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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. By appointment from ₦5,000.

DVT ruled out same dayKidney + heart assessedDoppler scan availableBy appointment · 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

By appointment 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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