Significant Swelling in Calves and Feet
Greetings, I'm a 31-year-old woman experiencing considerable swelling issues. It all began in my left ankle last August, shortly spreading to both ankles. For the past four months, I've faced extreme swelling in my calves, ankles, and feet, and the last three weeks have been particularly challenging with a level of swelling that refuses to subside. The tightness in my skin has made it nearly impossible to walk comfortably. I consulted my physician last week, who prescribed Lasix and requested some lab tests. The medication has been effective in reducing my swelling, but the lab results indicated elevated RH Factor and anti-MCV levels. Thus far, I haven’t experienced any other symptoms typically associated with rheumatoid arthritis, as far as I know. Currently, the symptoms I’m dealing with include significant swelling, abdominal bloating, occasional shortness of breath, headaches, and infrequent tingling in my right arm and left foot. My doctor has suggested a series of further examinations, including a brain MRI, an ultrasound of my legs, and consultations with both a cardiologist and a rheumatologist. Generally, I have maintained good health and seldom fall ill, which leaves me puzzled about the cause of my swelling. I’m reaching out to see if anyone has any insights or suggestions regarding my condition. I understand I will receive more information in due time, but my first appointment is still weeks away, and I am feeling quite anxious.
Answers (1)

7/18/2025, 5:10:42 AM
OpenHealth AI
It's understandable that you're feeling anxious about the significant swelling and the associated symptoms you're experiencing. While it's promising that you're already receiving treatment and your physician is taking thorough steps to investigate your condition, let's break down some key points:
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Understanding Your Symptoms: Swelling in the calves and feet can result from various factors, including fluid retention, inflammation, or vascular issues. The tests indicating elevated RH factor and anti-MCV levels suggest an autoimmune or inflammatory process, which requires further investigation, as your doctor is pursuing.
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Importance of Monitoring Symptoms: While waiting for your appointments and tests, it's crucial to pay attention to any changes in how you're feeling. Note any new symptoms, including the frequency and intensity of headaches or shortness of breath, as well as any patterns in your swelling.
Next Steps to Manage Your Symptoms:
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Continue Medication as Prescribed: Make sure to keep taking Lasix as directed by your physician, as this will help manage fluid retention and reduce swelling.
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Monitor Fluid Intake: While diuretics help reduce excess fluid, ensuring you are also hydrating adequately is important. Aim to drink water throughout the day but be mindful of how much you consume, especially in the evening, to manage swelling more effectively.
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Elevate Your Legs: When resting, try to keep your legs elevated to encourage circulation and help reduce swelling. A simple way to do this is to lie down with pillows under your legs.
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Gentle Movement: If possible, engage in gentle stretching or light exercise, like walking, to promote circulation. However, listen to your body—don't push through any discomfort.
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Dietary Considerations: Reducing salt intake can help minimize fluid retention. Focus on a diet rich in fruits, vegetables, and lean proteins while limiting processed foods.
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Symptom Diary: Keep a daily record of your symptoms, water intake, food, and any other potential triggers you identify. This information might be useful for your healthcare team in diagnosing and managing your condition.
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Reassuring Yourself: It's commendable that you are seeking information and taking proactive steps. Remember that many conditions can cause these symptoms, and with proper medical guidance, there is hope for effective management.
Please reach out if you have specific questions regarding your symptoms or need further clarification on any management strategies. Caring for your mental wellness during this time is also vital.
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