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Oedema
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Oedema Means…..
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Oedema Means The Abnormal Accumulation Of Excess Fluid In The Interstitial Spaces.
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Oedema Was Formerly Known As Dropsy.
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Oedema May Have A Multitude Of Causes, And It Is Important For The Clinician To Determine This Cause.
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Oedema Is always Associated With The Retention Of Sodium And Occurs When More Than 3 Litres Of Interstitial Fluid Collects.
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The Principle Site Of Collection Of Fluid Varies With Respect To The Underlying Pathology.
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| Periorbital Oedema |
Periorbital Oedema Is Seen More Often In Renal Failure, Ascites Occurs In Cirrhosis, And Pulmonary And Ankle Oedema May Occur In Cardiac Failure.
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The Causes Of Generalised Oedema Are, In General, The Result Of Either An Increased Venous Pressure (eg Right Heart Failure), Or A Decrease In Intravascular Oncotic Pressure (hypoalbuminaemia - Test The Urine Of Patients With Bilateral Swollen Legs For Albumin).
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Anasarca Is A Term Used To Describe Gross Oedema.
Why It Occurs?
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If The Oedema Is Bilateral, Then It Is Most Likely Of A Systemic Origin, Which Is Causing Venous Hypertension.The Most Common Cause Of This Is Congestive Heart Failure, Usually Simply Due To Ageing. Other Systemic Causes Include Renal And Thyroid Conditions. Bilateral Oedema Is Usually Pitted And Involves The Entire Lower Leg And Foot To The Level Of The Digits.
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| Oedema Of Leg |
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If The Condition Is Unilateral, Oedema Is Most Likely Due A Localised Abnormality. The Most Common Cause Is DVT, But May Include Lymphangiactasis, Lymphatic Obstruction, Varicose Vein, Previous Trauma With Venous Obstruction, Or Failure Of The Muscle Pump Due To AFO’s Or Neuromuscular Conditions That Cause Apropulsive Gait.
Causes Of Generalized Oedema Are…
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Acute Nephrotic Syndrome
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Wet Beri Beri
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Anaphylaxis Due To Severe Allergic Reaction
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Cellulitis
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Cirrhosis Of Liver
- Congenital Impairment Of Lymphatic System
- Congestive Cardiac Failure
- Liver Failure
- Low Albumin In The Blood
- Lymphatic Obstruction
- Malabsorption Of Protein
- Malnutrition
- NSAIDs
- Pericardial Effusion
- Premenstrual Syndrome
- Rapid IV Fluid Infusion
- Renal (Kidney) Failure
- Right Heart Failure
- Salt Retention
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Other Possible Causes Include:
- Pregnancy Or Other Pelvic Mass
- Hypothyroidism
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| Ascites |
- Steroid Therapy
- Starvation: Particularly On Refeeding
- Ideopathic Oedema
What Are The Symptoms?
- Swelling Of The Skin Which Can Occur Anywhere In The Body.
- Puffiness Of The Ankles, Face Or Eyes.
- Skin That Stays Hollow For A Few Seconds After Being Pressed (Pitting Oedema)
- Aching Of Body Parts
- Stiffness Of Joints
- Weight Gain Or Loss
- Fuller Hand And Neck Veins
- Raised Blood Pressure And Pulse Rate
- The Symptoms Of Oedema Will Depend On The Underlying Cause Of The Condition, So You May Not Experience All Of Them.
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How It Can Be Diagnosed?
- To Diagnose Oedema, Your GP Will Take A Note Of Your Previous Medical History, As Well As The Symptoms That You Are Experiencing.
- If Your GP Suspects That An Undiagnosed Condition May Be Causing Your Oedema, They May Carry Out:
- Blood Tests
- Urine Tests
- A Chest X-ray
- Liver Function Test (LFT)
- Renal Function Test (RFT)
- Echo Cardio Gram (ECG)
How It Can Be Treated?
- Your GP May Also Recommend Some Simple Self-care Techniques, To Reduce The Build Up Of Fluid, Such As:
- Reducing Your Salt Intake,
- Eating Foods Rich In Potassium: Eating Potassium-rich Foods Can Actually Help Reduce The Sodium (salt) Levels In The Body And So Improve The Oedema. Potassium Rich Foods Include Most Fruits, Especially Bananas And Also Tomatoes. You Should Not Take Potassium Supplement Tablets Though.
- Losing Weight (if You Are Overweight),
- Taking Regular Exercise,
- Raising Your Legs 3-4 Times A Day To Improve Your Circulation,
- Wearing Support Stockings,
- Massaging The Affected Area, And
- Taking Regular Breaks To Stretch Your Legs When You Are Travelling.
- Avoiding Long Standing
- In Short Treatment Of Oedema Involves Diagnosing And Treating The Condition Responsible For Causing The Condition.
Is There Any Treatment Of Oedema In Homoeopathy?
- Yes Definitely! Actually Homoeopathy Is The Science Which Treats The Underlying Disturbances Of The Body, So Whatever Is The Diagnosis Of Disease, Doesn’t Matter.
- Homoeopathic Medicines Are Able To Treat All Kinds Of Diseases Where There Is No Gross Pathological Changes Have Taken Place And Pathology Which Can Be Reversible In Nature.
- Along With Irreversible Pathological Changes, Homoeopathy Cannot Work In The Condition Which Is Congenital Or Due To Any Genetic Defect.
- So, In Case Of Oedema Also Homoeopathic Medicines Will Work Best If There Is Not Much Pathology Has Developed.
- In Case Of Gross Pathology Also, Homoeopathy Can Definitely Give Relief From Your Symptoms To Some Extent.
- Here Are Some Of The Medicines Which Can Give Relief To Some Extent Symptomatically. For Curing Purpose, Homoeopath Has To Skillfully Handle The Case With Detailed History Of The Patient.
- Homoeopathic Medicines Work Best In Case Of Oedema Are:
- Ars.alb, Acetic Acid, Apocynum Cannabinum, Apis Mel, Helleborus Niger, Urtica Urens, Digitalis,etc.
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