Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health
This answer was rated:

Dr. Bray: I had an echo Monday afternoon to take a look at

Dr. Bray: I had an echo...
Dr. Bray:
I had an echo Monday afternoon to take a look at my heart situation. I mentioned my concern to the technician (or whatever her title is) and she and the student in training both commented on my left leg with slight selling, and pointed to markings on the outside, then said it looked like venous insuffieciency to her.
Show More
Show Less
Ask Your Own Health Question
Answered in 2 minutes by:
7/4/2013
Anthony Bray, MD
Category: Health
Satisfied Customers: 10,341
Experience: 14 years as clinician in the field of Family Practice
Verified
Anthony Bray MD :

Hello again,


Anthony Bray MD :

Well I caution you not to put too much reliability on non doctor's offering their opinion but she may be right ...

Anthony Bray MD :

AS we had discussed before venous insufficiency is statistically your more likley cause.

Anthony Bray MD :

Other more serious causes of course must be ruled out.

Anthony Bray MD :

Hopefully you will get the official interpretation back from all of your heart studies and these will prove to be OK!

Anthony Bray MD :

You also have a sleep study scheduled > is that right??

Anthony Bray MD :

Obstructive sleep apnea is another potential cause of lower extremity swelling...

Anthony Bray MD :

Is the left leg worse than the right?

Anthony Bray MD :

Assymetry of the swelling would to me more suggest venous insuffiency as being your cause....

JACUSTOMER-f1ceb7ql- :

She was real good at steering away from my inquiries during the procedure. She knows it's not her place to say anything. The did let me watch the monitor and told me what they were doing and pointed to various things. I learned alot, but obviously not my results. I have a stress test Friday and should know more. Then meet with Doc next Tuesday.

JACUSTOMER-f1ceb7ql- :

Assymtery?

Anthony Bray MD :

Does the swelling go down overnight and get worse during the day?

Anthony Bray MD :

Yes is the left worse than the right?

JACUSTOMER-f1ceb7ql- :

I think the swelling goes done some over night but it it very slight. I wouldn't have noticed it at all except for some very tight socks. Yes, the left leg is worse than the right.

JACUSTOMER-f1ceb7ql- :

I would have to demonstrate to someone to show they are actually swelled.

Anthony Bray MD :

Right, that is what I was getting at. If the cause were sleep apnea, renal, heart, liver then you would expect swelling of right and left side to be equally bad... this CAN be the case with venous insufficiency as well BUT with venous insufficiecny it is more often the case that the condition of the deep vein valves on one side are worse than that of the other side...

Anthony Bray MD :

I see. So it sounds that you really have a mild case of the swelling then to me....

JACUSTOMER-f1ceb7ql- :

The tech also pointed to noticible vericose veins in the left leg, around the knee.

Anthony Bray MD :

Right, vericose veins would be a good clue...

JACUSTOMER-f1ceb7ql- :

Question. Sleep apnea alone can cause swelling?

Anthony Bray MD :

Yes it can because if severe enough then it may deprive the body and heart of oxygen at night >> this can be bad enough to cause CHF but only when you sleep basically!!

Anthony Bray MD :

Obstructive sleep apnea starves the body of oxygen temporarily but this causes much stress to the body...

JACUSTOMER-f1ceb7ql- :

My sister has sleep apnea, uses a CPAP and after the stress test this will be next. I also have thin nostrils and a correct deviated septum.

JACUSTOMER-f1ceb7ql- :

corrected. sorry.

Anthony Bray MD :

I see. Well I hope that all of your studies turn out good for you!

Anthony Bray MD :

They do serve mulitple purpose as these issues are useful to exclude. Maybe a blessing in disguise a little bit...

Anthony Bray MD :

I hope that this helps! Let me know if you have further questions! Let me know how your heart studies do turn out!

