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Discussion in 'All Categories' started by charlotte wiebe - Feb 27th, 2012 9:00 pm.
charlotte wiebe
charlotte wiebe
swelling of ankles several days following surgery.
re: appendicitis by Dr M K Gupta - Mar 3rd, 2012 8:38 pm
Dr M K Gupta
Dr M K Gupta
Dear Charlotte Wiebe

Swelling of the lower leg and ankle is a common problem but it should not be after several days of appendicitis. Determining the cause of ankle swelling is the first step to finding effective treatment. Once the cause of the ankle swelling is determined, effective treatment can be initiated.

Ankle swelling causes the accumulation of fluid within the ankle joint or in the soft tissues surrounding the ankle.

A traumatic injury, such as an ankle sprain, is the most common cause of ankle swelling and it may be possible during anesthesia. Patients almost always remember the particular injury, but occasionally even subtle injuries can also lead to ankle swelling. Also, stress fractures can occur around the ankle joint leading to swelling.

Gout is due to the accumulation of uric acid crystals within the fluid of your ankle. Uric acid is a substance produced as part of digestion. In order to properly digest food and rid our body of waste, our bodies produce substances such as uric acid to transport waste material. People with gout abnormally accumulate uric acid crystals within joints, leading to inflammation and swelling.

Ankle arthritis is much less common than degenerative changes in other joints. However, ankle arthritis can occur and can be quite painful. Ankle arthritis is most common in patients with rheumatoid arthritis or in patients with a previous injury to the ankle joint.

Infection is an unusual cause of ankle swelling. Infections can either occur in the soft tissues around the ankle joint, cellulitis or in the joint itself, septic joint. Infections can often be treated with medications alone, but may also require surgery.

Numerous problems with blood flow can impair normal circulation and lead to swelling around the ankles. The most common cause of vascular obstruction is a blood clot, also known as a DVT. This type of vascular problem usually occurs in one leg (not both), and leads to swelling of the soft-tissues throughout the foot and ankle. The swelling can also extend further up the leg.

Peripheral edema is also a circulation problem, but is seen in both legs, not just one. Lower extremity edema can be due to aging of the veins leading to chronic swelling, as well as other conditions that can place pressure on the leg veins. These conditions include pregnancy, obesity, and varicose veins.

In our opinion your surgeon who has performed appendicitis surgery will be able to tell you truth and he can diagnose better.

With regards

M.K. Gupta
re: appendicitis by Nazuwah - Mar 11th, 2012 12:12 pm
I don't think I ever learned the Ottawa rules. What are they? Three ninwarg signs for fracture that I learned are pain with weight bearing, circumferential swelling, and point tenderness over the distal fibula. Even if any of these three were present, I wouldn't necessarily get an x-ray if the patient wasn't in much pain or they were improving (since the fibula is a non-weight-bearing bone and there isn't much you can do for an avulsion fracture). However, if I suspected a different fracture, or the sprain was something other than the most common ATF ligament, then I probably would have proceeded with an x-ray.
re: appendicitis by Dr J S Chowhan - May 27th, 2014 2:43 pm
Dr J S Chowhan
Dr J S Chowhan
Sometime it may be related to posture on the operating table at the tome of surgery. Which might have blocked one of the vein.
re: appendicitis by Sarah Williams - May 6th, 2015 3:37 pm
Sarah Williams
Sarah Williams
I had my appendix removed 3 weeks ago and my ankles and bottom part of legs are swelling some days at the end of the past I h a pulmonary embolism in each lung and still have some in my right lung now. I'm on warfarin for life i have never holes swelling should I be concerned

Dear Sarah Williams,
Pulmonary embolism is a serious complication but it may not be necessary to take warfarin for whole life. However you should stop the medication only after consulting a Physician and repeated color doppler of veins of lower limb is required to rule out deep vein thrombosis.

with regards
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