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Leg pains by early morning
I am operated for CABG in 2006 and diabetic too. Recently I am finding my legs paining by early morning in sleep but they disappear after I relieve myself by visiting rest room. Kindly advise
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Hi , my opinion is to get physically examined by vascular surgeon or general surgeon
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visit a hospital
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Considering your age and history of CABG 20 years back abd having diabetes which i assume is chronic you are more prone to having peripheral vascular diseases of arterial or Venus origin. I will advise you to not take this lightly and get a prompt consultation with a diabetologist /cardiologist or an orthopedic doctor
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You should get a colour Doppler done and remember your symptoms so that you can easily communicate with the doctor. The fact that it get relieved after waking up is related to the walking effect on the condition. This needs a proper evaluation
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While sleeping, take your limb elevated, keep a pillow below your legs so that there is no engorgement of peripheral veins
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Given your age, diabetes and previous CABG, recurrent pain in both legs—especially pain occurring at night or at rest—should be evaluated rather than assumed to be simple muscle pain. Diabetes and established cardiovascular disease increase the likelihood of peripheral arterial disease (reduced blood circulation to the legs), although diabetic neuropathy, muscle cramps, spinal problems and metabolic/electrolyte abnormalities are other possibilities.
The fact that the pain improves after getting out of bed and going to the restroom may be related to walking or changing the position of the legs rather than the restroom visit itself.
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Please consult a physician/vascular or orthopaedic specialist for examination of the circulation and nerves in both legs. Checking the foot pulses and an ankle-brachial index (ABI/ABPI) is a standard initial assessment when peripheral arterial disease is suspected. In people with diabetes, the ABI sometimes needs to be supplemented with other vascular tests because arterial calcification can make the reading misleading.
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Seek urgent medical attention if the pain becomes persistent or severe, or if a foot becomes unusually cold/pale, develops discoloration, numbness/weakness, or a wound that is not healing
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Need investigation.
Check blood circulation level in affected leg
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Leg pain occurring during sleep can have several causes such as muscle cramps, diabetic neuropathy or circulation related problems. Since you are diabetic and have a previous history of CABG, circulation to the legs should also be assessed rather than treating it only as a muscular problem. The fact that the pain improves after getting up does not by itself confirm the cause.
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Please consult a physician for examination of the pulses and circulation in both legs. Depending on examination, an arterial Doppler may be required. Blood sugar control and current medications should also be reviewed.
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If you develop severe persistent pain, a foot becoming unusually cold or pale, a non healing wound, numbness or sudden worsening of symptoms, seek medical attention promptly.
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Get personalised consultation done
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Please get personal consult with orthopedic specialist for better evaluation and management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.