JACUSTOMER-f1ceb7ql- :

I don't do heavy exercise but steady. 20-30 on the bike, walking, including hills. I get a little winded going up some of the bigger hills but never have to stop. My B/P seems to be slowly going down. I've have some numbers like 137/88 in the last few days. My OCD drives my worries of course but I actually feel better after just a few weeks on this new programs and have lost 4-5 lbs. I think it has a lot to do with stopping drinking and limiting sodas to once a day and no more Burger King.

Anthony Bray MD :

OK I see >> well I think that your efforst to improve your lifestyle will make a world of difference for you! The exercise and a bit of weight loss are excellent. Your last BP is not bad. All very good signs of a very positive trend for you I think!!

Anthony Bray MD :

The regular exercise will help with your ansiety and sense of well-being psychologically as well!!

Anthony Bray MD :

I hope that you have a great 4th!!

Anthony Bray MD :

Let me know if I may be of further help!

JACUSTOMER-f1ceb7ql- :

Regarding Venous, all I read about is chronic venous. There must be a mild version on some kind with recurring episodes, right. After a good day of exercise and working in the yard my ankles did burn some. In fact I detect a minor burning sensation now.

Anthony Bray MD :

Sure there are all grades of severity of the condition....

Anthony Bray MD :

The burning of the ankles may realte to the swelling as I believe we discussed before but this does make me wonder if you have something else causing the burning sensation... say this is mainly the ankles and not the feet and toes, right??

JACUSTOMER-f1ceb7ql- :

More in the ankles. I have some discoloration on my left foot (been there for years) but my feet do seem to swell nor burn.

JACUSTOMER-f1ceb7ql- :

sorry. soryy

JACUSTOMER-f1ceb7ql- :

My feet DON"T seem to swell or burn.

JACUSTOMER-f1ceb7ql- :

And I do get a mild burning discomfort where the discoloration is on the left leg.

JACUSTOMER-f1ceb7ql- :

at times.

Anthony Bray MD :

I see... then if your feet are not affected by the burning then this relieves me that you are not likley dealing with a peipheral neuropathy as the cause of the burning sensation.. it sounds more a direct association with the swelling in your case...

Anthony Bray MD :

So the pattern does to me at this point sound most consistent with just a mild degree of venous insuficiency >> take care to avoid prolonged standing (walking is not as bad because the leg muscles help to pump venous blood upwards) Also take care to elevate the feet when you sit and this will help.

JACUSTOMER-f1ceb7ql- :

I will do so. So in conclusion, CHF is not high on your list?

Anthony Bray MD :

It does not sound so bad at this point that I suspect that you really need to use the compression stockings (These would be in more severe cases of venous insufficiency)

Anthony Bray MD :

Right > I suspect that you do not have CHF...


Anthony Bray MD :

Still we prudently await the results of your studies but evidence seems to be more directed to mild venous insufficiency as being your cause...

JACUSTOMER-f1ceb7ql- :

Thank you. I will let you know the results. Again I appreciate your input. The cardiologist ordered these tests not on the suspicion of such, but because of age and family history (and weight). My GP never mentioned CFH either. Sleep apnea, yes. Hyptertension, yes. I pushed for these to rule out the worse case. Never thought the x-ray, emergency room visit info would be useful. And with the Internet and no clinical experience, the worse case is seemingly the most prevelent.

JACUSTOMER-f1ceb7ql- :

Which is why I come to you.

Anthony Bray MD :

I see. Well I think that you can sigh with relief and hopefully more so soon when you get all of your results back!


JACUSTOMER-f1ceb7ql- :

Thank you. Have a pleasant Holiday.

Anthony Bray MD :

Often people can get terrified with health concerns and when it is YOU it turns truly terrifying to consider worst case scearios...

Anthony Bray MD :

Take care and Thank you!

