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Doctor insights on: Pitting Edema After Surgery

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2 years agoa day after right mastectomy I felt non pitting edema 3-4 inches below the surgery incision. It is progressive and all over the body. Why?

2 years agoa day after right mastectomy I felt non pitting edema 3-4 inches below the surgery incision. It is progressive and all over the body. Why?

Need clarification: Not sure if your mastectomy 2 years ago was followed by edema a day after surgery and has progressed now 2 years later to all over your body? Is this correct? The 2 may not be related, but requires a visual examination and history to see what it is all about.

Dr. Scott Keith
3 Doctors shared insights

Edema (Definition)

Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more


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Had Acl surgery 4 wks ago. I have pitting edema in my shin. Result of surgery or concern for DVT?

Had Acl surgery 4 wks ago. I have pitting edema in my shin. Result of surgery or concern for DVT?

DVT: DVT would be very uncommon but certainly not outbid there'll of possibility. DVT typically would not cause s pitting edema but again, it could. I would get it looked at asap especially if you have pain. Risk factors for DVT would include smoking, obesity and sedentary periods after surgery. Get an ultrasound to be sure. Good luck

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Had Acl surgery 4 weeks ago. Today I have pitting edema in shin. No other symptoms. Result of surgery or should I be concerned about DVT?

Had Acl surgery 4 weeks ago. Today I have pitting edema in shin. No other symptoms. Result of surgery or should I be concerned about DVT?

Yes: Most of the time the edema should be gone by 4 weeks. It's a good idea to get checked for a DVT at this point. The appearance of the edema does not mean you have the DVT for sure, but it should be ruled out.

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Mva, 2005. Mult. Surgeries = r ankle fused, w/plates, pins, screws, metal rod to halfway up leg. Why sporadic pitting edema in both legs from standing?

Mva, 2005. Mult. Surgeries = r ankle fused, w/plates, pins, screws, metal rod to halfway up leg. Why sporadic pitting edema in both legs from standing?

Edema.: Edema in lower extremities comes from interplay of many factors - protein content of blood, hydrostatic pressure induced by gravity, the state of valves in veins, the amount of circulating fluid in bloodstream and the degree of competency of lymphatic system. If any of these - or a combination of these- is a bit off you get swelling. Might expect swelling worse on r but this might not happen.

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Bilateral pitting edema. And veins showing on feet causing this? Had for about a month now. Causes? I am over weight. I just had umbilical surgery 6week

Bilateral pitting edema. And veins showing on feet causing this? Had for about a month now. Causes? I am over weight. I just had umbilical surgery 6week

Bilateral edema: Call your doctor or go to ER today. May be due to clots (after surgery), scarring, venous stasis, increased abdominal pressure. (abdominal HTN). Elevate feet, do not wear tight socks. May need diuretic to remove fluid Would also check EF and heart echocardiogram. Check BP. F/u w/doc ER today

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Mild CRPS after foot fracture and surgery. Symptoms- burning, throbbing pain, pitting edema, foot warm, red, red dots over foot. Options?

Mild CRPS after foot fracture and surgery. Symptoms- burning, throbbing pain, pitting edema, foot warm, red, red dots over foot. Options?

Define CRPs: CRP = C reactive Protein? This could be reflex dystrophy (complex regional pain syndrome). You need discuss this with your physician.

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How can you reduce pitting edema?

How can you reduce pitting edema?

Tx Cause: Depends on ethiology. If morbidly obese need to undo morbid obesity. If secondary to congestive heart failure, treat correct failure. If due to venous drainage inssuficiency in leg, anti embolic stockings. Leg elevation higher than right atrium for several hours will diminish leg swelling. Need venous reflux study. If valve on common femoral vein incompetent, axillary valve vein autotransplant

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Can pitting edema be not serious?

Can pitting edema be not serious?

Sure.: Swollen ankles after use of calcium channel blockers is anticipated and inconsequential. Another example of benign pitting edema: swollen feet after standing in excessively hot weather.

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Is dependent edema same as pitting edema? Any significance difference?

Is dependent edema same as pitting edema? Any significance difference?

Edema: Dependent edema is edema that's distributing according to forces of gravity. If you are standing dependent edema will be in your legs, however if you are in the bed it can be in the sacrum and back. On the other hand pitting edema is the one where if you press on it with your finger you will leave a mark. However this is all semantics and both dependent and pitting edema are signs of volume overlo.

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How to cure pitting edema of the ankle?

How to cure pitting edema of the ankle?

Why do you have it?: Is it unilateral or bilateral. Is it something that worsens during the day. Do you have a heart or kidney ailment. I need more info to help you. Can be bad veins and many other things.

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How to treat pitting edema on my ankle?

How to treat pitting edema on my ankle?

1st find out cause: Before treating a condition, figure out it's cause. In case of swelling in feet/ankles, make sure your kidneys, liver & heart are ok. Ask if any medications might be causing your edema. Make sure you don't have a blood clot in your leg. Amlodipine is notorious for this. Assuming there's nothing wrong, keep your feet propped up. Avoid prolonged standing. Wear support hose. Consider a water pill.

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Is pitting edema serious?

Is pitting edema serious?

Yes: Putting edema is due to significant fluid retention and it is one of the common sign of congestive heart failure.

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What is the scale of a pitting edema?

What is the scale of a pitting edema?

See below: Here are 2 scales below: 1+ barely detectable impression when finger is pressed into skin. 2+ slight indentation. 15 seconds to rebound 3+ deeper indentation. 30 seconds to rebound. 4+ >30 seconds to rebound. 1+ 2mm depression, barely detectable. Immediate rebound. 2+ 4mm deep pit. A few seconds to rebound. 3+ 6mm deep pit. 10-12 seconds to rebound. 4+ 8mm: very deep >20sec.

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What does it mean when pitting edema worsens throughout the day?

What does it mean when pitting edema worsens throughout the day?

Swelling: It means that you have increased swelling in your legs throughout the day. This can happen if you stand on your feet for long hours. Gravity pulls fluid down. Simply taking a break and sitting with your legs elevated can help issues. However, sometimes it can be caused by several other medical conditions so if you have more concerns I would recommend you follow up with a consult.

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Is massage contraindicated in mild pitting edema? (takes 5seconds to rebound)

Is massage contraindicated in mild pitting edema? (takes 5seconds to rebound)

Different Issues but: No evidence massage promotes health; though may be distracting from other issues. Pitting edema is a result of excess body water due to: CHF, liver or kidney failure/insufficiency, DVT or (rarely) water intoxication due to extremely high intake volumes (eg. >20-30 Liters/day). Obtain assistance worthy of your trust & clear the reasons for the pitting edema else worse outcomes are likely soon.

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What can cause pitting edema in only one leg?

What can cause pitting edema in only one leg?

A lot of diseases.: Generally, we think of systemic diseases (heart failure, cirrhoss) causing bilateral edema. Those are less likely if it is confined to one leg. Conditions that cause it: - Deep Vein Thrombosis (blood clot) - Chronic Venous insufficiency - lymphedema (from surgery or trauma)- edema more often nonpitting there are many more, which is why you must see your doctor and have it evaluated.

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What causes my leg to swell up over night like pitting edema?

What causes my leg to swell up over night like pitting edema?

Pitting edema: It can come from many causes, including heart faikure, liver disease, kidney disease, excessive salt intake and fluid retension. It can also come from lacal condition involving just the affected extremitiy, like varicose veins and thrombophlebitis. You should see your doctor and have him check you.

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Dr. David Schleimer
1,498 Doctors shared insights

Swelling (Definition)

Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more