Puffiness after standing for a long time

Introduction The edema after standing for a long time means that when the person is in a straight steric position, the aldosterone secretion in the body is increased, which may cause temporary water and sodium retention, and thus cause edema. It is a normal physiological response.

Cause

Reasons for edema after standing for a long time:

Due to work, occupation, etc., there will be edema in different parts when standing, walking, squatting or sitting for a long time: such as teachers, surgeons, slowing of blood return due to gravity when standing upright or water and sodium retention due to increased aldosterone secretion Lead to lower limb edema; such as office workers, civil servants, etc. maintain the same sitting position for a long time, resulting in poor venous return, leading to lower limb edema and so on.

an examination

Related inspection

Trace element in human body, blood thyroid 131, iodine absorption rate, cerebrospinal fluid immunoglobulin

Diagnosis of edema after standing for a long time:

If the edema phenomenon is short-lived, it will disappear quickly. Although it is repeated, it is generally physiological edema. If the edema continues to improve, or if other symptoms, such as hypertension, proteinuria, etc., are combined, pathological edema may be greater.

Differential diagnosis

Differential diagnosis of edema after standing for a long time:

Puffs in the legs and feet: When the body increases too much water, it is edema. At the same time as weight gain, there will be eyelid swelling, ankle or calf edema.

Older calves edema: Lower extremity edema is a common symptom in the elderly. The appearance of this edema often indicates that you have a certain disease, so you should go to the hospital to check the cause. Common diseases that cause edema in the lower extremities of the elderly include heart disease, liver disease, kidney disease, and malnutrition.

Diffuse edema of the lower extremities: diffuse edema of the lower extremities means that the edema begins first from the lower extremities and is diffuse.

Lower extremity edema: divided into physiological edema and pathological edema. Lower extremity edema is common in clinical practice, mainly seen in the following diseases. 1 heart edema, suffering from a variety of heart disease patients, when the heart is insufficiency, systemic dysfunction, so that the lower extremity venous return to reduce blood volume, causing edema; 2 hepatic edema, various liver cirrhosis, due to liver synthesis of albumin Reduce, cause hypoproteinemia, lower plasma osmotic pressure, can cause plant limb edema; 3 renal edema, acute and chronic, nephritis or nephrotic syndrome patients, glomerular filtration function is reduced, causing water retention in the body, in addition Coupled with a large amount of proteinuria, resulting in hypoproteinemia, resulting in edema; 4 hypothyroidism edema, hypothyroidism, patient dermal layer of mucopolysaccharide deposition, intercellular accumulation of a large number of transparent garden, chondroitin sulfate and Moisture can cause lower extremity edema; 5 lower extremity deep venous edema, lower extremity deep phlebitis or lower limb venous insufficiency, due to venous return obstruction, patients may have lower extremity edema.

If the edema phenomenon is short-lived, it will disappear quickly. Although it is repeated, it is generally physiological edema. If the edema continues to improve, or if other symptoms, such as hypertension, proteinuria, etc., are combined, pathological edema may be greater.

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