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im taking 40mg lasix everyday for a week coz of severe edema.i have a doubt.? after this 1 week im sure to reduce the excess water but if i stop taking the pills will i again develop edema?im only 21 now.will it occur again if i stop taking it?

inet_guy_84 replied: "What is the cause of your edema? If you have developed edema because of cardiac related problems then yes, you could again begin to retain fluid. Ask this question of your doctor."

rockwithelmo replied: "Wow thats a high dose of diuretic for a 21 year old! The question is why do you have edema in the first place? CHF, is one reason a lot of people are on diuretics such a Lasix's, there are other reasons of course, check with your Dr. Make sure your pottasium level is checked out as well!!!!!! Not only does lasix remove excess fluid it can also shift you electrolytes off balance!!!."

Does anyone know how caffeine effects edema? I have edema in my lower legs & ankles. My Dr put me on Lasix. I drink lots of water every day. I TRY to drink half of my body weight in water every day bit sometimes fall short of that goal. I do however drink at least 64 oz every day. I am now on day 5 with the Lasix & am still seeing some swelling in my ankles. I drink coffee. Probably too much coffee each day. Does anyone know if this is not a good idea to do when you have edema? The reason I ask is because I am not real clear on how this edema thing is working. I think my body may be storing extra water because I am becoming dehydrated, which is probably not helped by the caffeine in the coffee. But caffeine is a diuretic, isn't it? So it should pull the water off too. However, it seems to be making it worse. Is that possible???

Dealing with edema of the legs? I have edema in both of my legs, more so in the left. I am wearing compression stockings and taking lasix (furosemide) daily. I am still not seeing much result other than a trip to the bathroom every 15-20 minutes for 4 hours each morning. I am obese 450 lbs. I know that this is part of my problem. Has anyone beaten this problem? If so how? I'm to the point of taking my pants to have the leg altered so it will fit.

I have been battling with edema for over 1 year now and I am having it really bad at this time? and I am so swollen that when you push in on my legs the finger marks stay in my leg for several minutes before going away. I am on 40mg of Lasix per daya nd it is not helping at all. If it were congestive heart failure would Ibe having other symptoms besides the swelling? What could be causing this? My diet is almost sodium free. This is affecting my quality of life and I am getting very scared. I have a doctor's appointment on the 16th, but I just wanted some opinions today. I woke up so swollen I can barely walk.

vincegill replied: "Check out"

Imani replied: "The following drugs, medications, substances or toxins are some of the possible causes of Edema as a symptom. Oral contraceptive pills Steroids NSAIDs Lithium Phenylbutazone There are many others, including some illnesses. You should have a full work up of blood and urine tests, as well as pituitary function tests, to rule out any illnesses.. and make sure you tell the doctor of any medications that you take.. prescription, over the counter or herbal.. they all make a difference even if you think they don't"

Pegasus90 replied: "It may be a hormone that the doctor has not checked for. The #1 hormone - because it can affect the production of all the other hormones - is insulin. Ask your doctor for a fasting insulin blood test . Ask for a copy of your results. 10 or higher is abnormal for an adult. The purpose of insulin is to open the "cell's mouths" to let food and water in. In your case, if insulin is madly tucking food and water in cells, instead of causing bloating and weight gain, it is causing edema. Also ask for a saliva test. This test will tell you if any of your feminine hormones are not at the best levels, which can have an effect. I do not like doctors who prescribe hormones for feminine problems without testing first. When that happened to me - the shot he gave me switched me from low blood sugar to diabetes. The food insulin tucks in cells is blood glucose. If insulin tucks in too much glucose (a condition known as hyperinsulinemia), it can result in there being too little blood glucose in the blood stream for the rest of the body to use during the day (a condition known as hypoglycemia)."

Reason for edema in lower extremities? My doctor just put me on 40 mg of Lasix a day. I feel much better. I am diabetic. However, it seems my edema problems started after the Rita evacuation. I was behind the wheel for 14 hours and then I had to spend 30 days in Houston working out of St. Joseph's Hospital downtown. I had to fight bumper to bumper traffic going into downtown and out of downtown. Could all this have added to the fluid buildup in my lower extremities?

Marilyn B replied: "I think so. My mother had the same problem when we would take long car trips every summer. Her feet and ankles would swell up. Were you on any other medication such as Glitazone? This medication, among others, can cause swelling of the lower extremities. As a diabetic, you must already realize that diabetes causes blood vessels in the foot and leg to narrow, resulting in poor circulation and this can be a serious threat. So from no on, try to alleviate any repeat circumstance like that described above."

mdgcats replied: "Absolutely! You need to change positions every hour at least, for your health and safety. Elevate your legs on occasion as well."

