What causes the feeling of swollen hands upon waking up in the morning?

Sep 29, 2024 Source: Cainiu Health
Disease description:

I have been waking up every morning with a feeling of hand swelling and weakness since last week, which makes me very uncomfortable. I would like to ask, what could be the reason for waking up with swollen hands in the morning?

Doctor's answer (1)
Dr. Yang Tiesheng

Possible causes of hand swelling upon waking in the morning mainly include:

1. Excessive water intake before bedtime, leading to fluid retention in the body, which may cause hand swelling.

2. Improper sleeping posture, with prolonged pressure on the arms, affecting blood circulation and causing poor blood return in the hands, resulting in a feeling of swelling.

3. Women during pregnancy may experience hand swelling due to hormonal changes.

4. Deficiency of nutrients such as protein, leading to reduced vascular colloid osmotic pressure and leakage of fluid from blood vessels into interstitial spaces, causing hand swelling.

5. Rheumatic diseases such as rheumatoid arthritis may cause joint swelling and pain, particularly evident upon waking in the morning.

6. Patients with cervical spondylosis may experience impaired hand blood circulation due to nerve root or vascular compression in the cervical spine, leading to hand swelling.

7. Kidney diseases such as nephritis and diabetic nephropathy may lead to reduced excretion of fluid due to impaired kidney function, potentially causing hand swelling.

If this symptom persists or occurs frequently, prompt medical attention is recommended.