Any treatment solutions for swollen feet and hip pain?

A fellow caregiver asked...

My dad is a complicated cancer patient who had suffered from a leaking vein in the throat area. Aftet this bleeding he was put on drip etc and was swollen at feet, abodomen etc. His feet are still swollen and has developed a leak at the base of the two feet. He is on diurates for a while which do not seem to be working.

He is also expericiencing bone pain in the hip area. Any treatment solutions for swollen feet and hip pain.

Expert Answer

Andrew Putnam, M.D. is a Palliative Care physician at Smilow Cancer Center at Yale New Haven Hospital and Yale University.

Swollen feet can be caused by several processes in a cancer patient. It sounds like the original cause in your dad was the IV fluids that can often cause people's feet to swell up when given in large quantities.

Another possibility is that the amount of "albumin" (a type of protein) in his blood is lower than normal. When that happens fluid that leaks out into parts of the body can not be pulled back into the bloodstream easily. Diuretics can sometimes help with this problem but not always. Cancer in the abdomen can also cause fluid to build up outside of the blood stream by blocking its normal path back to the heart and the rest of the body.