Swollen Feet

[Bazile]

For a few weeks now , i have had swollen feet and ankles - the right markedley more so than the left

Doctor has ordered urine / blood tests to see if anything is flagged up

He beleives it's a case of odema and suggest a course of Diuretics
I'm already on a combined tablet of Lisinopril and hydrochlorothiazide - 20/12.5 mg

I don't really want to go on a higher dose of hydrochlorothiazide for obvious reasons .

Any other suggestions ?

[Sqad]

Bazile.....I don't like "combination drugs" never have....never will.

Clearly you have hypertension and the combination drug is not working, because your feet are swelling.

To me, you have 2 choices:

1) Ask to see a Consultant for a second opinion.
2) Ask if you can have your BP lowering drug and your diuretic as separate tablets.

\\I don't really want to go on a higher dose of hydrochlorothiazide for obvious reasons . \\

Why? What are those obvious reasons and whether you want to or not.........you need a larger dose off diuretics.

[Bazile]

Thanks for your reply sqad

Would you also reccomend seeing if a seperate higher dose of diuretics fixes the problem , before asking for a Consultants opinion ?

[Sqad]

I would asses the attitude of your GP.
If he is responsive to splitting your diuretics and BP tablets into to separate tablets , increasing the strength of your diuretics, then i would give him a go.

If he is resistant, then i would ask to see a Consultant.

[Sqad]

Bazile......of course I am assuming that your BP is under control, but if it isn't, then you BP lowering tablet may have to be increased.

[Bazile]

thanks

By the way the ' obvious ' reasons was having to urinate more often

[Sqad]

LOL^^^...;-)

[Bazile]

My last BP check was by the doctor in question at the time i saw her .

Readings were

154/89
142/83
142/84

She also is arranging for a 24 hour BP checks

[Sqad]

OK...they are TOO HIGH and could be responsible for your ankle swelling.

Good move on the part of your GP to check 24 hour readings.

[Bazile]

Within what range should the BP ideally be ?

[Sqad]

I would be looking at 110-120.... over .... 70-80

[Bazile]

crikey !!!

[Sqad]

^^^^ quite!

[Bazile]

sqad - are you still about ?

Is there any reason why it should affect one foot much more than the other ?

[Sqad]

Bazile ...just ad a nap ;-)

It usually affects both to differing degrees, but if only one is swollen and the other is normal, then that is a different "ball game" and needs investigation.