Jack of All Trades replied: "try compression stockings and move around (Kinney Drugs has the best deal I've found. Put your seat back and kick your feet around when you are sitting still. Pull over and take a walk. Sitting still will cause edema to increase. Also elevate your legs when you can."

Is Pitting Edema a sign of any type of a Cardiac Problem?? 43yo, non smoking WF, no family hx except hypertension. I do not have high B/P. I have fibromyalgia, asthma, Osteoarthritis, chondromalacia patellae of both knees,gastric bypass. I have edema in my legs from knees down. This keeps happening off and on. Right now it is really bad, the pitting is 1+/2+ and my R is esp bad, even my foot is swollen and you can't see my ankle! I wonder if that chondro would cause this? I ask about Cardio because ppl will see me like this and say "Has your Dr had your heart checked out?" Once a Dr did a few blood studies but they were normal and I dont know what it was. I havent injured myself, I am on several meds but I have been on these same ones for a while now. My PCP has tx'd this with Lasix in the past. I can go to the ER but dont know if they'll do anything since I dont have ins. . Please give me some answers and not just see your DR. I am an RN and I know this. I just dont want to go and it be normal with my knees.. etc.. It is really uncomfortable.

tlb5859 replied: "Pitting edema can be demonstrated by applying pressure to, for example, the skin of a swollen leg, by depressing the skin with a finger. If the pressing causes an indentation in the skin that persists for some time after the release of the pressure, the edema is referred to as pitting edema. Actually, any form of pressure, such as from the elastic part of socks, can induce the pitting of this edema. In non-pitting edema, which usually affects the legs or arms, pressure that is applied to the skin does not result in a persistent indentation. Non-pitting edema can occur in certain disorders of the lymphatic system such as lymphedema, which is a disturbance of the lymphatic circulation that may occur after a radical mastectomy, or congenital lymphedema. Another cause of non-pitting edema of the legs is called pretibial myxedema, which is a swelling over the shins that occurs in some patients with hyperthyroidism. Non-pitting edema of the legs is difficult to treat. Diuretic medications are generally not effective, although elevation of the legs periodically during the day and compressive devices may reduce the swelling. The focus of the rest of this article is on pitting edema. What causes pitting edema? Edema is caused by either systemic diseases, that is, diseases that affect the various organ systems of the body, or by local conditions involving just the affected extremities. The most common systemic diseases that are associated with edema involve the heart, liver, and kidneys. In these diseases, edema occurs primarily because of the body's retention of too much salt (which is the chemical compound sodium chloride). The excess salt holds excess water in the interstitial tissue spaces, where the retained surplus of fluid is recognized as edema. Idiopathic (of unknown cause) edema, also sometimes called cyclical edema, occurs most often in women and just prior to each menstrual period. The most common local conditions that cause edema are varicose veins and thrombophlebitis (a blood clot with inflammation of the veins) of the deep veins of the legs. These conditions can cause inadequate pumping of the blood by the veins (venous insufficiency). The resulting increased back-pressure in the veins forces fluid to leak into the interstitial tissue spaces, where the retained excess fluid is recognized as edema."

~brigit~ replied: "Edema is a general term for swelling in the body due to the buildup of excess fluid in the tissues. It generally occurs when the pressure on oxygen-poor blood in the veins increases, and the fluid portion of the blood is forced out of the veins and into the surrounding soft tissues. This expands or swells the tissues. Edema is not a condition itself, but is the symptom of an underlying condition. Edema may occur in different parts of the body due to a variety of underlying causes, only some of which may be serious. For example, edema in the legs and ankles may be related to heart failure. The most serious form of edema is pulmonary edema, a buildup of fluid in the lungs. Pulmonary edema is usually a sign of heart failure, in which the heart is not pumping well enough to meet the bodys demand for oxygen. Patients with pulmonary edema usually complain of shortness of breath. Edema can also be caused by factors such as medication use, burns, and conditions such as venous insufficiency. Venous insufficiency occurs when the veins of the leg no longer allow normal blood flow, usually because the valves in these veins stop functioning properly. Under normal circumstances, blood in the veins is only allowed to flow in one direction, back toward the heart. If, however, the valves are compromised for some reason, blood is allowed to flow backward, away from the heart. This raises blood pressure in the veins of the legs, which may lead to a variety of health problems, including edema, pain, discoloration or ulcers that do not heal. People who have a more serious form of edema (e.g., pulmonary edema) may also experience the following: Rapid and labored breathing Shortness of breath (dyspnea) Coughing, sometimes with frothy blood Bluish tint to the skin, lips, fingernails and other areas of the body (cyanosis) Cold extremities (e.g., cold feet) Sense of feeling suffocated"

