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    Old 11-10-2004, 10:46 PM   #1
    skf33
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    Fatigue, Pain in legs

    Take inderal 10md , tid for many years.
    Have had all the echos, all the stress tests, holter monitors, etc.
    I had a cardia cath 3 years ago which was normal.
    I had a abdominal/pelvic scan with contrast few monthes ago....some athersclerosis noted to aortic whatever....but dr. did not think much of it said the whole scan was good...
    I've also had an ultrasound of the groin artery in right leg few monthes ago no problems related to me.

    Lately, my legs are just killing me. They just ache and hurt so bad.
    the back of the calves.....i feel so tired....i sometimes can barely walk and also my heart feels like its pounding with just a few steps....

    is this problem cardiac in nature? should I go back yet again?

     
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    Old 11-11-2004, 07:45 AM   #2
    confused32
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    Re: Fatigue, Pain in legs

    Maybe you should have the doctor check you for blood clots in your legs the pain in the calf sounds like one of the symptoms and if they break off and get to your lungs can be life threatning, do you have any tighntess in your chest?? I would definatly give the doc a call and let them know what is going on.

     
    Old 11-11-2004, 11:55 PM   #3
    skf33
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    Re: Fatigue, Pain in legs

    Hi.
    My md was off today but the office said go to the ER.
    I did.
    They seemed to run the mill of proper testing.

    Blood workup
    Chest xray
    EKG
    Ultrasound of both legs.

    Everything came back fine. They did report a small drop in my thyroid tests.
    Thats it.
    Maybe I'm just tired?

     
    Old 11-12-2004, 06:25 AM   #4
    confused32
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    Re: Fatigue, Pain in legs

    Im glad everything is ok hope you get to feeling better soon!!!!

     
    Old 11-12-2004, 10:16 AM   #5
    Jack51
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    Re: Fatigue, Pain in legs

    skf33,

    The ER is not the best place for diagnostic testing. Inderal is a beta blocker, and like all of them, can reduce your circulation in your extremities. If you have signs of arteriosclerosis in your abdominal aorta, then you could have arteriosclerosis in many areas of your body, including your legs. All the blood supplying your legs travels through your abdominal aorta.

    How is your blood sugar, or 12 hour fasting blood glucose level? Do you take statins or fenofibrates = (tricor or gemfibrozil). Do you have creases in your earlobe?

    As long as the pain persist in your legs, you should try to find the cause. Some people with ateriosclerosis, have "small vessel disease" (SVD). It is hard to find without using the MRI type technology. Your large arteries, such as the femoral that supply your legs, can be open, and still you can have leg pain due to the tiny arteries becoming clogged. This condition is harder to find and diagnose. SVD can effect the whole body. It caused me to have a stroke, and it effects my heart, although I have CAD blockages also. Exercise can increase your blood circulation within your legs. It has helped me a lot. Don't overdo it till you have discussed it with your doc. Good luck Here are some test that can be done to determine the cause of your pain:


    Ankle-brachial index (ABI). This diagnostic test compares the blood pressure in your ankle with the blood pressure in your arm. The systolic blood pressure reading in your ankle is divided by the systolic blood pressure reading in your arm to determine where you fall on the ABI. The systolic number is the top number in your blood pressure reading. It measures the amount of pressure your heart generates when pumping blood out through your arteries. Most people with intermittent claudication have an ABI between 0.3 and 0.9. To get a blood pressure reading, your doctor will use a regular blood pressure cuff and a special ultrasound device that is used to evaluate blood flow (Doppler ultrasound). You may be asked to walk on a treadmill and have readings taken before and immediately after exercising in order to capture the severity of the narrowed arteries during walking.

    Electrocardiogram (ECG). An electrocardiogram is a diagnostic test in which electrode patches are attached to your skin to measure electrical impulses given off by your heart. Your doctor may monitor an ECG during and after the treadmill test.

    Doppler ultrasound. Your doctor may also use Doppler ultrasound to measure your blood pressure at various points in your leg or arm. This can help determine the level and degree of PAD.

    Magnetic resonance angiography. This type of magnetic resonance imaging (MRI) is another noninvasive way for your doctor to evaluate your arteries.

     
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