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. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57678
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
24257177
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

My legs have been swollen as long as I can remember. People

Resolved Question:

My legs have been swollen as long as I can remember. People always make fun of me and say I have cankles. I am very active. I workout vigorously for an hour and a half a day. I am 5'7 and weigh 116 pounds. I eat a mostly vegan diet. Why do I struggle with puffy swollen legs?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Robert replied 1 year ago.
Hello,
Welcome to justanswer.com and thank you for your question. I will do whatever I can to help answer your questions .First I need a little more information-

Do you have any swelling on other parts of body?
Is there edema on legs?
Any tests done so far?
Is there any known medical illness?


Kind Regards,
Dr. Robert




Customer: replied 1 year ago.

I have not done any tests. Everyone in my family has similar legs so I guess I always thought it was genetic. No swelling anywhere else. I honestly have dealt with this as long I can remember. I have done a lot of research on edema and it seems as though nothing can be done to cure it. So it has felt a little discouraging to say the least.

Expert:  Dr. Robert replied 1 year ago.
Dear Tilly,
Thank you for providing quick additional info.

I can understand your concern.

The swelling in legs and/or feet can be due to edema.The most common cause of edema are:Prolonged standing,long journeys,increased age,venous insufficiency,varicose veins,certain medications.

Edema can also be due to heart failure, kidney failure, or liver failure.

Genetic is an important & common cause of such shape of legs.

American Podiatric Medical Association (APMA) does not consider cankles to be a medical term nor a medical condition, the lack of a clear distinction between the calf and ankles.

If you don’t have a condition that causes swelling, cankles aren’t a health concern.

The fat cells in your ankle are responsible for the engorging of the area between your calf and ankle.While you can't change your genetic makeup, you can implement simple ways to camouflage your cankles.

Following may help you :

-Reduce your salt intake in diet

-Take more fruits and vegetables in a well-balanced diet

-Keep your legs elevated(by pillow) during sleeping.

-Do not stay seated or lying down for long periods of time.

-Continue with physical exercises & vegan diet.

All this will help you greatly to reduce the fluid retention to some extend.

It would be unfair to you and unprofessional of me where I provide you with anything less than truthful and honest information. I hope you understand.

So botXXXXX XXXXXne is that most probably the cause of your symptoms is genetic & it is not considered as abnormal/disease.If you are very concern about this then you need to consult your doctor to consider the option of lipo suction accordingly.

Hope this helped.

My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Thank you XXXXX
Dr. Robert




Customer: replied 1 year ago.

The thing that made me feel life it was a condition was that when I wake up in the morning my legs are small and when I go to bed at night they are swollen and sore.

Expert:  Dr. Robert replied 1 year ago.
Dear Tilly,
Thank you for asking follow up question.


Edema is another term for water retention.Legs & feet swell and look puffy without pain when the body's tissues retain too much fluid.

When you stand upright or sit during day time,due to gravity factor,the fluid gets collected in legs & feet & hence they look swollen & sore.

During night time,the fluid diffuses & go to middle & upper parts of body (due to gravity) & hence you may look quite normal in mornings.

You need following tests:

-Liver,kidney & cardiac function tests(LFT,KFT & CFT)
-Radiographic tests
-Complete urine examination.
-Serum albumin & globulin levels.

If these tests come out to be normal then most probably the cause is genetic.

Hope this helped.

My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Thank you XXXXX
Dr. Robert



Expert:  Dr. Thomas, MD replied 1 year ago.

Hello from JA

 

I am a double board certified doctor and I can help you with this. I have a much different answer for you.

 

The symptom you describe related to sleep is common for venous insufficiency, not liver disease, not heart disease, etc. You do not give any history consistent with these diseases.

 

There is no basis for us to say this is genetic at this point, and I must point out that the danger here is that venous stasis predisposis you to clots in the legs.

 

The test needed is an ultrasound.As long as there are no clots, the treatment is exercise, weight loss as indicated, and compression stockings.

 

In fact, until you have an exam and testing, none of the home treatments recommended are indicated.

 

Please let me know if you have further questions.

Use reply as needed.

Please do not forget a positive rating.

Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57678
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 2 other Medical Specialists are ready to help you
Expert:  Dr. Thomas, MD replied 1 year ago.
Hi
Thank you for the accept.
I have to also mention to have your doctor run thyroid studies.
Hypothyroidism is one of the reasons for this finding, and it can run undiagnosed in families. Guidelines have changed, and the TSH needs to be under 2.5.

Chronic hypothyrodism is fairly rampant in the world and a lot of it is undiagnosed these days.


Find me anytime for your answer needs.

DT

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

Chat Now With A Doctor
Dr. Thomas, MD
Dr. Thomas, MD
Internal med/integrative med/family med
47674 Satisfied Customers
Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc