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Foot, leg, and ankle swellingDefinition Abnormal buildup of fluid in the ankles, feet, and legs is called peripheral edema.Considerations Painless swelling of the feet and ankles is a common problem, particularly in older people. It may affect both legs and may include the calves or even the thighs. Because of the effect of gravity, swelling is particularly noticeable in these locations. Common Causes Foot, leg, and ankle swelling is common with the following situations:
Swollen legs may be a sign of heart failure, kidney failure, or liver failure. In these conditions, there is too much fluid in the body. Other conditions that can cause swelling to one or both legs include:
Certain medications may also cause your legs to swell:
Home Care
Call your health care provider if Call 911 if:
Call your doctor right away if:
Also call your doctor if self care measures do not help or swelling worsens. What to expect at your health care provider's office Your doctor will take a medical history and conduct a thorough physical examination, with special attention to your heart, lungs, abdomen, legs, and feet. Your doctor will ask questions like the following:
Diagnostic tests that may be performed include the following:
Prevention Avoid sitting or standing without moving for prolonged periods of time. When flying, stretch your legs often and get up to walk when possible. When driving, stop to stretch and walk every hour or so. Avoid wearing restrictive clothing or garters around your thighs. Exercise regularly. Lose weight if you need to. References Cho S. Peripheral edema. Am J Med. 2002; 113(7): 580-586. Schroeder BM. ACOG practice bulletin on diagnosing and managing preeclampsia and eclampsia. American College of Obstetricians and Gynecologists. Am Fam Physician. 2002; 66(2): 330-331. Illustrations
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