[33F] Pregnant with left leg/foot swelling and pain

Patient Description

A 33-year-old female, currently pregnant and expected to deliver in late December 2024, reports experiencing extreme swelling and pain in her left leg and foot for almost 2 days. The swelling is described as puffy and has developed gradually. The pain is particularly pronounced when walking.

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Arora's Assessment

What might be happening

Based on the information you’ve provided, there are a few potential explanations for your symptoms:

  1. Deep Vein Thrombosis (DVT): This is a serious condition where a blood clot forms in a deep vein, usually in the leg. Pregnancy increases the risk of DVT due to changes in blood flow and pressure on the veins. Symptoms include swelling, pain, and redness in the affected leg. DVT is a medical emergency because the clot can travel to the lungs, causing a life-threatening condition called a pulmonary embolism.

  2. Preeclampsia: This is a pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys. Swelling, especially in the legs, can be a symptom. Preeclampsia usually occurs after 20 weeks of pregnancy but can develop earlier.

  3. Normal Pregnancy-Related Swelling: Some swelling in the legs and feet is common during pregnancy due to increased blood volume and pressure on the veins. However, significant pain and one-sided swelling are less typical and warrant further evaluation.

What you can do

  1. Seek Immediate Medical Attention: Given the potential seriousness of your symptoms, it is crucial to get evaluated by a healthcare professional as soon as possible. You should visit an emergency room or contact your obstetrician immediately. If you experience shortness of breath, chest pain, or if the swelling and pain worsen, call 911 or have someone drive you to the hospital.

  2. Avoid Prolonged Sitting or Standing: Try to keep moving and avoid sitting or standing for long periods. Elevate your legs when possible to help reduce swelling.

  3. Stay Hydrated: Drink plenty of water to help reduce swelling and improve circulation.

  4. Wear Compression Stockings: These can help improve blood flow in your legs and reduce swelling. However, consult your healthcare provider before using them.

Remember, while I can provide information based on your symptoms, I am not a doctor. It is essential to seek care from a real health professional to receive a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the symptoms of Deep Vein Thrombosis (DVT) during pregnancy?

Symptoms of DVT during pregnancy include swelling, pain, and redness in one leg, often accompanied by warmth in the affected area. The pain may worsen when walking or standing. DVT is a medical emergency and requires immediate medical attention.


How can preeclampsia affect pregnancy and what are its symptoms?

Preeclampsia can lead to high blood pressure and damage to organs such as the liver and kidneys. Symptoms include severe headaches, changes in vision, upper abdominal pain, and significant swelling, especially in the face and hands. It can pose serious risks to both mother and baby if not managed properly.


Is swelling in the legs and feet normal during pregnancy?

Some swelling in the legs and feet is common during pregnancy due to increased blood volume and pressure on the veins. However, significant pain and one-sided swelling are less typical and should be evaluated by a healthcare professional.


What immediate actions should be taken if experiencing severe leg swelling and pain during pregnancy?

If experiencing severe leg swelling and pain during pregnancy, it is crucial to seek immediate medical attention. Visit an emergency room or contact your obstetrician. Avoid prolonged sitting or standing, elevate your legs, stay hydrated, and consider wearing compression stockings after consulting with a healthcare provider.


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