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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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Me too! I am a Truck driver and I noticed my ankles swelled

Customer Question

Me too! I am a Truck driver and I noticed my ankles swelled after 600 hundred miles of driving! I do take atenolol to control my hypertension which is very controlled. Also I loss close to 100 pounds in the last 24 months. I feel great but it worries me! I know that seating as long as I seat to drive will cause this problem. Almost every driver that I know have this problem. How can I mitigate the effects of prolonged driving! Do you think walking around the truck at the end of the day will help?
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.

Hello

If it is from bad veins, the most common cause, then exercise, and compression stockings.

These should be used while driving.

Your doctor needs to do an ultrasound to look at the veins.

Liver problems, heart problems, and thyroid problems need to be excluded.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Expert:  Dr Basu replied 1 year ago.

Hi there,

This is Dr Basu, experienced Internal Medicine Specialist.

I am here to address your concerns and provide great service.

Yes walking around will help.

This can be due to the following possibilities:

1.Peripheral vascular disease-- this refers to the blockage of the arteries supplying your legs. Atherosclerosis, arterial spasm, pressure on the artery from outside are some of the causes.

2. Blood clot in the leg vein or DVT.

3. Kidney failure

4. Heart failure

If these conditions are ruled out, then your symptoms are purely varicose veins related.

You should consider wearing compression stockings during daytime to prevent swelling.

Compression stockings can be prescribed by your doctor and available in medical equipment stores.

Low dose diuretic like Furosemide ( Lasix) 20 to 40 mg daily can be used to reduce leg swelling.

Follow a low sodium diet and restrict fluid intake to 1500 ml daily or less.

Please see your doctor soon.

There is a natural supplement called Horse chestnut extract.

This can be used 300 mg twice daily to treat your condition.

Best wishes,

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