Health
Ask a doctor: 'Why are my hands swelling and what should I do about it?'
If you notice your hands are swelling, it could be both uncomfortable and unsettling, but in most instances the cause could be situational — caused by factors such as temperature, exercise, diet, medications you’re taking or certain health conditions.
You may notice your rings aren’t fitting correctly, among other things.
To find out more about the condition, Fox News Digital asked two doctors what causes hand swelling and what can be done to treat it.
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Here’s what you need to know.
What causes hand swelling?
Most commonly, hand swelling is due to fluid buildup in the soft tissue.
“Soft tissue swelling, or edema, is not always a cause for concern, and can occur with weather changes or fluid shifts in the body,” said Amy Kehl, M.D., RhMSUS, a board-certified rheumatologist with Saint John’s Physician Partners in Santa Monica, California.
Most patients observe some degree of soft tissue swelling or edema with hot weather and with exercise, according to Kehl.
Fluid shifts can also occur with too much salt intake, she noted, which can lead to increased hand or foot swelling, she said.
“Certain medications can contribute to soft tissue swelling in the hands or feet.”
“Additionally, certain medications, such as blood pressure medications like amlodipine; steroids such as Prednisone or Medrol; or hormone treatments, can contribute to soft tissue swelling in the hands or feet,” Kehl added.
What are the more serious causes of hand swelling?
If a person notices an increase in hand or foot swelling that is not reversible or intermittent — or if the hand swelling is also accompanied by leg swelling with marked elevations in blood pressure or shortness of breath — medical attention should be sought, Kehl said.
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A person “should ensure they have had proper medical evaluation to assess both kidney and cardiac function, as hand or foot swelling can be an indicator of kidney dysfunction, protein loss in the urine, or cardiac dysfunction,” she cautioned.
“Your doctor may order tests to assess your kidney function, urine studies or, in some cases, an echocardiogram.”
Diuretics may be needed to remove the excess fluid if it is related to cardiac dysfunction, she said.
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Another possible cause of fluid build-up is lymphedema, which can occur if the patient has had surgery, such as a lymph node resection for breast cancer treatment, according to Kehl.
“This may be treated with local lymphatic drainage treatments, arm elevation, compression sleeves and exercise,” the doctor said.
“Patients should seek medical attention right away if new and asymmetric swelling and pain develops.”
Individuals should also be cognizant of other symptoms.
“Certainly, if the hand swelling is associated with joint pains, this may indicate an underlying inflammatory arthritis, such as rheumatoid arthritis or psoriatic arthritis,” Kehl told Fox News Digital. “Again, an examination may be warranted to distinguish soft tissue swelling from articular or joint swelling.”
Patients should also be aware if the swelling is asymmetric.
“This can be a sign of something more serious, such as a blood clot, and patients should seek medical attention right away if new and asymmetric swelling and pain develops,” Kehl warned.
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If a patient notices hand swelling in association with facial or lip swelling, this warrants immediate medical attention, she said.
What are some ways to reduce hand swelling?
If the hand swelling is deemed to be due to “benign causes,” this is typically reversible, Kehl noted.
“For instance, to reduce hand swelling after exercising, elevating the hands and performing arm circles may be helpful to increase the blood flow to the hands,” she said.
Similarly, it may be necessary to review your medication list with your medical provider to identify any pharmaceutical culprits.
“Typically, with discontinuation of the offending medication, the swelling should subside,” Kehl said.
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Diet should also be monitored.
“Staying well-hydrated can help keep fluids circulating.”
Maintaining the proper balance of salt and water is important, and reducing salt intake and following a low-sodium diet may be advisable for some patients, the expert noted.
Lifestyle changes, such as movement, can also be incorporated to help alleviate the swelling.
“Stretch both arms up, move your hands and wrists, and make fists several times,” Beth Oller, M.D., a family physician with Rooks County Health Center in Stockton, Kansas, told Fox News Digital.
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Running your hands under cool water may help, she said, and taking off jewelry or constricting clothes while exercising can also help prevent swelling due to temperature changes.
“Staying well-hydrated can also help keep fluids circulating,” Oller added.
Pregnancy is another common cause of swelling. In that case, Oller said that moving the extremities can help.
“If swelling in pregnancy occurs suddenly or is extreme, talk to your physician immediately, as this can be a symptom of elevated blood pressure,” she also said.
For more Health articles, visit www.foxnews.com/health.
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Health
One state leads country in human bird flu with nearly 40 confirmed cases
A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).
As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).
This represents more than half of the human cases in the country.
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The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.
The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.
The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.
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It is not yet known how the child was exposed to the virus and an investigation is ongoing.
“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release.
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“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.”
Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks.
“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.
Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.
“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”
As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).
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In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.
Health
Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.
“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”
For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.
The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.
It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”
A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.
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