OpenHealth Q&A

It sounds like you've been going through a frustrating experience with the swelling in your left foot, and I understand how concerning ongoing symptoms can be, especially when tests haven’t provided answers. The swelling you're experiencing can be related to various factors, some of which may be more common or benign than others.

Possible Causes of Swelling and Tingling:

1. Lymphedema: This is a condition where there is a buildup of lymph fluid, causing swelling, often in one limb.
2. Venous Insufficiency: This occurs when veins struggle to send blood from your limbs back to the heart, which can lead to swelling.
3. Localized Inflammation: Conditions such as arthritis or tendonitis can lead to swelling and discomfort, particularly in the joints of the foot.
4. Nerve Compression: Tingling might suggest some degree of nerve involvement (e.g., Morton’s neuroma, tarsal tunnel syndrome).
5. Circulatory Issues: Less common issues with blood flow may contribute to inflammation and discomfort.

Next Steps:

Here are some actionable steps you can take to help manage your symptoms and possibly find some insight into their cause:

1. Track Your Symptoms: Keep a detailed diary of when the swelling occurs, any activities you were doing, and whether it changes with different positions (sitting versus standing). Note any patterns related to your diet, activity level, or other lifestyle factors.

2. Elevate Your Foot: Whenever possible, elevate your left foot to help reduce swelling. This can encourage fluid drainage.

3. Compression Socks: Consider wearing compression socks during the day; they can help manage swelling and improve blood flow.

4. Gentle Exercises: Engage in low-impact exercises, such as walking or swimming, to promote circulation while being gentle on your foot.

5. Hydration and Diet: Ensure you’re staying hydrated and eating a balanced diet low in sodium, as this can help with fluid retention.

6. Review Medications: Since you're taking Premarin, discuss with a healthcare provider if it could be contributing to your symptoms or if adjustments are necessary.

7. Second Opinion: If your current healthcare providers haven't found a cause, a second opinion from a specialist, such as a vascular surgeon or a specialist in neurology or rheumatology, might be beneficial.

Remember, while keeping track of your symptoms and trying these management techniques, be patient with yourself and the process. It can sometimes take time to get to the root of complex symptoms. If symptoms change or worsen significantly, ensure you seek further medical attention.