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Water Retension

My EJ last year was about 45 and having an echo next week to recheck. My weight loss was good down to 210 from 278 in a year. Have had energy problems until I started eating 3 meals a day. My Cardio Dr put me in hospital 2 months ago at 221 and swelling of left leg. They injected me every 12 hours with 80mg of Lasix. Passed alot and lost about 12 lbs in 3 days. The hospital did nothing to keep my extreme leg cramps down. My Pot level was 10 times what it should have been. I started 400mg Magnesium 2X per day which seems to help. I feel much better eating a small amount. However my legs are swollen and I walk a lot stand a lot. I can't win for one battle. Just want someone to tell me what I can do to rid myself of fluid. BTW if I don't drink enough water my output is small and I get dehydrated. I need water in this high desert I live in.
I have been on Lasix 20mg for years. Sometimes I increase it to 40 a day which moves a little more fluid. I tried Sprolactone but my breast and nipples got sore and it took 5 months for the sensitivity to leave.
I need some good ideas.
Thanks
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Avatar universal
I think you will not be able to solve the problem until you have the right levels of Sodium, Potassium and proteins (albumin) in blood.

Of course the best situation is to stay in an air conditioned place with the foot elevated and drinking a limited amount of liquid. I am not able to give any figure but I will not go below a liter/day without good medical control.

Also you can look for other culprits. Have your kidneys been checked? Is your creatinine in proper range? Is your glucose in proper range? are you starting to suffer insulin insensitivity? This is common in long term Heart Failure people.

By the way, are you Afro/American? Those have particular issues with HF to the point to use specific medicaments.

In addition to that, there is the possibility that you have develop and insensitivity to Furosemide. I did, due to interaction with other medicament, I switch to Torasemide and that solved the problem. Sometimes doctors mix several diuretics to achieve good results.

By the way, Spirolactone and other aldosterone inhibitors (like epleronone) are Potassium savers, so if you have problem with high potassium better do not touch them. Was it prescribed without any potassium control?

Jesus
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Avatar universal
Hello, I don't recall how I found this post but as a long time edema sufferer (legs and ankles) and full time worker I got fed up with doctors "solution"... here take this pill. For most people insulin resistance is the cause of fluid, period. I now follow the low carb diet and have no problems with fluid, acne, dry hair, etc. Please read about this diet. Also anyone who tells you to LIMIT your water intake is mistaken. If you don't drink alot of water, your body thinks it is dehydrated, therefore it will hold onto any water in the body that it can. Drink lots of water!! Thats all I did. Remeber, when the body "acts up" it is trying to send you the message that you are deficient in a nutrient, or toxic foods, lack of exercise, etc. You are not deficient in a prescription medication. Be proactive as best you can, you'll feel alot better! Take care.
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