Q. What could be the cause of chronic unilateral pedal oedema which is not painful nor pitting? Tests have been carried out but no obvious diagnosis has been made.

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with chronic unilateral pedal edema without a clear diagnosis can be puzzling, but let's explore some potential causes that may be worth discussing with your healthcare provider.

1. Vascular Issues: One possible culprit could be vascular insufficiency. Conditions like deep vein thrombosis (DVT) or chronic venous insufficiency might be worth investigating further. These can lead to fluid retention without the typical pitting or pain.

2. Lymphatic System Dysfunction: The lymphatic system plays a crucial role in fluid balance. If there's a glitch, it could result in unilateral pedal edema. Conditions like lymphedema, though often associated with swelling in limbs, can sometimes manifest in a more localized manner.

3. Local Causes: Sometimes, localized factors could be at play. Tumors, cysts, or even trauma might be impacting the flow of fluids, causing the swelling.

4. Systemic Conditions: Underlying systemic issues like liver or kidney disease can affect fluid balance throughout the body, leading to edema. Even though tests have been conducted, it might be worth re-evaluating these systems.

5. Medication Side Effects: Certain medications can induce edema as a side effect. Reviewing the patient's medication history might reveal potential culprits.

6. Inflammatory Conditions: Inflammation in the affected limb or surrounding tissues could be a contributing factor. Conditions like cellulitis or arthritis might be considered.

7. Neurological Factors: Nervous system disorders can impact fluid regulation. Conditions affecting nerves controlling blood vessels or muscles in the limb could contribute to edema.

It's crucial to communicate openly with your healthcare provider, providing detailed information about symptoms, medical history, and any lifestyle factors. Requesting a second opinion or consultation with a specialist, such as a vascular or lymphatic expert, may offer fresh insights.

Remember, this information is general in nature, and a comprehensive evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate management. Don't hesitate to advocate for yourself and seek further clarification from your healthcare.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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