A member asked:

Hi doc.my wife is expecting twins in may this year.she has a problem of aching swollen feet and experiences abdominal pain sometimes.please explain?

4 doctors weighed in across 2 answers
Dr. Tarek Naguib answered

Specializes in Nephrology and Dialysis

Enlarging uterus: A bigger uterus may cause pain especially with baby kicking and moving. A twin uterus is naturally bigger than otherwise. Large uterus causes pressure on leg veins thereby decreasing blood return upwards to the heart. This causes leg swelling. It is very important to keep routine f/u with obstetrician and to update him/her on any complaints to rule out the chances of kidney disease of pregnancy.

Answered 2/20/2013

5.3k views

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Dr. Scott Koppel answered

Specializes in Podiatry

Support hose: The fetus can caused decreased venous return leading to lower limb swelling. Elevation of the feet above the heart and use of support hose (20-30mmhg) should help.

Answered 3/16/2013

5.2k views

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