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Menopause  (Expert Forum)
 | 
lower limb odema in a menopause woman
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy, hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis, sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.

lower limb odema in a menopause woman

by mohamed_ahmed, Sep 02, 2007 03:45PM
a woman , 48 years old and she have no periods for 3 years , BP is 110/70 complaining of :
1-lower limb odema which increase by activity and decrease by rest and the odema is more on right side  , what is the possible cause and what is the cause ? could be varicose veins or something else?
2-attacks of palpitation and intolerance to heat since the periods stoped , what is the cause ?
3-ecchymosis that is bluish in colour and does not disappear on lower limbs and it may become semifirm in consistency , what is it and what is the management ?
4-could she have estrogen therapy ? and what is the dose and scientific names u suggest ? and what is the possible side effects ?
finally thank u doctor and i hope i did not annoying u
i am a student at the 5th year at the medical school , cairo.
i hope u answer my questions because it is very important
thank u again

by Machelle Seibel, MD, Sep 03, 2007 12:46PM
It is difficult to know the answer to these questions without seeing the person and knowing answers to several different questions. The swelling could be due to many things. Some are varicose veins, certain parasites and a blood clot to name a few. It is helpful to have an ultrasound using dopplar which tells if there is any movement of blood in the vein. It might also be helpful to inject die into the vein in the foot and see it there is blockage. This is called a venogram.  It is best if this person were seen by a doctor there who is familiar with this type of problem. Until then, it is best to hold giving any estrogen.
Machelle M. Seibel, MD
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