Edema Center - Framingham, MA
Framingham Internist Doctors for EdemaType of Physician: Internist What is a Internist? A certification by the Board of Internal Medicine; practitioners provide long-term, comprehensive care in the office and the hospital, managing both common illnesses and complex problems for adolescents, adults, and the elderly. General internists are trained in primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and treatment of problems of the eyes, ears, skin, nervous system and reproductive organs. All internists are trained in the subspecialty areas of internal medicine including emergency internal medicine and critical care. Internists consult with surgeons when surgical management is indicated, and often act as consultants to other specialists. Specialty: Internal Medicine Common Name: Internist Doctors in Framingham * The Heart Center of MetroWest  The Heart Center of MetroWest  Metrowest Internal Medicine  The Heart Center of MetroWest  Stephen A Hoffmann MD  Ralph A Sherman MD  The Heart Center of MetroWest  Metrowest Internal Medicine  The Heart Center of MetroWest  Framingham Union Hospital Pulmonology  MetroWest Medical Center Pulmonology  MetroWest Medical Center Emergency Medicine  Jerome Siegel MD  Thomas L Treadwell MD  Framingham Health Associates  Charles River Medical Associate  Shahnaz Montague MD  John E Hoye MD  Framingham Community Medicine  Framingham Community Medicine  Charles River Medical Associates  Pat Chira MD  Pat Chira MD  Charles River Medical Assoc  Charles River Medical Assoc  Charles River Medical Assoc  Charles River Medical Assoc  Charles River Medical Assoc  Medical Assosciates of Greater Boston  Medical Assosciates of Greater Boston  Medical Assosciates of Greater Boston  Memorial Medical Group Westborough  Southboro Medical Group Framingham  Michael A Cooper MD  Southboro Medical Group  Southboro Medical Group  Middlesex Family Practice  Charles River Medical Associates  Charles River Medical Associates  Charles River Medical Associates  Charles River Medical Associates  Charles River Medical Associates  Suburban Cardiology & Internal Medicine PC  Suburban Cardiology & Internal Medicine PC  Suburban Cardiology & Internal Medicine PC  Michael Pisick MD  Michael Pisick MD  Mohammad M Siddiqui MD  Mohammad M Siddiqui MD  Radha Agarwal MD  Karen-Gail Brandse MD  MetroWest Medical Center Emergency Dept  Charles River Medical Associates  Michael Gottlieb MD  Paul Griffel MD  Lawrence Handler MD  MetroWest Medical Center Emergency Dept  Raul Laguarda MD  Frank Malkin MD  Charles River Medical Assoc  Charles River Medical Associates  Fouad Zakher MD  MetroWest Medical Center Emergency Dept  Paula Jo Carbone MD  Paula Jo Carbone MD  Alla G Zaver MD  Concord Hillside Medical Associates  Wayside Health Associates  Southboro Medical Group Adult Medicine  Rheumatological Services  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Southboro Medical Group Adult Medicine  Paul J Wright MD  Roseanna H Means MD  Paul A Wood MD  Primary Caring  Primary Caring  Primary Caring  Metro West Health Center  Luzbella Southard MD  Steven Rosenman MD  Hopkinton Medical Care  Usha Bandari MD  Weston Primary Care  Marlborough Medical Associates  Marino Center  Marino Center  Hubert I Caplan MD  Marino Center  Comprehensive Psychiatric Associates  Marino Center  Wellesley Internal Medicine  Marino Center  Milford Internal Medicine Framingham, MassachusettsUpcoming Local Events2012-05-26
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EdemaWhat is edema?Edema is observable swelling from fluid accumulation in body tissues. Edema most commonly occurs in the feet and legs, where it is referred to as peripheral edema. The swelling is the result of the accumulation of excess fluid under the skin in the spaces within the tissues. All tissues of the body are made up of cells and connective tissues that hold the cells together. This connective tissue around the cells and blood vessels is known as the interstitium. Most of the body's fluids that are found outside of the cells are normally stored in two spaces; the blood vessels (as the "liquid" or serum portion of your blood) and the interstitial spaces (not within the cells). In various diseases, excess fluid can accumulate in either one or both of these compartments. The body's organs have interstitial spaces where fluid can accumulate. An accumulation of fluid in the interstitial air spaces (alveoli) in the lungs occurs in a disorder called pulmonary edema. In addition, excess fluid sometimes collects in what is called the third space, which includes cavities in the abdomen (abdominal or peritoneal cavity - called "ascites") or in the chest (lung or pleural cavity - called "pleural effusion"). Anasarca refers to the severe, widespread accumulation of fluid in the all of the tissues and cavities of the body at the same time.
