What is water retention weight?
Water retention, also known as fluid retention or edema, is the abnormal buildup of fluids in the body. This causes swelling and a puffy appearance. Water retention occurs when excess fluid gets trapped in the body’s tissues. The most common places for water retention are the feet, ankles, hands, arms, face, abdomen, and legs. However, swelling and puffiness can occur anywhere in the body.
Some factors that can lead to water retention include:
- Eating too much salt or sodium
- Taking certain medications like NSAIDs, corticosteroids, hormonal birth control
- PMS or menstruation
- Pregnancy
- Sitting or standing for long periods
- Not moving enough or exercising regularly
- Heat exposure or hot weather
- Dehydration – not drinking enough water
- Kidney, liver, or heart problems
- Venous insufficiency – problems with blood circulation
In most cases, water retention is not serious and can be relieved with simple home treatments. However, chronic or severe edema may indicate an underlying medical issue that needs treatment.
What does water retention look like?
Here are some of the common signs and symptoms of water retention:
- Swelling in the hands, feet, ankles, or legs – This is often most noticeable in the feet and ankles after standing or sitting for a long time. Pressing on the skin will leave an indentation.
- A “puffy” appearance in the face, particularly around the eyes and cheeks
- Rings or watches feeling tighter than usual
- Skin that looks shiny and stretched
- Difficulty putting on shoes due to swollen feet
- Indentations or dimpling in the skin after pressing on swollen areas
- A heavy or bloated feeling in the legs, hands, or abdomen
The location of swelling and puffiness depends on the underlying cause. For example:
- Swelling due to a poor diet high in sodium tends to occur in the feet, ankles and legs.
- Medication side effects often cause generalized swelling all over.
- Pregnancy swelling is typically seen in the feet and lower legs.
- Premenstrual swelling occurs more in the abdomen, breasts and fingers.
The severity of water retention can range from mild, hardly noticeable puffiness to major swelling that causes tightness or discomfort. Mild swelling may be visible in the evenings but goes away after a night’s rest. More severe cases persist all day long.
What does mild water retention look like?
Mild or moderate water retention results in subtle swelling that is sometimes only noticeable after prolonged sitting or standing. Signs include:
- Slight puffiness or edema in the hands and feet – often more visible in the feet/ankles
- A mildly bloated appearance in the fingers, especially in the mornings
- The face may look a bit puffy or rounder than usual
- Clothes and shoes still fit, but feel a bit snugger than normal
- Rings are still comfortable but a little tighter than usual
- Watch band leaves a deeper indent on the wrist
- Mild indentation when pressing on the skin, but no pitting edema
Mild fluid retention is often only noticeable to the individual themselves. The swelling tends to get worse over the day and may be relieved by resting or sleeping overnight. Mild cases are generally not a cause for concern.
What does severe water retention look like?
With severe water retention, the swelling is very obvious and can be quite uncomfortable or painful:
- Visible swelling that is generalized or widespread throughout the body
- Clear swelling and “pitting” edema in the limbs – pressing firmly on the skin leaves a noticeable indentation that is slow to fill back in
- Distinct swelling, puffiness, and bloating of the abdomen
- Tight, swollen, shiny skin over the hands, feet, ankles, and legs
- Clothes, shoes, belts, and jewelry no longer fit properly due to swelling
- Reduced flexibility and mobility in the hands or limbs
- Extreme indentation or dimpling after pressing on the swollen skin
- A stretched, shiny, or leathery appearance to the skin
Severe edema is visible swelling that does not resolve overnight. It often signals an underlying medical condition causing fluid buildup and indicates the need for medical assessment.
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What causes water retention?
Some common causes and contributing factors for fluid retention include:
- Eating too much salt (sodium): Excess sodium causes the body to retain more water to dilute it. Processed and restaurant foods tend to be high in sodium.
- Sitting or standing for long periods: Remaining in one position for too long slows blood circulation, allowing fluid to pool in the tissues of the ankles and feet. Moving frequently helps prevent this.
- Warm weather and heat exposure: Heat causes the blood vessels to expand (vasodilation), allowing fluid to leak into the tissues. Cooler temperatures constrict the vessels.
- Medications: Drugs like NSAIDs, steroids, hormones, calcium channel blockers and antidepressants can cause retention as a side effect.
- Dehydration: When the body is low on fluids, it hangs on to any water it can find and reduces urine output. Drinking more water helps flush out excess sodium.
- Pregnancy: Hormones and circulation changes during pregnancy often lead to swelling in the legs and feet.
- PMS or menstruation: Hormonal shifts before a woman’s period promote fluid retention, bloating and breast swelling.
- being overweight or obese: Excess fatty tissue compresses blood vessels and promotes swelling in the limbs.
