Why am I so swollen?

Swelling During PregnancySwelling is caused by fluid retention in the body during pregnancy. It is due to hormone changes in pregnancy and is common.

When it comes to pregnancy & swollen feet, it usually occurs in the feet/ankles and hands/wrists. It can also be noticed in the vulval area, in the face and the general body.

Historically, excessive swelling in pregnant women has been used as a sign of high blood pressure and preeclampsia though it usually does not indicate this. Also, preeclampsia often occurs without significant swelling.

Severe swelling usually gets worse in late pregnancy and can be even more marked immediately after delivery.

Fluid retention in the hands can result in carpal tunnel syndrome. This is due to fluid causing pressure on the median nerve as it travels through the carpal tunnel at the base of the hand. This may result in pain, weakness, tingling or numbness in the hand and wrist, radiating up the arm.

If you are noticing these symptoms when it comes to swollen ankles or hands, be sure to contact me or your doctor to rule out anything else such as high blood pressure, blood clots or irregular blood flow.

Swelling during pregnancy can also cause considerable discomfort and numbness.

Unilateral swelling can reflect a past injury to that region of the body, varicose veins or even venous thrombosis.

What can be done about swelling during pregnancy?

Any pregnancy swelling will settle once you have had your baby. It can get worse in the initial postnatal period and can take some time and occasionally months to go. With it settling you will typically produce more urine.

If you are still finding you are swollen, it is important to consult your doctor to determine ways to increase blood flow and to rule out the potential threat of a blood clot.

Please advise me especially if swelling is marked or unilateral so I can establish the cause and other health considerations.

If it is swelling of the feet/ankles then wear loose comfortable shoes. Sometimes only thongs can be worn and put your feet up to rest as much as possible.

There is no medical benefit in wearing tight stockings unless it makes you feel more comfortable. It is important to keep the blood flow moving to decrease the chance of blood clots. If you are worried about the chance of a blood clot, contact me today.

Swelling of the hands/wrists can result in your rings becoming tight, cutting into your fingers. Remove them before this is a problem. Occasionally a ring has to be cut off. This can be very upsetting especially if it is a wedding ring. 

Carpal tunnel syndrome symptoms are usually more severe first thing in the morning as you do not exercise your fingers while asleep and also due to gravity.

Simple Tips to Help Reduce Swelling During Pregnancy:

  • Elevation of the hands at night
  • Using your fingers
  • Leaving your hands in water for extended periods of time
  • Splints

Occasionally a surgeon will need to cut the band of tissue around the wrist overlying the median nerve to release the pressure on the nerve. For other swellings, nothing can be done, but be reassured it will end after the pregnancy.

Check out some of our other Frequently Asked Questions

If you have any pregnancy concerns or want to chat with me, get in touch today!

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