12/13/2025
The 3 Types of Swelling — And How to Tell Them Apart
By Bianca Botha, CLT | RLD | MLDT & CDS – Lymphatica
Not all swelling is the same.
Not all puffiness is inflammation.
And not all heaviness is “water retention.”
Most women go through life trying to fix the wrong type of swelling — not because they made a mistake, but because no one ever taught them the difference.
But your body is incredibly intelligent.
Each type of swelling carries a different message, a different cause, and a different path to healing.
Let’s break this down gently, clearly and beautifully. 🌿✨
🔥 1. Inflammatory Swelling
This is swelling caused by your immune system.
It’s the body’s way of protecting, repairing or fighting something.
How it feels:
• warm or hot to the touch ♨️
• tender, sore or achy
• sometimes red or irritated
• can come with fatigue or brain fog
• pressure that increases when touched
Common causes:
• infection
• injury
• autoimmune activity
• food sensitivities
• emotional stress
• hormonal flares
What helps:
• calming inflammation (not pushing drainage too hard)
• warm meals
• gut support
• magnesium
• vagus nerve activation
• reducing inflammatory triggers
Inflammatory swelling says:
“Something needs soothing, safety and support.”
💧 2. Lymphatic Swelling
This is swelling caused by slow or stagnant lymph flow — not inflammation.
How it feels:
• softness rather than heat
• puffiness, fullness, heaviness
• swelling that moves or shifts during the day
• worse in the morning or after sitting
• pressure around the face, ribs or belly
• improved by movement or massage
Common causes:
• shallow breathing
• tight fascia around the ribs
• poor neck drainage
• stress + vagus nerve shutdown
• chronic inflammation that hasn’t been cleared
• digestive sluggishness
• heat or hormonal changes
What helps:
• lymphatic drainage
• deep breathing
• warm meals and hydration
• gentle movement
• opening the neck and diaphragm
• magnesium + electrolytes
Lymphatic swelling says:
“I want to move… but I’m stuck.”
🦵 3. Fluid Retention / Venous Swelling
This swelling is linked to circulation, veins, salt balance or hormones.
It is NOT the same as lymphatic swelling.
How it feels:
• tightness in the legs or ankles
• indentation when pressing the skin 🦶 (pitting)
• worsens with heat or standing all day
• vein visibility or heaviness
• may come with restless legs or nighttime discomfort
Common causes:
• hormonal fluctuations
• heat and summer months
• salt imbalance
• prolonged standing
• venous insufficiency
• certain medications
• pregnancy-related pressure
What helps:
• elevation of legs
• magnesium
• hydration
• compression (when appropriate)
• gentle walking
• lymphatic activation to support circulation indirectly
Fluid retention swelling says:
“Your circulation is tired and needs support.”
🌿 How to Tell Them Apart Quickly
🔥 If it’s warm, painful, red or tender → Inflammation
💧 If it’s soft, puffy, moves around, worse in mornings → Lymphatic
🦵 If it’s tight, in legs/feet, indents when pressed → Fluid retention / Venous
Your body is not confusing.
Your body is communicating.
Each type of swelling points to a different underlying story.
✨ A Beautiful Final Truth
You are not “swollen for no reason.”
You are not failing your healing journey.
Your body is wise, responsive and protective.
When you learn to listen —
you learn exactly how to support it.
Inflammatory swelling needs calming.
Lymphatic swelling needs flow.
Fluid retention needs circulation support.
And YOU need compassion, warmth and understanding along the way.
Your lymphatic system doesn’t just move fluid…
it moves your entire sense of safety and wellbeing. 🌿💛
Medical Disclaimer
This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always consult your healthcare provider before making changes to your diet, lifestyle or health regimen.
💧🌿 The 3 Types of Swelling — And How to Tell Them Apart
By Bianca Botha, CLT | RLD | MLDT & CDS – Lymphatica
Not all swelling is the same.
Not all puffiness is inflammation.
And not all heaviness is “water retention.”
Most women go through life trying to fix the wrong type of swelling — not because they made a mistake, but because no one ever taught them the difference.
But your body is incredibly intelligent.
Each type of swelling carries a different message, a different cause, and a different path to healing.
Let’s break this down gently, clearly and beautifully. 🌿✨
🔥 1. Inflammatory Swelling
This is swelling caused by your immune system.
It’s the body’s way of protecting, repairing or fighting something.
How it feels:
• warm or hot to the touch ♨️
• tender, sore or achy
• sometimes red or irritated
• can come with fatigue or brain fog
• pressure that increases when touched
Common causes:
• infection
• injury
• autoimmune activity
• food sensitivities
• emotional stress
• hormonal flares
What helps:
• calming inflammation (not pushing drainage too hard)
• warm meals
• gut support
• magnesium
• vagus nerve activation
• reducing inflammatory triggers
Inflammatory swelling says:
“Something needs soothing, safety and support.”
💧 2. Lymphatic Swelling
This is swelling caused by slow or stagnant lymph flow — not inflammation.
How it feels:
• softness rather than heat
• puffiness, fullness, heaviness
• swelling that moves or shifts during the day
• worse in the morning or after sitting
• pressure around the face, ribs or belly
• improved by movement or massage
Common causes:
• shallow breathing
• tight fascia around the ribs
• poor neck drainage
• stress + vagus nerve shutdown
• chronic inflammation that hasn’t been cleared
• digestive sluggishness
• heat or hormonal changes
What helps:
• lymphatic drainage
• deep breathing
• warm meals and hydration
• gentle movement
• opening the neck and diaphragm
• magnesium + electrolytes
Lymphatic swelling says:
“I want to move… but I’m stuck.”
🦵 3. Fluid Retention / Venous Swelling
This swelling is linked to circulation, veins, salt balance or hormones.
It is NOT the same as lymphatic swelling.
How it feels:
• tightness in the legs or ankles
• indentation when pressing the skin 🦶 (pitting)
• worsens with heat or standing all day
• vein visibility or heaviness
• may come with restless legs or nighttime discomfort
Common causes:
• hormonal fluctuations
• heat and summer months
• salt imbalance
• prolonged standing
• venous insufficiency
• certain medications
• pregnancy-related pressure
What helps:
• elevation of legs
• magnesium
• hydration
• compression (when appropriate)
• gentle walking
• lymphatic activation to support circulation indirectly
Fluid retention swelling says:
“Your circulation is tired and needs support.”
🌿 How to Tell Them Apart Quickly
🔥 If it’s warm, painful, red or tender → Inflammation
💧 If it’s soft, puffy, moves around, worse in mornings → Lymphatic
🦵 If it’s tight, in legs/feet, indents when pressed → Fluid retention / Venous
Your body is not confusing.
Your body is communicating.
Each type of swelling points to a different underlying story.
✨ A Beautiful Final Truth
You are not “swollen for no reason.”
You are not failing your healing journey.
Your body is wise, responsive and protective.
When you learn to listen —
you learn exactly how to support it.
Inflammatory swelling needs calming.
Lymphatic swelling needs flow.
Fluid retention needs circulation support.
And YOU need compassion, warmth and understanding along the way.
Your lymphatic system doesn’t just move fluid…
it moves your entire sense of safety and wellbeing. 🌿💛
Medical Disclaimer
This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always consult your healthcare provider before making changes to your diet, lifestyle or health regimen.