How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Basu Your Own Question

Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 21537
Experience:  MD
23744323
Type Your Medical Question Here...
Dr Basu is online now
A new question is answered every 9 seconds

What causes fluid retention and pain in ankles and feet ? My

Resolved Question:

What causes fluid retention and pain in ankles and feet ? My husband is currently being treated for ALD. He was a chronic alcoholic but has completely stopped alcohol consumption since feb 6th 2012. He is currently experiencing lot of pain in legs and ankles, feet and also has fluid retention in ankle joints. He is currently traveling abroad. What should he do ?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hello

Mysticdoc :

Thanks for your question.

Mysticdoc :

Liver disease can cause leg swellings.

Mysticdoc :

The swelling can become painful as they start affecting the nerves.

Mysticdoc :

Water pills like Furosemide and spironolactone are helpful in eliminating excess fluid from the legs.

Mysticdoc :

The dose may need to be gradually increased depending on his response.

Mysticdoc :

The blood tests also need to be done to monitor for electrolyte imbalance from diuretic use.

Mysticdoc :

Low salt diet is very important.

Mysticdoc :

Sodium causes retention of water.

Mysticdoc :

Hence, less sodium--less fluids in the legs.

Mysticdoc :

Compression stockings during daytime for walking around also reduce the fluids in the legs.

Mysticdoc :

Elevate the legs while not on feet.

Mysticdoc :

These measures will help in reduction of the swelling.

Mysticdoc :

Please discuss with his doctor.

Mysticdoc :

Best wishes,

Customer:

Swelling of legs is so severe that he is unable to walk with out support. Is this an alarming situation ?

Mysticdoc :

yes this is an alarming condition.

Mysticdoc :

Besides liver disease, kidney failure and heart disease can cause this.

Mysticdoc :

Definitely, he has to be seen by a doctor.

Customer:

does he need to go to emergency ? Is it Ok to wait till morning ? It's night where he is now.

Mysticdoc :

If he dooes not have any sohrtness of breath or chest pain, then he may wait till morning.

Mysticdoc :

Best wishes,

Customer:

He does not have shortness of breath. Can ALD progress to cirrosis even after completely stopping alcohol ? His blood reports showed improvement. But symptons are worse now.

Customer:

Doctor ?

Mysticdoc :

yes sorry

Mysticdoc :

Yes ALD can progress to cirrhosis in some cases.

Mysticdoc :

Blood tests are not that accurate.

Mysticdoc :

Liver scan ( CT or ultrasound) and liver biopsy are more accurate tests to diagnose cirrhosis.

Customer:

Please recommend the tests he needs to get done in the morning so he can request his doctor for these tests too.

Mysticdoc :

Blood tests to check for metabolic panel, liver function test, TSH.

Mysticdoc :

Liver ultrasound.

Mysticdoc :

Heart echocardiogram, EKG,

Mysticdoc :

Urine analysis to look for proteins, kidney function tests

Customer:

He is also experiencing in shoulder pain and swelling in hands.

Mysticdoc :

that can be all related.

Mysticdoc :

He should get these tests done.

Customer:

No water retention in shoulder though.

Mysticdoc :

And diuretics --furosemide should be started.

Mysticdoc :

The shoulder pain can be from muscle weakness.

Customer:

Does this mean cirrosis ? What can he do to prevent cirrosis. He is traveling for next one month. He is consuming absolutely NO ALCOHOL. What else he can do ? Please HELP!

Mysticdoc :

Please read above --i already explained.

Mysticdoc :

Besides that, follow a high fiber diet.

Mysticdoc :

There is no specific treatment for cirrhosis.

Mysticdoc :

it may get better on its own sometimes.

Mysticdoc :

Sometimes, liver transplantation may be needed.

Mysticdoc :

But there is no quick fix in other words.

Mysticdoc :

diet, activities, the treatment of the symptoms like leg swelling are the cornerstone.

Mysticdoc :

avoid alcohol and tylenol and any other liver toxic medications.

Mysticdoc :

ask his doctor before taking over the counter medication.

Mysticdoc :

That is about it.

Mysticdoc :

Best wishes,

Mysticdoc :

Please click ACCEPT button and leave a POSITIVE FEEDBACK, if you


do not have any further question, so that I get rewarded for my


time & effort. Thank you!


Please ask for Mysticdoc for your future questions.


Please bookmark my profile for asking further questions!


This is the link to my profile:


http://www.justanswer.com/medical/expert-mysticdoc/


 

Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 21537
Experience: MD
Dr Basu and 6 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.