Pregnancy and bloating… hidden causes and simple solutions

During pregnancy, you may be surprised by swelling of the hands and feet or a feeling of numbness and tingling, especially in the second and third trimesters. Despite the discomfort, these symptoms are often normal as a result of physiological changes that accompany the growth of the fetus.

Why does bloating happen?
• Fluid retention: The volume of blood and fluids increases to support the fetus, causing swelling that intensifies with prolonged standing and at the end of the day.
• Uterine pressure: hinders the return of blood from the legs to the heart, so fluids accumulate in the feet and ankles.
• Hormones: The walls of the vessels relax, causing fluids to leak into the tissues.

When is it normal and when is it worrying?
• Normal: Gradual, mild to moderate swelling in the hands and feet, relieved by resting and elevating the feet.
• Worrying: Sudden swelling of the face or hands, severe headache, change in vision, high blood pressure, or severe pain—and here you need to see a doctor immediately for possible complications such as preeclampsia.

Factors that increase it: pregnancy with twins, hot weather, prolonged sitting/standing, and excessive salt.

How do you relieve bloating?
• Elevate your feet when sitting or sleeping.
• Do moderate activity, such as walking.
• Drink enough water and reduce salt.
• Wear comfortable clothes and shoes.
• Alternate between sitting and standing, and avoid prolonged standing.

Postpartum: Bloating often gradually subsides over a few weeks as fluid balance returns.

Bloating is common and normal in pregnancy, and can be managed with simple measures, but any sudden or severe symptoms require prompt medical evaluation.