What is pitting edema and how does it differ from non-pitting edema?Pitting edema can be demonstrated by applying pressure to the swollen area by depressing the skin with a finger. If the pressing causes an indentation that persists for some time after the release of the pressure, the edema is referred to as pitting edema. Any form of pressure, such as from the elastic in socks, can induce pitting with this type of edema. In non-pitting edema, which usually affects the legs or arms, pressure that is applied to the skin does not resu... Recommended Reading Related to EdemaWhat happens during a brain hemorrhage?When blood from a trauma irritates brain tissues, it causes swelling. This is known as cerebral edema. The pooled blood collects into a mass called a hematoma. These conditions increase pressure on nearby brain tissue, and that reduces vital blood flow and kills brain cells. Bleeding can occur inside the brain, between the brain and the membranes that cover it, between the layers of the brain's covering or between the skull and the covering of the brain.
What causes bleeding in the brain?There are several risk factors and causes of brain hemorrhages. The most common include:
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Nearby Framingham Hospitals *MetroWest Medical Center Framingham Union Hospital Kindred Specialty Hospital Natick MetroWest Medical Center Leonard Morse Hospital Whittier Rehabilitation Hospital Westborough UMass Memorial Marlborough Hospital Beth Israel Deaconess Hospital Needham Newton Wellesley Hospital Westborough State Hospital Westwood Lodge Hospital Milford Regional Medical Center VA Boston Healthcare System West Roxbury Campus Caritas Norwood Hospital Emerson Hospital Bournewood Hospital McLean Hospital Caritas St Elizabeth's Medical Center Hebrew Rehabilitation Center for the Aged Franciscan Hospital for Children Faulkner Hospital Kindred Hospital Boston Arbour Hospital Arbour HRI Hospital Mount Auburn Hospital VA Boston Healthcare System Jamaica Plain Campus Lemuel Shattuck Hospital Massachusetts Mental Health Center Brigham & Women's Hospital New England Baptist Hospital Dana Farber Cancer Institute Beth Israel Deaconess Medical Center Children's Hospital Boston Massachusetts Hospital School Radius Specialty Hospital Boston Edith Nourse Rogers Memorial Veterans Hospital Youville Hospital and Rehabilitation Center Cambridge Hospital Milton Hospital Somerville Hospital Lahey Clinic Medical Center UMass Memorial Clinton Hospital M I T Medical UMass Memorial Medical Center University Campus Boston Medical Center Caritas Carney Hospital HEALTHSOUTH New England Rehabilitation Hospital Worcester State Hospital Massachusetts Eye & Ear Infirmary Lawrence Memorial Hospital Massachusetts General Hospital Shriners Hospitals for Children Boston Burn Hospital Tufts New England Medical Center New England Sinai Hospital & Rehabilitation Center Spaulding Rehabilitation Hospital UMass Memorial Medical Center Memorial Campus Landmark Medical Center Adcare Hospital of Worcester St Vincent Hospital at Worcester Medical Center Winchester Hospital Quincy Medical Center Braintree Rehabilitation Hospital Kindred Specialty Hospital Stoughton Whidden Memorial Hospital Rehabilitation Hospital of Rhode Island Lawrence F Quigley Memorial Hospital Fairlawn Rehabilitation Hospital Caritas Good Samaritan Medical Center Melrose Wakefield Hospital Nashoba Valley Medical Center Kindred Specialty Hospital Braintree Boston VA Healthcare System Brockton Sturdy Memorial Hospital Arbour-Fuller Hospital South Shore Hospital Tewksbury Hospital HealthAlliance Hospital Leominster Campus Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
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Related Diseases & Conditions
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Congestive Heart Failure
- Congestive heart failure (CHF) is a condition in which the heart's function as a pump is inadequate to meet the body's needs. A poor blood supply resulting from congestive heart failure may cause the body's organ systems to fail, leading to a weakened heart muscle and fluid accumulation in the lungs and body tissue. There are many diseases that can impair pumping efficiency and symptoms of congestive heart failure including fatigue, diminished exercise capacity, shortness of breath, and swelling. Treatments include lifestyle modifications, medications, heart transplant, and therapy.