Olivereindeer replied: "Hi, I am an RN too. I suppose it depends on a few things. Generally if you have some type of cardiac failure it can cause oedema in your lower legs as an intial symptom but go on to result in pulmonary oedema so you need to watch out for those signs. When I see patients with this they typically can some bloods done and have an increase in diuretics to see if it helps as a first line. You are quite young to have heart failure although by having a gastric bypass I imagine you may have been mordibly obese at one time which may have caused alot of pressure on your heart. The other thing I would be wary of would be your nutritional status. If you are low in protein it can result in a low albumin level resulting in loss of fluid from the blood into the interstital cells resulting in oedema. Gastric Bypass is well known to cause malnutrition so ask for this to be checked into. The other thing is that due to be being morbidly overweight for a long time you most like have caused damage to your venous return (valves in your veins are shot) due to the high pressure sustained over years in your lower limbs. Even if you dont have varicose veins this can still occur due to problems in your deeper veins. This can result in oedema in your lower legs. However, if it has been a sudden onset , if u have any other symptoms (SOB, increased heart rate) it is more likely that you have some degree of fluid overlaod from minor heart failure. The other thing to look for is kidney failure. You need to have bloods to get this checked. Just a little tip: if you put your legs up higher than your heart at around 6 pm you will drain off most the fluid and pee it out and that way you dont end up getting up all night once you put you legs up when you go to bed!) I hope you feel better soon. Go see your doctor as soon as possible..it is not an emergency but could get serious quickly. Isnt it terrible being an RN and being unwell - we make TERRILE patients - everything we learn just goes out the window and i need to be treated like a child. Goodluck"

Clyde N replied: "First, being an RN, you should demonstrate greater knowledge than you do. At any rate, you really do need to see a doctor because the conditions that cause pitting edema are vary serious-four that come to mind, allergies, cardiac(heart) problems(you identified), hepatic(liver) damage, and respiratory(lung) problems. Have your heart and liver enzymes, and blood gases tested. These tests may run you around $200.00-less if have connections and get them at cost."

mutantalbino replied: "It's hard for me a CHF patient to give advice to an RN. Edema can have many causes- Heart, kidneys... all of which warrant investigation. CHF, Congestive Heart Failure is definitely a cause of edema. If I called my cardiologist and told him I was swollen like you, I would be told to take a lasix, put on compression stockings and lay down with my legs elevated. Minimal fluids ( 4 cups per day) and NO sodium. It works like a charm, particularly if you get to it early. Good luck."

Ice ^_^ replied: "well...some edema maybe caused by cardiac problems such as Congestive Heart Failure (CHF). Right side heart failure may cause edema of the legs, liver and etc. and Left side heart failure usually strikes the pulmonary system and may cause pulmonary edema. Consult your M.D. Regards Member:"

Tina of Lymphland.com replied: "GREETINGS, first off did you always have the edema or is that new since the gastric surgery? You said blood studies were normal but what about tests for vein problems? veinogram? It's amazing all the replies you got here and the RN's did not once mention lymphedema and the person who did, didn't have the right info. Pitting edema is from lymphedema, non-pitting edema is when the area hardens with fibrosis and is harder than a rock which occurs a long time after having untreated lymphedema. You could have lymphedema and in that case lasik is not recommended because it pushes the water part of lymph out and leaves behind the debris to become fibrotic. You do need a veinogram regardless of insurance or not, it's well worth paying for yourself so you are sure there are no blood clots or vein problems left over from the surgery. With your problems with the fibro, the muscles probably spasm alot, then you have the osteoarthritis, and the surgery for the gastric bypass, they cut into your abdomen I'm assuming that's alot of areas affected that can block or impede the lymph from flowing, plus being obese before that put a strain on your system. You also have the autoimmune problems that come with lymphedema, but you do need to rule out veins first. You can be treated with complete/complex decongestive therapy which is a form of medical lymphatic massage therapy, then fitted with compression hose after the treatment is done. If your doctor does diagnose you with lymphedema, contact me and I'll help you find a therapist."

Jason B replied: "pitting edema is a dangerous sign of congested heart failure. fluid backs up into the plural spaces and distal areas of the heart because the heart is unable to take on all the back-up pressure from inadequate circulation. if you take your hand and push on the edema, and it takes more than 4 seconds to return to its normal position. you need to see a doctor and have your heart and lungs looked at. this is a serious early sign of CHF."

