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Swollen Ankles and Feet?

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Swollen Ankles and Feet?

Postby Lars De » Tue May 27, 2008 8:59 am

In the realm of all that is possible once a person starts CPAP; has anyone ever experienced the "all of a sudden" swelling of the feet and ankles?

This happened to me this weekend. First I noticed that my ankles were swollen on Sunday. By Monday the swelling in my ankles went down but my feet seemed to be puffy and sore. This morning they didn't look bad but they are still a bit sore and my shoes were definitely tight.

I have never in my life (age 40) experienced this before. Can this in any way be attributed to CPAP? Possibly too much humidification?

Any insight or suggestions would be greatly appreciated.
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Postby lynn321 » Tue May 27, 2008 4:12 pm

I would see doc as many causes are possible including heart trouble
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Postby White Beard » Tue May 27, 2008 4:15 pm

Lars De Do you have pain in your feet or ankles, are they red and tender? It could be allot of things that can cause swelling like that, But I would play it safe and have your Doctor check it out, Usually it is a sign of retaining fluids, which can be caused by a host of different ailments. If there is a lot of redness and pain in the area it could be associated with gout. But in either case it would be wise to have your Doctor check it! I doubt that CPAP would cause the swelling. So try to get an appointment as soon as you can, and have it looked at, also make sure you tell your doctor when it started and what kind of foods you have been eating prior to the swelling and anything that you might have been doing different including your CPAP. Good Luck to you and keep us posted
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Postby Mrs Rip Van Winkle » Tue May 27, 2008 5:03 pm

Yep...get it checked...could be minor and could be major. My feet started doing their swelling tricks just about when I turned 40...maybe late 30's. For me it has been all checked out and can only associate it with eating too many salty foods usually while on vacation and eating in too many restaurants. Once they calm down after a day or so they get this slooshing type feeling in them...on the top outside in the ankle area.
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Postby shortbus » Tue May 27, 2008 5:43 pm

I agree with everyone, please get to the doctor and have it checked out. Alot of things can cause swelling I doubt it is your Cpap machine

BTW you don't live to far from me, I live in Avoca.
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Postby Lars De » Wed May 28, 2008 6:19 am

Thank you everyone. I couldn't get an appointment with my family doc this week but I do have an appointment with my sleep doctor/pulminologist tomorrow, so I'll ask him to take a look and make a referral if necessary.

I was really curious if there was a correlation because when I had my first appointment with the sleep doc he spent a good minute or two looking at and feeling my ankles, asking about any swelling (which at that point, 4 weeks ago, I never had). Now I'll get to find out if there is some sort of connection or if he just really likes ankles, haha.

Something Mrs Rip said really struck a cord with me though; last week we eat in restaurants Wednesday night, Thursday night, Friday night, all 3 meals Saturday, all three meals Sunday, as well as breakfast and lunch Monday. That's not at all common practice for us, but our kitchen was ripped apart and what better excuse do you need for lazy eating. On top of that I am not a salt user at all, not even french fries on the rare occasion that I eat them, I don't even have a salt shaker in the house. But I know what I was eating last week and over the weekend was heavily loaded. I also had the sloshing feeling yesterday.

So again, thank you all very much.

And lastly to shortbus, I had an aunt in Pittston for many years. Neat area!
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Postby BarryKaraoke » Wed May 28, 2008 8:57 am

I don't see how how breathing humidified air (CPAP) would cause your feet and ankles to swell. Remember that even at high CPAP levels, the actual pressure is very low.

Most likely this is a completely different issue unrelated to your CPAP usage.
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Postby White Beard » Wed May 28, 2008 9:32 am

When you talk to your Pulmonary Doctor about it, make sure you tell him about your salt intake on that weekend, also he will probably ask you, but if you have had any shortness of breath make sure you mention it to him, and if you have had any problems with this before. It is probably no big deal but it is worth getting checked! Good Luck
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Postby pseudonym » Wed May 28, 2008 9:44 am

Concur with the others, see the doc and get checked out. One person I know developed a bit of gout for no reason that could be explained, everything checked out fine just was coincidence that it happened when they started CPAP therapy.

