Heat
In summer, a rise in the outside temperature is sometimes enough to cause slight swelling of the feet and ankles. For some people, this swelling is barely noticeable. For others, it becomes clearly visible as soon as the weather turns hot or after spending a few hours outdoors. Heat is therefore the most immediate cause, or at least the factor that makes the problem more noticeable.
Prolonged standing or sitting
Remaining stationary for long periods also contributes to swelling. The calf muscles normally act as a pump to help venous blood flow back up. When this muscular pump is not working effectively, fluid is more likely to pool in the lower limbs. This is a common occurrence after a long day on one’s feet, a car journey or a flight.
Venous insufficiency
Some people have less efficient venous return. This is known as venous insufficiency, meaning that the veins have difficulty properly returning blood to the heart. Heat can exacerbate this condition and increase the sensation of heavy legs, as well as swelling in the feet and ankles. In this case, heat is not the sole cause. It reveals or exacerbates an underlying circulatory weakness.
Pregnancy
During pregnancy, swelling of the feet and ankles is common, especially later in pregnancy and towards the end of the day. This is caused by an increase in blood volume, hormonal changes and pressure on the venous return. Heat can exacerbate this discomfort. When the swelling is gradual and moderate, it is often nothing to worry about. However, a sudden or marked increase requires closer attention.
Certain medicines
Several medicines can contribute to oedema of the feet or ankles. The NHS specifically mentions certain antihypertensive treatments, contraceptives, hormone treatments, certain antidepressants and corticosteroids. In this situation, heat can make the swelling more noticeable, without necessarily being the main cause.
Lymphoedema
Lymphoedema is an accumulation of fluid linked to an abnormality in the lymphatic system, that is, the network responsible for draining fluids from the body. The swelling is therefore often more persistent, sometimes more asymmetrical, and is not merely a case of summer discomfort. This condition requires specific treatment.
Certain medical conditions
Swollen feet may also be associated with heart, kidney or liver disease, thyroid disorders or other systemic conditions. In these cases, heat may exacerbate the symptom, but is not the underlying cause. This is why persistent or unusual swelling, or swelling in conjunction with other symptoms must be assessed with due care.