OpenHealth Q&A

Persistent swelling in the foot, especially when it’s one-sided, can stem from a variety of reasons, and I understand that this is causing you some concern. Given that your heart and lungs have been checked and blood tests were normal, it’s good to know there's no immediate alarm. Nonetheless, there are still steps you can take to manage and understand your symptoms better.

Explanation:

Swelling, known as edema, can occur for several reasons, including:

• Venous Insufficiency: This means that the veins may struggle to send blood back to the heart, typically causing swelling in the legs and feet.
• Inactivity: A sedentary lifestyle can contribute to fluid pooling, particularly in the lower extremities.
• Weight: Carrying additional weight increases pressure on the feet, which may exacerbate swelling.
• Diet: High salt intake can lead to fluid retention.
• Other Causes: Conditions like gout or kidney dysfunction can also cause swelling, though these might be less likely given your doctor's assessment.

Next Steps:

1. Elevation: Whenever possible, elevate your feet above the level of your heart. This can help reduce swelling.

2. Movement: Incorporate more movement and gentle exercises into your daily routine, like walking or stretching. This can help promote healthy circulation.

3. Hydration and Diet: Maintain a balanced diet and ensure you're drinking adequate water. Reducing salty foods can also decrease water retention.

4. Footwear: Consider wearing comfortable, supportive shoes. Tight shoes can restrict blood flow and promote swelling unnecessarily.

5. Observation: Keep track of any changes in the swelling. Note when it worsens, what you were doing at that time, and any changes in your daily activities or diet.

6. Weight Management: If possible, consider strategies for gradual weight loss, as this can improve overall health and potentially reduce swelling.

7. Smoking Cessation: If you're open to it, consider talking to someone about reducing or quitting vaping. Smoking can contribute to overall circulatory issues.

If the swelling persists or worsens, or if you develop any additional symptoms like pain, redness, or changes in skin color, it's important to follow up with a healthcare professional for further testing or evaluation. Don't hesitate to reach out if you have more questions or need further information.