Foot injury - advice? {It’s a blood clot}

Caffeine is a diuretic, although i think it hydrates me more than it dehydrates me. I’m drinking decaf these days, though, so i bet my coffee works like water. But i also bet it varies a little by person.

That being said, if your doctor wants you to drink water, try to drink as much water as he recommends.

(If you add up my numbers, I’m pretty sure I’m above 40oz just with water. Because i enjoy drinking water.)

You might want to shop for a brand of water or a filter that makes your water taste good to you.

One reason i drink a lot of water with meals is feel like it helps me digest my food.

I don’t mind tap water any more than bottled. It’s just super boring. But I’ll choke it down if it keeps me out of the hospital.

Alcohol is the only beverage that will cause net dehydration.

I not saying you shouldn’t follow your doctor’s advice, but I will say I stay well hydrated even though I never drink plain water.

And I’m sure my tea is a net increase in hydration. I’m told that the critical distinction between small beer (about 3% alcohol, iirc) and stronger drink is that small beer hydrates you.

In the Netherlands among the young folks, there is this weird fashion for drinking bottles which release a perfume that make it seem as though your water is flavoured even if it isn’t. It’s quite expensive and I personally like plain water, but if it helps you drink more, you might look into it. Let me see if I can find them for you.

Here it is!

That’s just one quart and one cup of water. I drink more than that each day. When I had my first gout attack the doctor told me I had to stop drinking beer. I told her that wasn’t going to happen. I read about over hydrating and have been chugging water ever since.

Excellent! There is a reason our bodies react the way they do, and you do need to discover the cause so that you can address that, too. You’re out of my doghouse, now. LOL

I can’t find the article now (of course), but apparently the dehydrating effects of alcohol are a bit overblown. IIRC, it was something like drinking 5 12 oz beers is approximately the same as 4 12 oz glasses of water. You’ll pee a lot if you drink that much beer, but the water will get you peeing also.

Of course, pounding shots is a different matter entirely, and the alcohol in the beers of course has other effects on your body.

I don’t remember the exact cut-off between the %alcohol that will hydrate or dehydrate you, but I bet that number exists.

Well, shit. I just heard from a distant aunt that my mother’s brother David (deceased) had blood clots in his leg similar to mine. I guess I should contact the hematologist with this info and see what he wants to do. :confused:

Well, bummer. But someday you may be very glad you got this info from her.

I have to admit I winced a bit when you said you weren’t going to see the doc again until March. That seems an awfully long way off when you don’t have a whole boatload of answers.

Maybe it’s just me… so many people I know have died from medical shit (as opposed to accidents or in wartime)… it does tend to make you super vigilant.

I think alcohol has a much stronger effect than that. This article is written in the context of exercise, but most of what it has to say applies whether you’re exercising or not.

The dehydrating effects of caffeine are way overblown if you regularly consume it. Alcohol has long lasting effects due to its interference with the body’s own anti-diuretic, vasopressin, and other, less well understood, effects.

@squeegee

I want to ask about the steroid cream use. Did the doc tell you to use it every day? I ask because they have modified the recommendation for corticosteroids two weeks of use and then two weeks off, due to side effects of constant use, including a lessening of effectiveness. You might want to double-check with either the doctor or the pharmacist.

The change is helping me control my skin issues much better than constant use did.

I wasn’t given very specific instructions. Basically “as needed for itching”, which means I don’t use it daily, just when I can’t stand the itchiness, which may mean at 2am because I can’t sleep. Last time I used it was on Sunday and today is Tuesday. That said, thanks for the tip. If it seems I need to keep using it, I’ll circle back with the doctor. My cream is .1% Triamcinelone.

And you either wear gloves or wash your hands really well after applying it, right?

That. It’s a gel, doesn’t like to come off, but I persevere.

Interesting. I’d never heard of ones with zippers.

A big thing is to get ones that fit your legs. I’m someone who cannot buy boots, because my legs are so, er, substantial. But if you look at the stockings, they come in different sizes based on your calf size. They also come in different pressures, depending on your needs.

I found that wearing mine all day was not a problem - tried them for the first time last December when we drove 500 miles. Before I got those, I had made the mistake of trying a pair of crew-height socks - which were worse than nothing. They lasted about an hour before I had to yank them off.

There are Youtube videos on how to put the damn things on - that make it look a lot easier than I’ve found them to be, but I suspect it’s a matter of practice.

Re your job (you’re in a similar line of work to my own): could you benefit from a sit-to-stand desk arrangement? No clue whether standing is any better for your situation than sitting. I tried working while standing a couple years back, and was surprised that my leg muscles got sore at the end of the day, for a bit - I guess I was doing more work with them than I thought.

Re the steroid: as noted, overuse is not great. Use enough and it CAN have a systemic effect, and it can also thin the skin (which is likely not helpful). Doesn’t sound like you’re overdoing it though.

You might want to use the cream a little more, not just when it’s unbearable. I find if i use it for a couple of days, it can give my skin time to heal. I agree with intermittent use, but you might try using it for a few days, and then going off it until the itching bothers you again.

I was reading back through the thread, looking for something, and came across this. You know, no doctor or NP I saw actually did this test on me when I was seeking a diagnosis. At the time you wrote that post I was in severe pain and probably breezed right past it, but apparently you were totally on the right track way back in August, and my doctors were not (yet).