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Kidney Failure
- Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, medication. Some of the renal causes of kidney failure are from sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis. Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones. Treatment options included diet, medications, or dialysis.
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High Blood Pressure
- High blood pressure, also known as hypertension, is a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. There are two causes of high blood pressure, primary and secondary. Primary high blood pressure is much more common that secondary and its basic causes or underlying defects are not always known. It is known that a diet high in salt increases the risk for high blood pressure, as well as high cholesterol. Genetic factors are also a primary cause. Secondary high blood pressure is generally caused by another condition such as renal hypertension, tumors, and other conditions. Treatment for high blood pressure is generally lifestyle changes and if necessary, diet.
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Cellulitis
- Cellulitis is an acute spreading bacterial infection below the surface of the skin characterized by redness, warmth, inflammation, and pain. The most common cause of cellulitis is the bacteria Staph (Staphylococcus aureus).
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Cirrhosis (Liver)
- Cirrhosis of the liver refers to a disease in which normal liver cells are replaced by scar tissue caused by alcohol and viral hepatitis B and C. This disease leads to abnormalities in the liver's ability to handle toxins and blood flow, causing internal bleeding, kidney failure, mental confusion, coma, body fluid accumulation, and frequent infections. Symptoms include yellowing of the skin, itching, and fatigue.
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Ascites
- Ascites, the accumulation of fluid in the abdominal cavity is most commonly caused by cirrhosis of the liver. Some of the other causes of ascites include portal hypertension, congestive heart failure, blood clots, and pancreatitis. The most common symptoms include increased abdominal girth and size, abdominal bloating, and abdominal pain. Treatment depends on the cause of ascites.
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Liver
- The liver is the largest solid organ in the body, and is actually an gland. The liver has a wide variety of critical functions such as manufacturing proteins and metabolizing fats and carbohydrates. The liver also eliminates harmful biochemical waste products from the body (alcohol, drugs, toxins). The liver secretes bile that aids in digestion. Examples of diseases of the liver include cirrhosis, hepatitis, cancer, and fatty liver. Symptoms of liver disease include bleeding, easy bruising, edema, fatigue, and jaundice.
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Heart Murmur
- A heart murmur is the sound generated when blood flow within the heart is not smooth. Causes of heart murmurs can be functional, congenital, or caused heart valve conditions. Symptoms of a heart murmur may be none, or may include chest pain, shortness of breath, and arm, leg, and ankle swelling. Treatment of a heart murmur depends on the cause.
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Pulmonary Edema
- Pulmonary edema (swelling or fluid in the lungs) can either be caused by cardiogenic causes (congestive heart failure, heart attacks, abnormal heart valves) or noncardiogenic causes such as ARDS, kidney failure, high altitude, pneumothorax, pleural effusion, aspirin overdose, pulmonary embolism, and infections. The treatment of pulmonary edema depends on the cause of the condition.
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Pleural Effusion
- Pleural effusion is an excess fluid between the two membranes that envelop the lungs. There are two classifications of causes of pleural effusion; transudate and exudate. The treatment of pleural effusion depends on the cause.
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Varicose Veins
- Varicose vein: A dilated (widened) tortuous (twisting) vein, usually involving a superficial vein in the leg, often associated with incompetency of the valves in the vein. These visible and bulging veins are often associated with symptoms such as tired, heavy, or aching limbs. Spider veins are a group of widened veins that can be seen through the surface of the skin.
