Doctor insights on:
Poor Circulation While Pregnant
I am 5 months pregnant and my legs have been getting red & blotchy. Could this be from poor blood circulation?
Increase circulation: The most common cause of this is that during pregnancy there is an increase in your blood circulation. Many times there are small vlood vessels in the skin that become more open (dilated) and cause areas of the skin to appear red. If you press on these areas you will usually see the area turn white (blanching). There are other possible causes so you should have your OB physician evaluate this.See 1 more doctor answer
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Pregnant pressure: By pressure, I gather you meant your legs being swollen. If you think about the location of the vein draining your leg, then imagine your steadily growing baby sitting on those veins draining your legs while you are lying on your back. That is why you have to lie down on your side to roll your growing baby off of those veins to allow them to drain your legs without any inhibition.
No pulses: Generally, you can feel pulses in the wrist and foot on the up surface of the ankle. If you have pulses in your extremities, you do not have poor circulation. If you don't have pulses, you may have poor circulation, but whether something should be done about it depends on whether you are having other problems.
Numbness, pain, etc.: Many times, there are no symptoms at first. As this progresseses, one may notice numbness, and tingling in an extremity, and might need to dangle it over a chair or the side of a bed if it is a leg. If one walks, things like claudication or pain in the calves might occur which is relieved by rest. Ultimately, it gets to where pain occurs at rest, and later the limb can become ischemic, etc.
Ankle Brachial Index: When interpreted by an experienced physician, the ankle brachial index (abi) along with toe pressures and arterial waveforms is the best noninvasive indicator of poor circulation. In fact, decreased abi is a predictor of death, heart attack, and stroke and is a good way to identify people with vascular disease who may benefit from lifestyle change and medical treatment. See your doctor.
Complicated question: Poor? How do you know? Are there blockages? Spasm? Cold feet? Answer depends on underlying condition, .
Higher risk of death: Poor circulation, as defined by a decreased ankle brachial index (abi), a test easily performed in the office by your doctor, increases the risk of death, heart attack, and stroke. The good news is that once diagnosed, medical management and lifestyle changes can help. The most important lifestyle change is to quit smoking immediately.
Sort of: Poor circulation is frequently caused by peripheral artery disease. In peripheral artery disease, the vessels can have chunks of cholesterol like substance hanging from their walls. When one of these breaks off, it can cause an embolism. This is just one of many reasons why we treat peripheral disease.
Spasm vs obstruction: Poor circulation is a general term but commonly refers to arterial insufficiency due to vessel obstruction which is most commonly atherosclerotic disease. Raynaud's is a condition of sympathetic disfunction that causes excessive and prolonged small vessel contraction.
Deconditioning: Severe deconditioning can be associated with these findings.
Rephrase: Don't get your question could you rephrase?
Location?: This depends on where the swelling is located. Also on what is meant by "poor circulation". Arterial blockages may need to be opened up with surgery or angioplasty. Vein problems can be managed in a variety of ways. Recommend evaluation by vascular specialist.
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