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 Internal Medicine

Swelling

Swelling

Pitting edema on the leg
Pitting edema on the leg

Definition:

Swelling is the enlargement of organs, skin, or other body parts. It is caused by build up of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks).

Swelling can occur throughout the body (generalized) or only in a specific part of the body (localized).

See also:

Alternative Names:
Edema; Anasarca
Considerations:

Slight swelling (edema) of the lower legs commonly occurs in warm summer months, especially if a person has been standing or walking a lot.

Generalized swelling, or massive edema (also called anasarca), is a common sign in severely ill people. Although slight edema may be difficult to detect, especially in an overweight person, massive edema is very obvious.

Edema is described as pitting or non-pitting.

  • Pitting edema leaves a dent in the skin after you press the area with a finger for about 5 seconds. The dent will slowly fill back in.
  • Non-pitting edema does not leave this type of dent when pressing on the swollen area.
Common Causes:
Home Care:

Follow prescribed therapy to treat the underlying cause of the swelling. Discuss with your health care provider the options to prevent skin breakdown (for chronic edema) such as a pressure-reducing mattress, a lamb's wool pad, or a flotation ring.

Maintain everyday activities. When lying down, keep limbs above the heart level, if possible, to facilitate drainage. Do not do this if shortness of breath results -- see your doctor instead.

Reduced sodium (salt) in the diet may be recommended.


Review Date: 12/15/2006
Reviewed By: Robert Hurd, MD, Department of Biology, College of Arts and Sciences, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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