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Hot Feet at Night During Pregnancy - Causes and Treatment

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Pregnant women commonly experience hot feet at night due to certain reasons. Read this article to know about its causes and the ways to manage this condition.

Written by

Dr. Vineetha. V

Medically reviewed by

Dr. Daswani Deepti Puranlal

Published At June 15, 2023
Reviewed AtJune 15, 2023

Introduction

There are a lot of physical changes pregnant women experience during their pregnancy time. One of the most common symptoms a pregnant woman may encounter is having hot feet at night. While this may be uncomfortable and frustrating, it is usually not a cause for concern.

What Causes Hot Feet at Night During Pregnancy?

Hot feet at night during pregnancy are primarily caused by hormonal changes, increased blood volume, and weight gain, all of which can cause swelling and reduce circulation in the legs and feet.

  • Hormonal Changes: As the body produces more hormones to support a growing baby, this can lead to changes in body temperature and how one perceives temperature changes. During pregnancy, these significant hormonal changes in the body can affect the circulatory system. The hormone progesterone, which is responsible for relaxing the muscles in the uterus to accommodate the growing fetus, can also relax the blood vessels in the legs, leading to decreased blood flow and increased fluid retention.

  • Increase in Blood Volume: The growing uterus puts pressure on the veins in the pelvis, which can further reduce circulation and cause swelling in the legs and feet. The increased blood volume compounds this pressure during pregnancy, which puts additional strain on the circulatory system. This can lead to an increase in body temperature, which can cause feet to feel warmer than usual.

  • Increase in Body Weight: Weight gain during pregnancy can also contribute to hot feet at night. Excess weight puts pressure on the feet and causes them to become swollen and uncomfortable.

What Are Conditions That Cause Hot Feet?

There are several conditions that can cause hot feet, including:

  • Peripheral Neuropathy: This is a condition that damages the nerves that carry messages from the brain and spinal cord to the rest of the body, particularly the feet and legs. Diabetes is one of the most common causes of peripheral neuropathy.

  • Hypothyroidism: This is a condition in which the thyroid gland does not produce enough thyroid hormones, which can lead to a range of symptoms, including hot feet.

  • Athlete's Foot: This is a fungal infection that affects the skin on the feet, causing itching, burning, and redness.

  • Raynaud's Disease: This is a condition that causes the blood vessels in the fingers and toes to narrow, reducing blood flow to these areas. This can cause the feet to feel cold, and then hot and tingling as blood flow returns.

  • Medications: Certain medications can cause hot feet as a side effect, such as antidepressants, blood pressure medications, and antibiotics.

  • Menopause: Women going through menopause may experience hot flashes, which can cause the feet to feel hot and uncomfortable.

  • Kidney Disease: Chronic kidney disease can cause hot feet due to neuropathy, a type of nerve damage that affects the nerves in the feet and legs. When the kidneys are not functioning properly, toxins can build up in the body, leading to nerve damage.

What Are the Common Foot Conditions During Pregnancy?

Pregnant women may experience a range of other foot and leg symptoms during pregnancy. Some of the most common include:

  • Swelling: Swelling, also known as edema, is a common symptom during pregnancy, particularly in the feet and ankles. This is caused by increased fluid retention and reduced circulation in the lower extremities.

  • Varicose Veins: Varicose veins are swollen, twisted veins that can appear blue or purple in color. They are caused by the increased pressure on the veins in the pelvis during pregnancy, which can lead to weakened vein walls and valves.

  • Leg Cramps: Leg cramps, or sudden spasms or tightening of the muscles in the legs, can be common during pregnancy. The exact cause of leg cramps is not well understood, but they may be related to changes in circulation and nerve function.

  • Flat Feet: During pregnancy, a woman's body weight increases considerably, and the distribution of the weight gain is different from other forms of weight gain. This increased weight and pressure on the feet can cause the foot's arch to flatten out and result in over-pronation (a condition where the feet roll inward while walking). Flattening of the arches in their feet, which can cause discomfort and pain.

  • Plantar Fasciitis: This condition occurs due to inflammation of plantar fascia. The Plantar fascia is a long, thin ligament that lies on the bottom of the foot. It is the common cause of heel pain and stiffness. It can be caused or exacerbated by weight gain and changes in foot mechanics during pregnancy.

