Frequent Hand Swelling: Causes and Solutions - Family Medicine

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Swelling frequently occurs in the palms?


Doctor, my palms often experience swelling, and sometimes they feel like they are about to burst! What could be the reason for this?

Qianlan, 20~29 year old female. Ask Date: 2011/06/27

Dr. Chen Bozhang reply Family Medicine


Hello, dear user: You mentioned in your letter that your hands often swell and itch, sometimes feeling like they are about to burst.
There could be many possible causes for this.
Based on your description alone, without seeing the lesions on your hands, it is quite difficult to determine the exact cause.
I recommend that you visit a dermatology clinic or hospital outpatient department for a thorough examination by a physician to identify the underlying issue.
Best regards, Dr.
Chen Po-Chang, Department of Family Medicine, Keelung Hospital.

Reply Date: 2011/06/27

More Info


Frequent hand swelling can be a concerning symptom, and understanding its causes is crucial for effective management. Swelling in the hands can arise from various factors, including fluid retention, inflammation, injury, or underlying medical conditions. Here are some common causes and potential solutions for hand swelling:

Causes of Hand Swelling
1. Injury or Trauma: If you've recently injured your hands or wrists, swelling may occur as part of the body's natural inflammatory response. This can happen due to sprains, fractures, or even repetitive strain injuries.

2. Arthritis: Conditions such as rheumatoid arthritis or osteoarthritis can lead to joint inflammation, resulting in swelling, pain, and stiffness in the hands.

3. Fluid Retention: Conditions that cause the body to retain fluid, such as heart failure, kidney disease, or liver disease, can lead to swelling in the extremities, including the hands.

4. Allergic Reactions: Allergies to certain foods, medications, or environmental factors can cause localized swelling, including in the hands.

5. Infections: Infections in the hand or fingers can lead to swelling, redness, and pain. This may require medical attention to address the underlying infection.

6. Circulatory Issues: Poor circulation due to conditions like peripheral artery disease can lead to swelling in the hands and feet.

7. Hormonal Changes: Hormonal fluctuations, especially during menstruation or pregnancy, can cause fluid retention and swelling in various parts of the body, including the hands.

8. Lymphedema: This condition occurs when lymph fluid does not adequately drain, leading to swelling, often in the arms or legs.


Solutions and Management
1. Rest and Ice: If the swelling is due to an injury, resting the affected hand and applying ice can help reduce inflammation and swelling.

2. Compression: Using compression gloves or wraps can help manage swelling by providing support and reducing fluid accumulation.

3. Elevation: Keeping your hands elevated above heart level can help reduce swelling by promoting fluid drainage.

4. Hydration: Ensuring adequate hydration can help reduce fluid retention. Sometimes, paradoxically, drinking more water can help the body release excess fluid.

5. Dietary Adjustments: Reducing salt intake can help minimize fluid retention. A balanced diet rich in fruits, vegetables, and whole grains can also support overall health.

6. Medication: Over-the-counter anti-inflammatory medications (like NSAIDs) can help reduce swelling and pain. However, consult with a healthcare provider before starting any medication, especially if you have underlying health conditions.

7. Physical Therapy: If swelling is related to an injury or chronic condition, physical therapy may help improve mobility and reduce swelling through targeted exercises and modalities.

8. Medical Evaluation: If swelling persists or is accompanied by other symptoms (such as pain, redness, or warmth), it is essential to seek medical evaluation. A healthcare provider can perform necessary tests to determine the underlying cause and recommend appropriate treatment.


Conclusion
Frequent hand swelling can stem from various causes, and understanding these can help in managing the symptoms effectively. It’s important to monitor any accompanying symptoms and consult a healthcare professional if the swelling is persistent or worsening. Early intervention can lead to better outcomes and prevent potential complications. Always prioritize your health and seek professional advice tailored to your specific situation.

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