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Hi, I am an American Board Certified Neurologist with vast experience in diagnosing & treating all types of neurological & other medical conditions including the concerns of severe leg cramps not responding to the treatments you have mentioned here and I am very glad to help you with your health concerns.
First I will ask few questions so that I can gather additional information related to your health concerns;
1) Have you had any investigations to find out why are you having leg cramps? If you had any investigations recently please mention the names of those investigations and also the results of the investigations.
2) What is the cause for excessive fluid in the legs?
3) What treatments have you tried other than the hydrocodone to relieve the leg cramps and the pain? What is the current dose of Hydrocodone you take, and how many times per day? Also please try to mention all the treatments you have tried so far to get relief from the leg pan and the cramps, so that I do not duplicate the recommendations which you might have already tried.
Hi, have you received my questions posted above? I hope you are not encountering any technical glitches to access this site properly. If you require more time it is perfectly fine. Please take your time and reply when your time permits. Best Regards, ***** *****
Hi, Please let me know if you need any help with the diagnosis and treatment of the severe cramps and the excess fluid in the legs you have mentioned and I will be very glad to help you in this regard
Thank you so much for all these additional details. I have gone through this information but I am not sure whether I could be of much help to you with your health situation. I will opt-out from this question and hopefully another expert at this site may be able to help you out. All the very best! Best regards! Neuro Doctor.
Hello from JustAnswer.
While there are many possible causes of leg swelling and leg cramps, it certainly is true that heart disease is one of the most common cause. Doctors usually like to do other tests to confirm that heart disease is the cause, but the description certainly is consistent with this cause, and you are already taking several medicines that are designed to help ease the swelling and cramps.
There are a few options that can be considered in addition to what is already being done. A higher dose of the Lasix is frequently needed when swelling is stubborn. It also may help to add another diuretic that works by a different mechanism, such as chlorthalidone or spironolactone. Diuretics also can affect potassium and magnesium levels and this can contribute to the cramping, and since you are taking magnesium, I assume that the magnesium was low at one point. However, it is important to monitor potassium and magnesium levels to be certain that they are being maintained in the normal range.
It is also possible that there is a component of chronic venous insufficiency that may be contributing to the swelling and cramping. Using a supplement called horse chestnut may be able to help when this is present.
If I can provide any additional information, please let me know.