I also know two people who both had feet/ankle puffiness right after starting CPAP therapy. Each stopped CPAP for a few weeks (for different reasons) and the puffiness went away. Back on CPAP and it returned. After getting it checked out by their doctor, and no reason found or suspected, it was believed that they hadn't slept in mostly one position, all night, for a very long time. Many SA sufferers are also restless sleepers, once on CPAP they sleep more deeply and do not move around so much. The result is slightly reduced circulation which can cause edema for some people.

Good you're going to see the doc, let us know what the doc says about this.

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Postby Lars De » Wed May 28, 2008 10:20 am

You know, I also have to wonder about the "sleeping in one position" theory, in conjunction with the poor salty diet last week. For many years I've been a total tosser & turner all night long. Like many of you may know; the more frequestly you wake up the more times you'll re-position yourself. But since starting CPAP I do not move at all during the night, my side of the bed looks almost untouched in the morning. I wake up in the exact same spot that I remember falling asleep in. But once I wake I'm tight, stiff and achey the first few moments out of bed. With just a few minutes of walking around I'm fine. So while not directly related to CPAP treatment, I'm thinking there could be a residual connection.

Since starting on CPAP I've had a host of odd discomforts or happenings. Nothing serious, nothing lasting, and certainly nothing that would out-weigh the good of getting quality sleep. A co-worker just jokingly said to me, "Maybe none of this is really new for you. Maybe all along you were just to tired to notice any problems". She may be on to something there.

I'll definitely post back with whatever the sleep doc says.
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Postby White Beard » Wed May 28, 2008 5:38 pm

You might also try elevating your feet and legs when you have time to sit. Recliners are great for that!and it does help!
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Postby melhajj » Wed May 28, 2008 6:27 pm

to Lars question: there can be different diseases that can cause edema like heart problems, hypertension, kidney disease, cancer, venous insufficiency of the legs, some lung diseases, hyperthyroidism, etc; it is good to make an appointment with your doctor to search for the possible cause of the edema; also, as mentioned before, reduce your salt intake and also check that you what you eat does not have high amounts of sodium; it will also be good to raise your legs, put some pillows under your ankles when you sleep, and, drink around three cups of white or green tea which also helps to excrete fluids; most important, be checked by your doctor; you must find out what is causing the problem. Keep us updated and best luck.
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Postby Lars De » Fri May 30, 2008 12:51 pm

Thank you all for the insight, suggestions, care and concern. I had a great appointmen with the sleep doctor yesterday and after talking at length he felt pretty certain that the swelling was sodium based. Having just recently (like 6 weeks ago) had a physical and complete bloodwork he thought if it were something else there would have been an indication of some kind, but despite my weight I'm very healthy.

So last night I decided to do a little experiment, with my feet and ankles both back to perfectly normal I went out for Chinese food (something I've indulged in far too much lately with the opening if a great new buffet in my town). This morning, lets just say the shoes were way tight. I think I have my culprit, and now I new reason to stay away from the Chinese buffet, othewise known as Sodium City.
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Postby Mrs Rip Van Winkle » Fri May 30, 2008 5:19 pm

And stay away from my neighbors cooking! She is the Queen of Sodiumville!

When I do get the swelling I keep the feel elevated, and do sleep with pillows under them like what was suggested above...usually gone by morning if it is just due to one bad meal. Carraba's gets me everytime! I was bummed the first time it happened...had to cut off my favorite toe ring.

I bring it us always to my Dr at yearly appointments...or in between if it gets bad...I do not want PAD or CHF.
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Postby mlwl2001 » Fri May 30, 2008 5:58 pm

The only other thing I can think of besides medical reasons. Is that with the cpap machine I don't move around as much at night. So I have woke up with mild swelling in my feet and joint pain. But once I started walking around it went away. So I think for me it was just being in one possition and that can cause things not to flow right if you don't move and are in one possistion for a long time
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