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Vascular Health · Leg Swelling · Akoka

Swollen Legs in Lagos?
Find the Cause — Some Are Urgent.

Swollen ankles and legs can be benign (heat, prolonged standing) or serious (DVT, heart failure, kidney disease). At Mascot Healthcare, Akoka, we assess leg swelling systematically — blood tests, urine for protein, and venous Doppler scan where indicated. Walk-in from ₦5,000.

DVT ruled out same dayKidney + heart assessedDoppler scan availableWalk-in · Akoka, Lagos

Causes of Leg Swelling in Lagos

Deep vein thrombosis (DVT) — most urgent

One-sided leg swelling, warmth, and redness after travel, surgery, pregnancy, or prolonged immobility — DVT until proven otherwise. A venous Doppler scan at Mascot Healthcare confirms or excludes DVT the same day. Anticoagulation is started immediately if confirmed.

Bilateral swelling — systemic causes

Both legs swollen (bilateral pitting oedema) points to a systemic cause: heart failure (most common in hypertensive Nigerians), kidney disease (nephrotic syndrome — urine protein test is the key test), liver disease (cirrhosis — low albumin), or nutritional (protein deficiency). Blood tests and urine protein distinguish these.

Varicose veins and chronic venous insufficiency

Incompetent leg vein valves allow blood to pool — causing visible varicose veins, ankle swelling, skin discolouration, and leg aching. A venous Doppler scan grades the severity and guides management.

Lymphoedema

Non-pitting swelling — the skin does not indent on pressure — suggests lymphatic rather than venous cause. May follow surgery, radiotherapy, infection, or be primary (congenital).

Heat-related and positional

Mild bilateral ankle swelling at the end of a hot Lagos day, or after prolonged standing, is often benign and resolves with leg elevation. Persistent or one-sided swelling warrants investigation.

⚠️ Go to A&E immediately if leg swelling is accompanied by: Chest pain, shortness of breath, or coughing blood — these may indicate a pulmonary embolism (blood clot in the lungs).
Questions

FAQs

When is a swollen leg an emergency?
A swollen leg is urgent when it is: one-sided, warm, and red after a period of immobility (DVT); accompanied by chest pain or breathlessness (pulmonary embolism); or in a pregnant woman. Come in the same day or go to A&E if severe.
How is DVT diagnosed?
A venous Doppler ultrasound scan of the leg is the definitive test for DVT — it shows whether blood is flowing normally in the deep veins or whether a clot is present. At Mascot Healthcare, we perform this scan and start anticoagulation the same day if DVT is confirmed.

Get Your Leg Swelling Assessed Today

Walk-in at Mascot Healthcare, Akoka. DVT assessment + Doppler scan available. From ₦5,000.

Consultation
₦5,000
Doppler scan
Available
DVT excluded
Same day

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