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General Medicine
प्रश्न #45418
42 दिनों पहले
335

Swelling in Feet and Hands After Long Sitting or Writing - #45418

Client_8fba58

I get Edema on my feet and ankles after sitting or standing for long. It disappears after long walks. I was writing for long yesterday and today morning my wrist and palms and fingers were swollen. It receded after a couple hours.

How long have you been experiencing swelling in your feet and hands?:

- More than 6 months

Do you notice any specific activities that trigger the swelling?:

- Sitting for long periods

How is your overall energy level during the day?:

- Moderate
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डॉक्टरों की प्रतिक्रियाएं

Dr. Garima Mattu
I am working in Ayurveda for about 2 years now, mainly around gynecological problems, which I honestly feel are way more common than most people realise. I see a lot of women struggling silently with issues like irregular periods, cramps that just don’t stop, mood swings, PCOS kind of symptoms... sometimes they come in after trying a bunch of stuff already n nothing really works long-term. That’s where I try to bring in a more rooted approach. I use a mix of Ayurvedic principles, dietetics (like food based on dosha & body type etc), and yoga therapy to manage these conditions. It’s not just about reducing pain during periods or balancing hormones—it’s more like trying to understand what’s causing the imbalances in the first place. I spend time trying to map the prakriti-vikriti profile and see how stress, food, daily habits are impacting the cycle. I don’t rush things, coz honestly healing isn't linear and doesn't follow some fixed timeline. And not everyone wants to jump into panchakarma straightaway either, right? Also pain management is a big part of my work. Whether it’s period cramps or pelvic pain, or even chronic stuff tied to digestion and fatigue, I look at how we can ease that naturally. Sometimes through simple things like castor oil packs, or subtle shifts in routine, other times I may recommend herbs or formulations. Yoga plays a huge role too, esp. when the body feels stuck or inflamed. Not gym-style yoga, more therapeutic.. breath n movement syncing with dosha correction, that kind of thing. To be honest, I’m still learning—Ayurveda’s depth is huge, and I feel like I’m just getting started. But what I do know is, when I see women begin to trust their own body’s rhythm again, that’s really powerful. Makes all the effort worth it. Even small relief matters. It's not perfect, sometimes things take longer, sometimes we need to adjust mid-way... but it's real.
42 दिनों पहले
5

1. What This Most Likely Is Your symptoms match dependent edema caused by: ✔ Poor blood and lymph circulation When you sit or stand too long, fluid pools in the lower legs and hands. ✔ Venous insufficiency (early stage) Not dangerous, but common. Walking improves venous pumping → swelling goes down. ✔ Weak lymphatic drainage Hands swell after writing because the lymphatic fluid cannot move properly during static posture. ✔ Mild inflammation due to repetitive strain (wrist swelling) Writing for long → small tendon inflammation → temporary swelling. ✔ Possibly low protein, low thyroid, or borderline anemia These can worsen swelling. ✔ If overweight → more pressure on veins Also increases edema. ⭐ 2. Serious conditions unlikely Because: Swelling disappears fully after walking No pain, redness, or heaviness No shortness of breath No heart/kidney symptoms But I will tell you what tests to do to confirm safety below. ⭐ 3. What You Should Do Immediately (Highly Effective & Simple) ✔ A. Movement every 30–45 minutes (MOST important) Set a timer. Stand, stretch calves + arms → 1 minute. This prevents 70–80% of swelling. ✔ B. Leg Elevation (10–15 minutes daily) Lie down → place legs on 2 pillows. This drains pooled fluid. ✔ C. Hand Relief After Writing Shake hands gently Wrist rotation exercises Keep wrist in neutral position (not bent upward or downward) ✔ D. Salt Awareness High salt = more water retention. Avoid packaged foods, chips, pickles. ✔ E. Hydration Drink 1.5–2 liters/day Low hydration → body holds fluid → more swelling. ⭐ 4. Ayurvedic Support (Safe & Effective) ✔ Punarnava Mandur 1 tablet twice daily after food → Reduces water retention → Improves kidney filtration (safe) → Helps ankle swelling ✔ Punarnavadi Kashayam (if available) 15 ml + 45 ml warm water, twice daily → Very good for edema ✔ Guggulu-based medicines Avoid unless prescribed for you specifically. ⭐ 5. Home Remedies That Work ✔ CCF Tea (Cumin + Coriander + Fennel) 1 tsp mixture boiled in 2 cups water Drink warm → Improves circulation → Reduces edema ✔ Warm water foot soak + Epsom salt 10 minutes → Good lymph drainage (Do NOT use if you have neuropathy or diabetes.) ⭐ 6. What Tests You Should Do (To Be Safe) These rule out hidden causes: ✔ Kidney function test (KFT) ✔ Liver function test (LFT) ✔ Thyroid profile (TSH, Free T4) ✔ CBC (to check anemia) ✔ Serum Albumin (low protein = swelling) ✔ Fasting Blood Sugar If all normal → your edema is mechanical/positional, not disease-related. ⭐ 7. When to Worry (Red Flags) Seek doctor immediately if you notice: Swelling does NOT go away Pain or warmth in calf Shortness of breath Sudden weight gain Only one leg swelling From your description, you do not show red flags.

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Swelling in the feet, hands, and ankles in scenarios like long sitting, standing, or writing, aligns with vata and kapha imbalance. When kapha dosha (associated with accumulation and retention) aggravates, fluid retention occurs. Vata, governing movement, may be obstructed — leading to poor circulation. Address these imbalances to alleviate symptom.

Relaxation of muscles can help maintain the proper balance of doshas. Begin with regular movement breaks during writing or sitting sessions, every 30-45 minutes, stand up and stretch for 5 mins. Include light yoga or stretching exercises that improve circulation and flexibility, vital for balancing vata dosha. Apanasana (Knees-to-Chest Pose) or Tadasana (Mountain Pose) can be easily done at home.

Swelling often correlate with high-salt intake and improper fluid balance. Reduce intake of salty or processed foods, focusing on foods that naturally balance vata and kapha. Favor warm, cooked, spiced meals over raw or cold items. Warm ginger tea before bedtime can enhance circulation and digestion.

Keep your agni strong by eating at regular intervals – not letting long periods pass between meals. This helps prevent any digestion-related edema.

Herbal support might assist fluid movement: Guggulu or punarnava, known for reducing swellings, may be beneficial. Consult a qualified Ayurvedic practitioner before starting any herbal regime to ensure it’s suitable for you.

Elevate the limbs using pillows while resting or sleeping, supporting the venous return to the heart. Avoid tight socks or wristbands that may hinder circulation.

In cases where swelling becomes more frequent or you experience other symptoms like shortness of breath or rapid weight gain, seek immediate medical care, as these might indicate a more serious underlying condition.

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