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Brain Hemorrhage
- A brain hemorrhage is a type of stroke caused when an artery bursts in the brain, causing localized bleeding in the surrounding tissue. Causes of brain hemorrhage include aneurysm, liver disease, brain tumor, head trauma, high blood pressure, and blood vessel abnormalities. Symptoms include sudden severe headache, nausea, vomiting, loss of balance, tingling, numbness, vision changes, loss of consciousness, and loss of fine motor skills. Treatment depends upon the cause, location, and size of the brain hemorrhage.
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Eclampsia
- Preeclampsia is a condition in pregnant women marked by high blood pressure and a high level of protein in the urine. Eclampsia occurs when preeclampsia goes untreated. Eclampsia can cause coma and death of the mother and baby. Preeclampsia symptoms include rapid weight gain, abdominal pain, headaches, blood in the urine, dizziness, and excessive vomiting and nausea. The only real cure for preeclampsia and eclampsia is the birth of the baby.
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Coma
- Coma is the inability to waken or react to the surrounding environment. The Glasgow Coma Scale is frequently used to measure the depth of coma. Causes of coma include trauma, bleeding, edema, lack of oxygen, poisoning, or hypoglycemia. Prognosis for a patient in a coma depends on the cause of the coma.
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Lymphedema
- Lymphedema is a condition in which one or more extremities become swollen as the result of an impaired flow of the lymphatic system. There are two types of lymphedema; primary, secondary. Filariasis is the most common cause of lymphedema worldwide; however, in the U.S. breast cancer surgery is the most common cause. Symptoms include swelling of one or more limbs, thickening, cracked, and secondary bacterial or fungal infections of the skin. There is no cure for lymphedema.
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Endocarditis
- Endocarditis, a serious infection of one of the four heart valves is caused by growth of bacteria on one of the heart valves; leading to an infected massed called a "vegetation." The infection can be caused by having bacteria in the bloodstream after dental work, colonoscopy, or other similar procedures. Endocarditis symptoms include fever, fatigue, weakness, chills, aching muscles and joints, night sweats, edema in the legs, feet, or abdomen, malaise, shortness of breath and small skin lesions. Treatment for endocarditis is generally aggressive antibiotic treatment.
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Superior Vena Cava Syndrome
- Superior vena cava syndrome is compression of the superior vena cava vein located in the upper chest. Causes of superior vena cava include lung cancer, lymphoma, other cancers in the chest, blood clots in the superior vena cava, or infection. Symptoms of the syndrome include shortness of breath. Superior vena cava syndrome is diagnosed by ultrasound, chest x-ray, CT scan, and in some cases biopsy. Treatment depends upon the cause of the syndrome.
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Cardiomyopathy (Dilated)
- Dilated Cardiomyopathy is a condition where the heart's ability to pump blood is decreased because the heart's main pumping chamber is enlarged and weakened. Symptoms of dilated cardiomyopathy include chest pain, heart failure, swelling of the lower extremities, fatigue, weight gain, fainting, palpitations, dizziness and blood clots.
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Ricin
- Ricin is a biological toxin that can be made from processing castor beans. Symptoms of ricin poisoning include fever, cough, nausea, low blood pressure, diarrhea, seizures and blood in the urine. As there is no antidote, treatment focuses on minimizing the effects of poisoning.
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Cardiomyopathy (Hypertrophic)
- Hypertrophic cardiomyopathy (HCM) affects many people today. Many people with HCM have no symptoms or only minor symptoms, and live a normal life. Other people develop symptoms, which progress and worsen as heart function worsens.
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Cardiomyopathy (Restrictive)
- Restrictive cardiomyopathy, the rarest form of cardiomyopathy, is a condition in which the walls of the lower chambers of the heart (the ventricles) are abnormally rigid and lack the flexibility to expand as the ventricles fill with blood. The pumping or systolic function of the ventricle may be normal but the diastolic function (the ability of the heart to fill with blood) is abnormal. Therefore, it is harder for the ventricles to fill with blood, and with time, the heart loses the ability to pump blood properly, leading to heart failure.
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Congestive Heart Failure
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