- Varicose veins: Damaged leg veins allow blood to pool, leading to swelling in the ankles and feet.
- Kidney disease: Impaired kidney function prevents proper fluid filtering and clearance.
- Heart failure: Weak heart function causes fluid back up and swelling in the legs and feet.
- Liver disease:Poor liver function impairs fluid regulation in the body.
- Lymphedema: Blocked lymph vessels leads to fluid accumulation.
Identifying and addressing the underlying cause is key to reducing chronic edema. Lifestyle changes and natural diuretics may help mild swelling, while medical treatment is needed for heart, kidney or liver disorders.
Face and Eye Swelling
Fluid retention can also occur in the face, causing puffiness around the eyes, cheeks, mouth and chin. Some common causes of facial swelling include:
- Allergies, hayfever or sinus issues
- Sensitivity and reactions to cosmetics
- Crying excessively
- Sleeping face down or on one side
- High salt intake leading to edema
- Spending too long in a reclined position
- Stress, exhaustion, hormone changes
- Dehydration from not drinking enough water
- Infections like pink eye or cellulitis
- Eye disorders such as glaucoma or conjunctivitis
- Low protein levels due to liver or kidney disease
Facial puffiness is often worse in the mornings after fluid has accumulated during sleep. Extra pillows to keep the head elevated while sleeping can help prevent this. Allergies, crying and pink eye often cause swollen eyes specifically. Seeking medical treatment is advised if the swelling is severe, persists, or occurs along with other symptoms.
Abdominal Swelling
Bloating or swelling in the stomach and abdominal area has some different causes than swelling in the limbs:
- Overeating or eating too fast
- Food intolerances like lactose or gluten
- Heartburn, gastritis or peptic ulcers
- Irritable bowel diseases like Crohn’s or ulcerative colitis
- Celiac disease
- Gastroparesis – delayed emptying of the stomach
- Bowel obstruction
- Ovarian cysts
- Uterine fibroids
- Menstruation and PMS
- Ascites – fluid accumulation in the belly
- Cirrhosis or liver disease
- Tumors or masses
- Peritoneal dialysis
Sudden severe abdominal swelling requires prompt medical care to look for serious conditions like tumors, ovarian torsion or bowel obstruction. Milder bloating from eating habits or menstrual cycles often goes away on its own. Identifying and avoiding trigger foods can help reduce recurrences.
When to See a Doctor
Mild occasional water retention does not require medical treatment in most cases. But see a doctor promptly for evaluation if you have:
- Sudden or severe swelling in the abdomen or one limb
- Swelling that occurs along with shortness of breath, chest pain, or confusion
- Swelling that does not improve with elevation and rest
- Pitting edema that persists for more than a few days
- Rapid weight gain over 2-3 days from fluid retention
- Swollen or stiff limbs that interfere with movement
- Swollen arms, face or tongue that could indicate an allergic reaction
- Other concerning symptoms like fever, dizziness, numbness or pain
Seek emergency care for excessive swelling during pregnancy or swelling with symptoms like fainting, chest pain, or trouble breathing that could indicate heart failure or preeclampsia. Let your doctor know about any medications, diet or lifestyle factors that could be contributing to fluid retention as well. With an accurate diagnosis, steps can be taken to prevent damaging complications of severe edema.
Treatments for Water Retention
Mild edema often resolves with simple home treatments:
- Reduce sodium intake
- Drink more water to improve fluid balance
- Elevate swollen limbs when resting
- Avoid long periods of standing or sitting
- Wear compression stockings to promote circulation
- Exercise regularly and lose excess weight if needed
- Eat more potassium-rich foods like bananas, spinach and beans
- Take over-the-counter diuretics to reduce fluid
Prescription diuretic medications (“water pills”) like furosemide are used for more severe cases of edema along with treating any underlying condition. For chronic leg swelling, options include compression pumps, fluid draining, skin loosening surgery, and vein ablation procedures.
Reducing dietary sodium, drinking plenty of water, staying active, and keeping the legs elevated help prevent mild water retention and swelling in the limbs. See a doctor if swelling is severe, comes on rapidly, or persists for more than a few days. Prompt treatment helps minimize complications of significant fluid buildup in the body.
Conclusion
Water retention causes visible swelling and puffiness in the face, limbs, hands, feet and abdomen. Mild cases result in subtle swelling that gets worse during the day and resolves with rest. Severe edema causes noticeable pitting, dimpling, tight or shiny skin, impaired mobility and indentation after pressing on the skin. While mild fluid retention will go away on its own, chronic or excessive swelling needs medical assessment to identify and properly treat the underlying cause. Lifestyle changes, compression garments, diuretics, and treating medical conditions can prevent and alleviate uncomfortable water weight.