This question was answered on Fri 28, Aug 2009 08:45am by Dr Bhupinder K, MD

Painful swollen ankle 2+ weeks

    
Asked by alteredstateofmind (Female; 34; Bulging discs, asthma, chronic back/leg pain, sciatica, high triglycerides, frequent sinus infections, frequent bronchitis (at least annually), mental health, pinched nerves in arms (both - ulna nerve), muscle spasms, chronic inflammation of back muscles; Relevant drugs:Aldactone, birth control, naproxen ) on Fri 28, Aug 2009 07:05am

Have already been to the ER once, but they said that the swelling should have stopped by now. Not wanting to go back unless absolutely necessary. My lower legs and ankles (right leg worse than left) have been experiencing sometimes painful swelling. The fluid seems to like to sit on the back of the ankles the worst. I had gone off of diuretics for nearly 2 months (they were used to treat a hormonal problem causing dark hair to grow on face, arms and chest) but started back on them after ER visit suggested the probability of edema. They did an ultrasound of both legs starting at inner groin and working the way down the back inside of the leg, though swelling is more pronounced in the outer part of the leg, all scans showed no clots. Diuretics relieved some swelling, but it continues and continues to be painful, especially at the back of the ankle. Puffy area dents when pressed on and takes a few moments to return to normal shape. Elevation do not seem to help. Currently wrapped in ace bandage to help support ankle when in use. Swelling increases from lower thigh downward at times, most prominent in knee, calf, ankle and foot. Have recently been able to get out of wheelchair - overuse is possible, however, am concerned with the prolonged swelling that is not helped by elevation, diuretics, anti-inflammatories, or compress. Last liver function test was early in the year, and has been more than 6 months since, though ER did CBC, assuming liver panel with medication history including depakote.

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Answer by Dr Bhupinder K, MD  on Fri 28, Aug 2009 08:45am:

Hello, Common causes of ankle swelling include gout (accumulation of uric acid crystals within the fluid of your ankle),ankle arthritis, problems with blood flow like DVT obesity, varicose veins, serious condition of the kidney, heart, liver or blood vessels, eating a poor diet high in salt and carbohydrates , abusing laxatives,diuretics, drugs, sodium retention, varicose veins, allergic reactions and neuromuscular disorders. I sincerely advice you to consult a physician and get these possibilities evaluated. I hope it helps. Take care and regards.
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