Edema refers to swelling due to fluid buildup in bodily tissues. It is common in the skin but can affect the brain, lungs, and other organs.
There are different causes and types of edema. For example, pulmonary edema affects the lungs, while pedal edema causes swelling in the feet.
Edema usually starts slowly, but the onset can be sudden. It is a common condition, but it can also be a sign of a serious condition.
This article will explain what edema is and how to recognize it, as well as the different types of and treatments for edema. It will also look at possible complications of the condition.
Edema refers to
It most often occurs in the skin, especially in the hands, arms, ankles, legs, and feet. However, it can also affect the muscles, bowel, lungs, eyes, and brain.
Symptoms depend on the underlying cause, but swelling, tightness, and pain are common.
A person with edema may also notice:
- swollen, stretched, and shiny skin
- skin that retains a dimple after a few seconds of pressure
- puffiness of the ankles, face, or eyes
- aching body parts and stiff joints
- weight gain or weight loss
- decreased urine production
- fuller hand and neck veins
- visual anomalies
Symptoms can also depend on the type of edema a person has and which part of the body it affects.
There are many types of edema. Each one can indicate a range of further health conditions.
- Peripheral edema: This affects the feet, ankles, legs, hands, and arms. Symptoms include swelling, puffiness, and difficulty moving certain body parts.
- Pulmonary edema: This occurs when excess fluid collects in the lungs, making breathing difficult.
- Cerebral edema: This occurs in the brain. It can happen for a range of reasons, many of which are potentially life threatening. Symptoms include:
- neck pain or stiffness
- whole or partial vision loss
- changes in consciousness or mental state
- Macular edema: This is a serious complication of diabetic retinopathy. Swelling occurs in the macula, which is the part of the eye that enables detailed, central vision. The person may notice changes to their central vision and how they see colors.
- Pitting edema: With this type, which can occur in peripheral edema, pressure applied to the skin leaves an indent or pit in the skin.
- Periorbital edema: This refers to inflammation and puffiness around the eye or eyes. The puffiness is due to fluid buildup and is usually temporary.
Edema can occur in other locations as well, but those mentioned above are the most common.
There are many other
If one or both of the lower chambers of the heart cannot pump blood properly, blood can accumulate in the limbs, causing edema.
Kidney disease or kidney damage
The body of a person with a kidney disorder may not be able to eliminate enough fluid and sodium from the blood. This puts pressure on the blood vessels, which causes some of the liquid to leak out. Swelling can occur around the legs and eyes.
Cirrhosis affects liver function. It can lead to changes in the secretion of hormones and fluid-regulating chemicals and reduced protein production. This causes fluid to leak out of the blood vessels into surrounding tissue.
Cirrhosis also increases pressure within the portal vein, which is the large vein that carries blood from the intestines, spleen, and pancreas to the liver. Edema can occur in the legs and abdominal cavity.
Certain medications can also
- vasodilators, which are drugs that open blood vessels
- calcium channel blockers
- nonsteroidal anti-inflammatory drugs
- some chemotherapy drugs
diabetes drugs, such as thiazolidinediones
During pregnancy, the body releases hormones that encourage fluid retention. The body also retains more sodium and water than usual. The face, hands, lower limbs, and feet may swell.
When a person rests in a reclined position during pregnancy, the enlarged uterus can press on a vein known as the inferior vena cava. This can obstruct the femoral veins, leading to edema.
During pregnancy, the blood clots more easily. This can increase the risk of deep vein thrombosis (DVT), which is another potential cause of edema.
A number of
- consuming too much salt (in people who are susceptible to developing edema)
- malnutrition, wherein edema can result from low protein levels in the blood
- a low intake of vitamin B 1, B 6, and B5
Some complications of diabetes include:
- cardiovascular disease
- acute renal failure
- acute liver failure
- protein-losing enteropathy, which is an intestinal condition that causes protein loss
These complications, and certain
Diabetic macular edema is the swelling of the retina in diabetes.
Conditions affecting the brain
Some causes of swelling in the brain include:
- Head injuries: A blow to the head may result in an accumulation of fluids in the brain.
- Stroke: A major stroke can result in brain swelling.
- Brain tumors: A brain tumor will accumulate water around itself, especially as it builds new blood vessels.
Some foods and insect bites may cause edema of the face or skin in people who have allergies or sensitivities to them. Severe swelling can be a symptom of anaphylaxis.
Swelling in the throat can close a person’s airway, so they cannot breathe. This is a medical emergency.
Problems with the extremities
Some extremity-related causes of edema include:
- blood clots
- varicose veins
- cysts, growths, or tumors
Some other possible causes of edema include:
Edema can indicate one of many health conditions. These can range in severity, so it is important for a person to check with a doctor if they notice any unexplained swelling. Accurate and timely diagnosis of the underlying cause can help improve health outcomes.
Diuretics are a type of medication. They help eliminate excess fluid by increasing the rate of urine production by the kidneys. Different types work in different ways.
A doctor will recommend a specific treatment plan for macular edema, pulmonary edema, and other types of edema.
A person with edema could also try wearing compression garments and doing specific exercises to help.
Untreated edema can lead to:
- painful swelling, with pain that gets worse
- stiffness and difficulty walking
- stretched, itchy skin
- infection in the area of swelling
- scarring between the layers of tissue
- poor blood circulation
- loss of elasticity in the arteries, veins, and joints
- ulcerations on the skin
Any underlying condition needs medical treatment to prevent it from becoming more serious.
Some self-care techniques can help reduce or prevent edema.
- reducing salt intake
- losing weight, if appropriate
- getting regular exercise
- raising the legs when possible to improve circulation
- wearing supporting stockings
- not sitting or standing still for too long
- getting up and walking about regularly when traveling
- avoiding extremes of temperature, such as hot baths
- dressing warmly in cold weather
A masseuse or physical therapist may help remove the fluid by stroking firmly in the direction of the heart.
Oxygen may be useful for treating some types of edema. For example, an individual with cardiogenic pulmonary edema may need additional oxyge n if they have difficulty taking in enough.
Edema occurs when fluid builds up in the body. This causes swelling, which can sometimes be painful.
There are several potential causes of edema, including pregnancy, heart failure, liver disease, and certain medications. The treatment a person receives will depend on the cause.