Tuesday, June 23, 2020

Capture disease clues from 6 kinds of swellings

What do you do if you wake up and find yourself getting fat?

In this "horror story", many people will find that although people "swelled up", but their weight has not increased significantly, and the swollen is a local location, this "puffiness" is probably edema.

Edema not only makes your appearance "fatty", it may also be a sign of illness. Clinically, the "emptiness" caused by edema is also an important basis for doctors to diagnose diseases. By looking at the area of ​​edema, you can find the clues of some diseases.

Swollen place, suggesting the location of the disease

The location and characteristics of edema are different, often suggesting different reasons. Some diseases have obvious edema features and should be detected early.

Now, standing in front of the mirror, find the edema area with me, and understand my physical condition.

1. "Swollen eye bubbles" when getting up in the morning: check the kidney

Symptoms: If you get up in the morning and look in the mirror and find that you have "swollen eye bubbles" and did not drink too much water the night before, beware of kidney problems.

Renal edema is mostly concave edema, which is simply said: if the place is swollen, it will be a pit when pressed, and it will take a while to recover. It is common in the face, face and lower extremities, starting from the face (especially the eyelids), accompanied by less urine and high urine protein.

Etiology: Common in kidney diseases, such as chronic nephritis, pyelonephritis, diabetic nephropathy, and kidney failure.

2. Foot edema and tired activity: may have a bad heart

Symptoms: Cardiogenic edema mainly manifests as edema of the lower extremities, often starting from the ankle. When combined with kidney disease, edema may also appear on the eyelids and face. At this time, it is often accompanied by symptoms such as dyspnea, palpitation, tiredness from activity, hepatomegaly, and thickening of the neck veins. Examination of the heart can reveal pathological changes such as organic murmurs and heart enlargement.

Etiology: The most common cause of cardiogenic edema is heart failure, which is more common in patients with right heart insufficiency. Cardiomyopathy, hyperthyroidism, cardiac insufficiency after coronary heart disease and myocardial infarction, and cardio-renal syndrome can all cause this problem.

3. Facial and limb edema: check the thyroid

Symptoms: Hypothyroidism, which often appears on the eyelids, cheeks, and extremities, is manifested as mucous edema, that is, non-recessed edema. This type of edema is relatively solid and it is not easy to press out obvious depressions.

Causes: Hypothyroidism (abbreviated as "hypothyroidism"), excessive secretion of adrenal hormones, hyperaldosteronism and other endocrine system diseases may occur. Among them, hypothyroidism is more common.

4. Edema of lower limbs, spread upward: the liver may be sick

Symptoms: When the liver's ability to synthesize plasma proteins is reduced, it will cause depression edema and ascites in the lower extremities. This edema will also spread upward from the lower extremities, but edema often does not occur in the head, face, and upper extremities.

Causes: Chronic hepatitis, severe hepatitis, liver cirrhosis, liver cancer and other diseases may have hepatic edema.

5. Lose weight first, then edema: it may be malnutrition

Symptoms: If there is weight loss and weight loss before the edema, and the edema starts from the foot and gradually spreads to the whole body, it may be edema caused by malnutrition.

Causes: People who suffer from chronic diarrhea, poor food intake, reduced digestive function, or chronic disease often lack nutrition. If the body "does not make up for a long time", it may cause edema due to decreased plasma protein and reduced colloid osmotic pressure.

6. Obesity, and edema is related to menstruation: idiopathic edema

Symptoms: This type of edema often appears in the feet, mainly in middle-aged women, and about half of them have mild to moderate obesity. The patient's edema mostly changes with the menstrual cycle. Mild edema of the eyelids, ankles and hands will appear 7 to 14 days before menstruation, and it gradually subsides after menstruation. This kind of edema will appear after standing for a long time and after fatigue, and it will gradually disappear after lying down or resting.

Etiology: At present, it is believed that it may be related to neuroendocrine and metabolic dysfunction and abnormal estrogen secretion leading to premenstrual tension syndrome; some people think that it is caused by long-term standing, retention of water and sodium causes edema, and improves after lying down. This kind of edema has little effect on the body and generally does not require medication.

It should be reminded that the connection between the above edema and disease also requires a doctor in combination with other examinations. The appearance of edema is not necessarily a disease, and poor lifestyle can also cause edema.

In life, these things invite edema

1. Eat too much salt

If you eat too much salt, people will feel thirsty because they feel salty, so they will drink more water. These water molecules quickly enter the blood and are attracted to the salt in the blood.

Salt contains sodium, and it takes a certain amount of time for the body to expel excess sodium from the body, so for a period of time, the body will temporarily gain weight due to salt and water, and people will also look a little swollen.

High-salt foods will promote tissue edema. Women who are prone to edema before menstruation should pay special attention to active salt control and eat light foods.

2. Standing and sitting for a long time

Teachers, nurses, traffic police, and other occupations that need to stand for a long time are prone to varicose veins, resulting in heavy edema in the morning and evening. White-collar workers who often sit in the office may have similar problems.

It is recommended that people who need to stand for a long time wear medical elastic stockings and raise their legs between work intervals to allow blood to fully return to the lower extremities and relieve the pressure of venous blood vessels. People working in the office should pay attention to stand up and move around every 1-2 hours.

3. Taking certain medicines

Some antihypertensive drugs and hormone drugs may cause edema. For example, antihypertensive drugs such as nifedipine and amlodipine are common, and the common side effects are edema, headache, and facial flushing. The incidence of edema after taking this kind of medicine is higher in women than men.

Take this type of medicine should be reviewed regularly, if the edema is not serious, you can add a small dose of diuretics as directed by your doctor. If the edema is prolonged or cannot be effectively relieved after adding diuretics, it is recommended to change the medicine under the guidance of a doctor and observe whether the edema is relieved.

Will eat diligently, help you eliminate swelling

For edema caused by diseases and drugs, you should consult a doctor in time for diagnosis and treatment or adjust the medication plan. Edema caused by bad habits should be corrected in time. In addition, diet can also be used to relieve edema.

1. Eat some anti-edema food

Office workers can fight edema by eating moderately high potassium, diuretic and iodine-containing foods.

High-potassium foods include mushrooms, spinach, broccoli, celery, beetroot, grapefruit, bananas, tomatoes, apples, etc., which can promote the excretion of sodium and help eliminate edema;

Diuretic foods include winter melon, cucumber, watermelon, pomegranate, grape, etc.;

Iodine-containing foods including kelp, shrimp, etc., can improve blood circulation in the lower limbs.

2. Chinese medicine diet to eliminate edema

Chinese medicine believes that some medicines and foods made into soup can also help eliminate edema.

Japonica rice can nourish the spleen and stomach, and cook porridge every morning to eat, it can relieve mild edema of the eyelid and extremities caused by female idiopathic edema, fatigue and poor rest;

Chinese yam, coix seed, jujube, etc. are made into soup or porridge, which can help regulate the spleen and stomach and reduce edema;

Lettuce cold salad and soup can also help relieve edema, but pay attention to less salt.

3. "Small movements" reduce edema

Sedentary people can also reduce edema through small movements between work. The specific approach is:

Sit in a chair and hold your knees with both hands;

Keep your feet together, heels on the ground, swing your toes up and down;

Leaving the chair station, he lifted his legs and stood still.

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