When to Worry about Swollen Feet and Ankles

At Pasco-Hernando Foot & Ankle, we know some swelling of the feet and ankles is to be expected, especially during the hot summer months. High heat can cause your blood vessels to temporarily dilate, and this allows fluid to pool in your legs and feet. You can prevent this by:

• Avoiding high temperatures as much as possible

• Not exercising outdoors when it’s very hot

• Drinking plenty of water to help avoid dehydration

More Serious Causes of Swelling

However, lower extremity swelling (or edema) may be indicative of several more serious medical problems. If your swelling is accompanied by additional symptoms, you should make an appointment at our Hudson office (727-868-2128 or 352 683-5799) as soon as possible. Some potential causes include:

Blood Clot—if your swelling is more pronounced in one leg and accompanied by a low-grade fever, pain, and discoloration of the skin, you may have a blood clot. Blood clots can form in surface veins or deep in the leg—known as deep vein thrombosis. These clots block blood flow to the legs and feet, but even more dangerous, the clot can break free and travel to the lungs or heart. These symptoms require immediate medical care.

Liver, Heart, or Kidney Disease—all three of these organs, when not functioning properly, can result in fluid retention in your legs and feet. Other symptoms such as fatigue, weight gain, and loss of appetite may signal an organ problem.

Lymphedema—patients who have had cancer treatment that includes radiation therapy or removal of the lymph nodes, are at risk for this condition. Lymph fluid normally travels through the body and gets filtered through the lymph nodes, which remove bacteria and other unwanted substances. When the movement of the fluid is blocked, it can build up and lead to infection.

Pre-eclampsia—if you are pregnant, some swelling in your feet and ankles is normal, especially as your pregnancy progresses into the later trimesters. However, if you are past the 20th week of your pregnancy and swelling comes on suddenly, accompanied by other symptoms such as nausea, vision changes, abdominal pain, or headache, you should call your doctor immediately. Pre-eclampsia elevates blood pressure and can be very serious.

If you experience consistent lower extremity swelling that doesn’t go down when you get out of the heat and elevate your feet, or you are experiencing other symptoms along with the swelling, it’s essential our podiatrist, Dr. Lawrence J. Kales, examine you promptly. Contact us today for an appointment.