Anthony Bray MD :

egards!I hope that you have a great holiday as well!! Best R

Anthony Bray, MD
Category: Health
Satisfied Customers: 10,341
Experience: 14 years as clinician in the field of Family Practice
Verified
Anthony Bray, MD and 87 other Health Specialists are ready to help you
Ask your own question now
Ask Anthony Bray, MD Your Own Question
Anthony Bray, MD
Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 10,341
10,341 Satisfied Customers
Experience: 14 years as clinician in the field of Family Practice

Anthony Bray, MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I sneezed today and my right side below my rib cage. Right
I sneezed today and my right side below my rib cage. Right below hurt like a knife went into my side. It took my breath away … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,062 satisfied customers
This morning I had an episode of irregular heartbeat with
This morning I had an episode of irregular heartbeat with blood pressure 109/70. I am 61 years old take 50mg atenolol for high bp. 80mg pravachol for cholesterol. I took .25mg Xanax after 30 minutes o… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
Is there a charge for your services? If so how much? Is
Is there a charge for your services? If so how much? … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,767 satisfied customers
I just blew my nose really hard and my ear drum hurts it's
I just blew my nose really hard and my ear drum hurts it's loud and my ear slightly hurts … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
When i started my period monday, I had really bad vomitting
When i started my period monday, I had really bad vomitting and yellow diarrhea. The vomitting stopped but I am passing waste like 2-3 times a day and its still watery and yellow. Am I sick? … read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
I am experiencing pain across my forehead and my nose feels
I am experiencing pain across my forehead and my nose feels clogged. My ear also feels stopped and my sinuses drainsdown my throat. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have been on my menstrual cycle for 12 days. The first 5
Hi, I have been on my menstrual cycle for 12 days. The first 5 days were normal but since then it has been very dark in colour, quite clotty and my abdomen feels bloated and when my.period started I h… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I am taking Merrill 4 mg pack for a cold and have nasal
I am taking Merrill 4 mg pack for a cold and have nasal congestion and would like to know what OTC sinus medicine to take that will not interact with the steroid pack. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have a question about supplemental Vitamin K-2 (MK-7
Hi there,I have a question about supplemental Vitamin K-2 (MK-7 derived from Natto) and blood clotting, though it requires some background info (sorry for the long-windedness).I'm a 37 year old male. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I have an IUI procedure done on Jan 6 2018 and ever since
Hi. I have an IUI procedure done on Jan 6 2018 and ever since then I have had brown discharge only when I wipe. Sometimes it goes away but then comes back. Could this be a sign of early pregnancy? I'm… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
350 satisfied customers
I had unprotected sex with a not so great girl 9 weeks ago.
I had unprotected sex with a not so great girl 9 weeks ago. I haven't had any symptoms but i have been freaking out. So i got the OraQuick test and had a sip of water 25 min prior and the test came ou… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
518 satisfied customers
Ive had achy pain under my left armpit/side of breast for
ive had achy pain under my left armpit/side of breast for around 3months. It isn't constant but felt at least a few times a day and is not excruciating. I can not feel any lumps though. Very occasiona… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Dr I noticed my penis hanging to the left when erect and
Dr I noticed my penis hanging to the left when erect and not. It Doesn't hurt or anything. I have a mild pain in my urethra that goes on and off, but it's from over ejaculation, masturbation and inter… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I skipped a period in October, got it in November and now I
I skipped a period in October, got it in November and now I see brown spotting when I wipe. I don't know if it's a urinary infection or period problem … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I recently had severe Balanitis following an allergic
I recently had severe Balanitis following an allergic reaction to antibiotics. A doctor recommended I treat it with Hydrocortisone, which only made things worse by thinning the skin. The Balanitis is … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I am 68 yr old female with RA and no spleen (ruptured in
I am 68 yr old female with RA and no spleen (ruptured in accident). I now have flu type symptoms with 100 degree temp for a week. What is possibility of mono? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
788 satisfied customers
I've travelled to Thailand and since being here I've had
I've travelled to Thailand and since being here I've had really bad diarrhoea any suggestions in what tablets to take to stop this as I'm here for 5 more months … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I have what appears to be a black wart on my penis. Is that
I have what appears to be a black wart on my penis. Is that something I should be worried about? Marc… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
788 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x