Tonite I simply wish to ask your prayers for my incurable severe edema & congestive heart failure? I had MASSIVE attack 09/05.sustained severe fractures & much more from car crash. Was recovering nicely. But in early Nov.-06 noticed terrific edema started at ankles, now has reached mid-thighs & severe ascites of liver. Am in agony like a pressurised balloon ready to explode. Can no longer flex legs at knee to put on pants or walk normally. Drs confirm some fluid in base of lungs. Lasix & other diuretics so far have failed. Even with fluid restriction to 3 cups daily, and almost no sodium. Outlook is grim. I am alone & won't enter hospital - MDs explained this is an unrelenting , illness - can never resolve, except with a new heart. Even when such like myself enter for critical phase, soon afterward fluid re-accumulates due to damaged heart ventricles not pumping the blood properly. MY ejection fraction is 50%. Tonight in my severe pain I only want prayers from either christians or those who worship Ha-Shem. Pray for the Lord to heal me or to take me. I am in such agony . Dr. Arun: tell me, please, with my ejection fracton of 50%, would digitalis make such an improvement. I use large amounts of Indian ARJUNA, which is a powerful cardiac stimulant, & many other benefits. My ejection fraction used to be 30% before I started daily ARJUNA. I worry about digitalis. I welcome your reply & mostly your prayers, whatever your faith. Thank you.

what is this edema on my legs mean? I am a 25 year old female and have had bilateral leg edema for 23 days now. my right leg is more swollen than my left and it is pitting a little bit <+1 on both legs.I have no pain. I went to the doctor and had a basic met. panel, liver panel, d-dimmer, U/A, chest x-ray, and thyroid levels checked and they were all normal. At the begining, I had fever for 3 days with the edema, then I had a rash all over my body (did not itch) for 3 days with the edema, I was given lasix 20mg and prednisone 60mg for 5days to see if it would help, but, it di not. I tried elevating my legs and cutting down on salt, but it does not seem to help much. I also developed a bump on my right leg above my anckle and there is a little discoloration on the bump (seems more pale than the rest of my skin) but there is no pain. The doctors all seem to not know what is going on. I do not have varicose veins, I do not have high blood pressure, i do not have any major health problems. please, help me

I have Severe refractory edema from CHF, after MASSIVE MI. I need some input.? I have ejection fraction 50% - auto accident provoked massive MI with huge scarring in all walls. I have normal lipids, kidney, liver, blood chemistries. but I am in agony from swollen legs and swollen abdomen & liver. Edema did not respond at all to LASIX, torsemide. HCTZ. No diuretic effects.whatever. I was advised to try Metalazone, a powerful diuretic of another class. I visited an MD today and he insisted , "Oh try the torsemide another 2 weeks, then I'll consider giving you asmall dose of Metalazone, I reminded him that I tried torsemide 2 weeks already, no results & I'm badly swelling with water. He insisted that it was early to try Matalazone, & it was too powerful &he worried for my safety.But he admitted that I was critically swollen with edema from CHF - yet denied me any Rx for this alternate diuretic. I'm in agony from pain in my body and can't bend my legs to step anymore. Someone please advise me. He smirked at me and said " don't go on the Internet so much" SOME GUY- I never said you were responsible for my fate. Several MDs kindly replied to me on this site and suggested this diuretic to try, which might work when furosemide & torosemide fail. I only want to help myself. this Dr wants to drag it out although he admits I'm very critically swollen. I have a non-curable illness, it will persist to the death, no definite resolution possible except a new heart. My EF is not considered bad but I'm in danger from massive swelling and my pain & restricted movement, speech, & breathing. so you - SOMEGUY - try to have heart within you and know that it could be you someday. Meantime, I accept my fate in the Lord's hands. I will surrender with joy rather than live with a terminal illness. I will not die in a hospital, but at home with my prayers and devotions.

I really want to hear from those with CHF, who took diuretics for edema.? I have severe edema from my CHF after a massive heart attack. I tried LASIX & a congener, 'Torsemide. Sadly, I detect no diuretic effects to speak of.!! These 2 drugs sickened me but failed utterly to promote urination. My edema is painful & pressure in legs is unbearable. Has anyone found Lasix a failure? Any other diuretics worked better for you.?? I've been to MD's who swear by Lasix - but they haven't a clue why it failed for me. I took full doses within safety limits. My whole body is swelling up. Doctors gave me what they know from their experience. they have no magic wand. I refuse to enter hospital. no secret cures there either. Please, I need to hear from those who have severe CHF after heart attacks like mine. My blood chemistries are quite normal ( liver,kidney,lipids,etc.) By the way, I DO take Lisinopril daily in 40 mg. dose ( from cardiologist) I had ECHO done 2 weeks ago & ejection fraction is 50%+.

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