A member asked:

My friend weighs over 400lbs and he sits most of the day. his left leg is swollen . his doctor did not seem concerned. any advice?

4 doctors weighed in across 2 answers

Yes: Immediate concern is the swelling in one leg; this could indicate a clot. An ultrasound doppler study of the affected leg is important and should be done immediately. Clots that go unidentified and untreated can travel to the lungs and cause death. Longer term concern is the weight and inactivity. Needs to see his doctor to get check up and an approval to start an exercise and diet program.

Answered 8/13/2012

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Dr. Quang Nguyen answered

Specializes in Endocrinology

Doppler ultrasound: I agree. Unilateral lower extremity swelling needs to be investigated. I would start first with a doppler ultrasound to make sure he doesn't have a deep vein thrombosis. Your friend has the risk factors: inactivity, obesity...

Answered 8/3/2012

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