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CardiovascularICD-10: R60.0

Edema

Also known as: Swelling, Fluid Retention, Dropsy

Edema is the medical term for swelling caused by excess fluid trapped in the body's tissues, most commonly in the legs, ankles, and feet. It can result from underlying conditions including heart failure, kidney disease, and venous insufficiency. While mild edema may resolve on its own, persistent or severe swelling requires medical evaluation to identify and treat the root cause.

Symptoms

Swelling in the legs, ankles, feet, or hands
Stretched or shiny skin over the swollen area
Skin that retains a dimple after being pressed (pitting edema)
Increased abdominal size
Stiff or aching joints
Weight gain from fluid retention
Difficulty breathing if fluid accumulates in the lungs

Causes

  • Heart failure reducing the heart's pumping efficiency
  • Kidney disease causing sodium and fluid retention
  • Liver cirrhosis affecting protein production
  • Venous insufficiency or blood clots in the legs
  • Certain medications such as calcium channel blockers and NSAIDs
  • Pregnancy-related hormonal changes

Risk Factors

  • Congestive heart failure
  • Chronic kidney disease
  • Prolonged sitting or standing
  • High sodium diet
  • Obesity
  • Pregnancy

Diagnosis

  • Physical examination assessing swelling location and severity
  • Blood tests including kidney function and albumin levels
  • Echocardiogram to evaluate heart function
  • Ultrasound of affected limbs to check for blood clots
  • Urinalysis to detect protein loss

Treatment

  • Diuretics (water pills) to remove excess fluid
  • Compression stockings for leg edema
  • Elevation of affected limbs above heart level
  • Reduced sodium intake
  • Treatment of the underlying condition causing edema

Prevention

  • Limit salt intake in your diet
  • Stay physically active and avoid prolonged sitting
  • Elevate your legs when resting
  • Wear compression stockings if recommended by your doctor

When to See a Doctor

  • Swelling occurs suddenly or in only one leg (may indicate a blood clot)
  • You experience shortness of breath along with swelling
  • Swelling is accompanied by chest pain
  • Edema does not improve with elevation and rest

Frequently Asked Questions

Related Conditions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

Content reviewed against peer-reviewed medical literature and clinical guidelines. Read our editorial standards.