  • Ingrown Toenails: Ingrown toenails occur when the edge of the toenail grows into the skin surrounding the nail. They can cause pain, redness, and swelling. Ingrown toenails can be more common during pregnancy due to hormonal changes that can cause the nails to become thicker and more brittle.

What Are the Ways To Alleviate Hot Feet at Night During Pregnancy?

Several steps can take to alleviate this symptom. Some of these include:

  • Stay Hydrated: Drinking plenty of water throughout the day can help regulate body temperature and prevent hot feelings of feet at night. Additionally, staying hydrated can help improve circulation and reduce swelling.

  • Wear Breathable Clothing: Choose loose-fitting clothing made of breathable fabrics like cotton or bamboo. This can help regulate body temperature and prevent feet from feeling too warm.

  • Elevation of Feet: Elevating feet while sleeping can help improve circulation and reduce swelling, alleviating hot feet. To elevate feet, prop them up on a pillow or cushion.

  • Use a Fan or Air Conditioning: Keeping the bedroom cool with air conditioning can help regulate body temperature and prevent hot feet. Using a fan or opening a window to create a breeze also helps to maintain room temperature.

  • Practice Good Sleep Habits: Developing good sleep habits, such as avoiding caffeine and electronics before bed and sticking to a regular sleep schedule, can help improve sleep quality and reduce hot feet.

  • Use Compression Socks: Wearing compression socks during the day can help improve circulation and reduce swelling, alleviating hot feet at night.

  • Massage Feet: Massaging can help improve circulation and reduce swelling. Use a tennis ball or rolling pin to massage the soles of the feet and the tops of the toes.

  • Soak Feet in Cool Water: Soak the feet for around 20 minutes before bed in a basin filled with cool water. Soaking feet in cool water can help reduce swelling and alleviate hot feet.

Conclusion

Hot feet usually resolve on their own after childbirth as the body returns to its pre-pregnancy state. Some women may experience foot or leg discomfort after delivery, but this usually improves with proper care and treatment. It is important for pregnant women experiencing hot feet to discuss their symptoms with their doctor to rule out any underlying medical conditions that may be causing the discomfort. Hot feet at night during pregnancy can be managed effectively with lifestyle changes and home remedies.

Frequently Asked Questions

1.

Describe the Hot-Foot Syndrome

Hot foot syndrome is an ailment seen in pregnant women mainly due to poor circulation and fluid retention. The foot feels hot and sore and is extremely painful. Comfortable footwear and foot massage can help to relieve a hot foot syndrome.

2.

How Is Hot-Foot Syndrome Treated?

Compression socks can help relieve pain and make the foot comfortable during the day. It helps to improve circulation and reduce swelling and fluid retention in the foot. Massaging the foot also helps to improve the circulation, reducing the swelling.

3.

Can Hot Feet Be a Symptom of Cardiac Issues?

Heart issues can cause fluid retention in the extremities. When cholesterol and other fatty materials get clogged in the blood vessels, it can cause poor blood supply to the legs. It results in pain, fatigue, discomfort, or aches in the foot muscles.

4.

Do Hot Feet Exist?

Hot feet during pregnancy are a temporary condition. It can be relieved by a foot massage or a warm compression. It occurs due to poor blood supply and fluid retention.

5.

What Causes the Burning and Warmth in One’s Feet at Night?

Heat and warmth in feet during pregnancy can result from poor circulation and fluid accumulation. In others, it can be a sign of an infection or fatigue. In people with chronic diabetes, it can be due to nerve damage.

6.

How Can Burning Feet Be Managed at Night?

Soaking the feet in cold water can be relieving. A warm compress helps to improve circulation, thereby easing hot feet. Massaging the foot can also help to improve circulation.

7.

Which Foot Pain Is Critical?

A pin in the foot accompanying a fall or injury might require attention to check for any fractures or sprain. A wound in the leg with pus oozing can be a matter of concern. Difficulty walking or inability to bear weight in the legs can also be concerning.
Dr. Daswani Deepti Puranlal
Dr. Daswani Deepti Puranlal

Obstetrics and Gynecology

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