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. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 42053
Experience:  Medical Doctor Trained at a Top Academic Institution
Type Your Medical Question Here...
Dr. Phil, MD is online now
A new question is answered every 9 seconds

I have a fluid build-up in my right ankle and calf only. I

Customer Question

I have a fluid build-up in my right ankle and calf only. I was diagnosed with a 'touch' of arthritis in the ankle. It doesn't swell all the time, but when it is swollen, it hurts quite a bit. It pits easily when pressed, I cannot move the ankle without it hurting. The swelling does not decrease when elevated. I thought it was a reaction to my allergy to milk protein, but I am positive I haven't had any milk protein recently. I have low blood pressure, an prolonged elevated C-reactive protein, no kidney problems. I had a throidectomy 9/2011. I am taking 2.5 grain Nature-Throid 2x/day, 45000 Vitamin A Palmitate, 10000 Vitamin D3, Methyl Folate, and Methyl B12.

This has happened off and on for years, but it is like taking the car to the mechanic. By the time I get an appointment with my Dr, the swelling has reduced. What can I do to stop this from happening? I know it can't be good for the joint, to have this swelling so often. It happens at least a few times a month and last from a few days to a few weeks.

Oh, also, I am 40 years old, do not smoke or drink, but am obese. 5'8" and 250lbs. I occasionally exercise by walking or doing laps in my pool. I have a desk job, but get up and walk around about every hour.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.
Hello. I'm Dr. Phil, licensed and practicing Internal Medicine Physician. Excellent service is my goal.

Thanks for this excellent question.

I'm sorry you are having this problem with your leg

I need to gather more information in order to give you the best answer possible.

Have you had any tests on the liver or belly/groin?

Any prior surgeries?

Do you take any diuretics or use compression socks?
Customer: replied 1 year ago.


I have not had any liver, or belly/groin tests. I have had a thyroidectomy on 9/29/2011, I had a tubal ligation about 19 years ago. I had a breast reduction about 15 years ago.


 


I was taking desmopressin for a short period (about 3 weeks), but stopped about a week ago due to signs of low sodium levels.


 


I don't use compression socks, I don't even wear normal socks because they leve 1/2 inch indented rings on my ankle. I just wear sandles.

Expert:  Dr. Phil, MD replied 1 year ago.
Thanks Melanie. Did this start after the tubal?
Customer: replied 1 year ago.

YES!

Expert:  Dr. Phil, MD replied 1 year ago.
Thank you Melanie

Lymph nodes in the groin (that drain fluid) were likely disrupted during the procedure.

This is a very common cause of leg swelling on one side

I recommend the following

1)low salt diet

2)compression stockings (your doctor can give you these)

3)leg elevation at rest

4)a mild diuretic like HCTZ 12.5 mg daily.

This should help

I hope this helps.

If you have more questions, just reply. :)
Customer: replied 1 year ago.


Is there anything I can do to help the lymph node? The recommendations seem to be directed at the symptoms, but not the problem.

Expert:  Dr. Phil, MD replied 1 year ago.
No there isn't Melanie

Once the lymph nodes are damaged, that's it.
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 42053
Experience: Medical Doctor Trained at a Top Academic Institution
Dr. Phil, MD and 4 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 1 year ago.
Thanks Melanie. I noticed you rated Ok service

I strive for excellent

Would you like more information?
Customer: replied 1 year ago.


Well, I gave it an okay because the dx was excellent, but I had issue with the treatment recommendations. I did a google search and found information on lymphatic drainage massage. I followed that with looking at youtube video from a licensed massage therapist showing self administration of lymphatic drainage massage. I tried the massage and the swelling reduced in less than 30 minutes, with no compression socks, leg elevation, or medication.


 


The massage dosen't heal the damaged lymph nodes, but it helps the lymphatic fluid move where it needs to go.


 


It would have saved me a few hours of research if you had recommended massage also.

Expert:  Dr. Phil, MD replied 1 year ago.
I'm sorry Melanie.

I appreciate the information.

I will recommend that in the future.
Customer: replied 1 year ago.


Thank you, and thankyou for the dx. I have seen almost a dozen doctors over the years, and you were the first one to put two and two together. I would have never thought the tubal would have caused this. Thank you so much!

Expert:  Dr. Phil, MD replied 1 year ago.
You're welcome :)

I wish you the best.

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.
 
 
 

Related Medical Questions