Mitral Valve Prolapse: Can It Cause Leg Swelling?

I would like to ask the doctor a question?

Hello Doctor,
I have a question for you.
When mitral valve prolapse is severe, can it cause swelling in the legs? I am quite thin, weighing around 38-39 kilograms, so there isn't much flesh on my legs, making it hard to notice any swelling (the doctor keeps asking to check my legs for edema, but I am reluctant to let him see, so I only pressed a little for him to check).
During my last follow-up on October 5, the doctor didn't say much, but during my visit on November 2, my attending physician mentioned that my prolapse seems to have worsened since my last visit on August 17 and suggested that I change jobs.

In the meantime, I've been quite busy and have also struggled with emotional control, which may have exacerbated the severity of my condition.
Whenever I'm unhappy or sad, I tend to cry, and sometimes I cry for a long time; for instance, I cried all day on October 14.
Perhaps this emotional distress is contributing to the worsening of my condition.

I have another follow-up appointment on November 30 for the doctor to examine me.
What should I do in the meantime? Thank you...
If I need to reach out in the future, I hope you won't mind...

Youyou, 20~29 year old female. Ask Date: 2001/11/08

Dr. Li Huixiong reply Internal Medicine

Everyone gets sick, and when illness is unavoidable, it's important to face it bravely.
You are likely aware of your own issues, and you understand the advice your doctor gives you.
You should listen to your attending physician, cooperate fully, and avoid overexerting yourself.
It's essential to communicate your discomfort appropriately to your doctor, while leaving the rest of the issues for them to handle.
Isn't that simpler? Never put unnecessary pressure on yourself.
Wishing you all the best.

Reply Date: 2001/11/08

More Info

Mitral valve prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to mitral regurgitation (MR), where blood leaks backward into the left atrium during heart contractions. While MVP is often benign and may not cause significant symptoms, it can lead to complications in some cases, especially if it is severe.

Regarding your question about whether severe mitral valve prolapse can cause leg swelling, the answer is somewhat complex. In general, MVP itself does not directly cause leg swelling. However, if mitral regurgitation becomes significant, it can lead to heart failure symptoms, which may include fluid retention and swelling in the legs. This is because when the heart is unable to pump effectively, fluid can accumulate in various parts of the body, including the legs.

In your case, if your doctor has indicated that your MVP has worsened, it is essential to monitor for any signs of heart failure, which can include:
1. Leg Swelling: This can occur due to fluid retention.

2. Shortness of Breath: Especially when lying flat or during physical activity.

3. Fatigue: Feeling unusually tired or weak.

4. Rapid or Irregular Heartbeat: This can be a sign of increased strain on the heart.

Given that you mentioned feeling emotional distress and crying for extended periods, it is crucial to address both your physical and emotional health. Stress and emotional turmoil can exacerbate physical conditions, including heart issues. It is advisable to seek support for managing your emotions, whether through counseling, therapy, or support groups.
As for your upcoming appointment on November 30, it is essential to communicate openly with your doctor about all your symptoms, including any feelings of swelling in your legs, emotional distress, and any changes in your physical condition. If you notice any new symptoms, such as significant swelling, increased shortness of breath, or changes in your ability to perform daily activities, it would be prudent to contact your healthcare provider sooner than your scheduled appointment.

In terms of lifestyle modifications, consider the following:
1. Stress Management: Engage in activities that promote relaxation, such as yoga, meditation, or deep-breathing exercises.

2. Regular Monitoring: Keep track of your symptoms, including any changes in swelling or shortness of breath, and document them for your doctor.

3. Healthy Diet: A balanced diet low in sodium can help manage fluid retention.

4. Physical Activity: Engage in light to moderate exercise as tolerated, but consult your doctor about what is appropriate for your condition.

5. Follow-Up Care: Regular follow-ups with your cardiologist are essential to monitor the progression of your MVP and any associated symptoms.

In summary, while severe mitral valve prolapse can lead to complications that may cause leg swelling, it is not a direct cause. It is crucial to maintain open communication with your healthcare provider, manage your emotional health, and adhere to any recommended lifestyle changes. If you experience any concerning symptoms, do not hesitate to seek medical attention.

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