Thank you Irene , I didn't realize hand swelling was arthritis related ,My Dr. has checked for markers for swelling and inflammation but by the time I get blood work done the swelling is down , and when I see him it isn't right after I wake so I have taken pics to show the swelling when I go for my next physical this week . I was worried it was my heart ...and the hotness, only when I lay down , is just weird , it goes away after a half hr or so but very uncomfortable , I use a pillow in the freezer to help me fall asleep . but worried about what is causing it . It could be my menopause but I don't have any hot flashes during the day so didn't think that was what it is thank you for your response and sorry you are going through such pain . Blessings / @irene5