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Swollen ankles: causes and risks

Whether it is one-sided, sudden, painful, or accompanied by breathlessness or chest pain is especially important.

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Common possible causes

  • Prolonged standing, heat, or high salt intake
  • Venous insufficiency
  • A side effect of some medicines
  • Heart, kidney, liver disease, or a blood clot

What you can do now

  • Raise the legs above heart level when resting
  • Walk regularly and avoid long periods of sitting
  • Track weight, swelling, and any new medicines
  • Do not stop prescribed medicines without advice

When not to wait

  • Sudden one-sided swelling with pain or redness
  • Breathlessness, chest pain, or coughing blood
  • Rapidly increasing swelling or sudden weight gain
  • Swelling in pregnancy with headache or vision change

When to contact a clinician

New or persistent swelling needs medical review, especially with heart, kidney, or liver disease or after a medication change.

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The swelling is in one/both legs, started…, pain yes/no, redness…, breathlessness yes/no, and my medicines are….

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