including any episodes of shortness of breath or irregular heartbeats. Note the frequency, duration, and any triggers.
• Seek Medical Attention: Given your history of heart disease, it's important to consult a healthcare provider to evaluate your symptoms and adjust your treatment plan if necessary.

Weight Gain and Puffiness

• Healthy Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit salt intake to reduce fluid retention.
• Regular Exercise: Engage in regular physical activity, such as walking, to help manage weight and improve circulation.

Numbness in Arms and Legs

• Frequent Movement: Avoid staying in one position for too long. Take breaks to move around and stretch.
• Consult a Doctor: Discuss your symptoms with a healthcare provider to determine the underlying cause and appropriate treatment.

What you should look out for

Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Worsening Shortness of Breath: If you experience severe shortness of breath or difficulty breathing, seek immediate medical attention.
• Chest Pain: Any new or worsening chest pain should be evaluated by a healthcare provider immediately.
• Severe Swelling: If the swelling in your legs becomes severe or is accompanied by pain, redness, or warmth, seek medical attention.
• Fainting or Dizziness: If you experience fainting or severe dizziness, seek immediate medical care.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider 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.