Welcome to JA and thanks for this question, Im sorry to hear about your symptoms. Now swollen ankles can be due to a number of conditions. Now since you do get this swelling more so after standing for periods of time or at the end of the day then it is likely that these are due to vascular insufficiency. This is a condition in which there are weakened valves inside the veins of the lower legs, when you stand or exert yourself more, the blood flow from the veins in the legs decreases due to the weak valves which in turn causes the blood to stay inside them for a prolonged period of time. this will cause the fluid to be pushed out and thus cause the swelling. The diagnosis is made with the help of a simple clinical examination and also with doppler ultrasound of the legs. The treatment is with compression stockings and with surgery in severe cases.
Another cause of this could be related to the heart. It is possible that the heart is weakened which leads to increased amount of blood staying behind in the chambers as a result of which there is increased back pressure on the veins in the legs which would again cause the fluid tp move out into the legs. This can also cause shortness of breath on exertion, shortness of breath on lying down at night, occasional chest pain, sweating etc. This can occur slowly over time and patients with hypothyrodiism are more prone to develop this problem. The diagnosis would be made with the help of a simple echocardiogram of the heart and then treated with various medications.
Development of swelling like this in the feet can also be a consequence of loss of proteins from the body which can be via the urine or the stools. This can be diagnosed with blood tests as well as testing the urine and the stool as well. This usually indicates an underlying problem with the kidney or the liver.
But in your case i think the problem is likely to be with the veins, and a doppler ultrasound of the legs should be able to diagnose the problem. If needed a complete metabolic profile including blood and urine tests should also be done here.
Do you have any more questions?
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