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Swollen Feet and Ankles? It Could Be Edema — A Warning Sign You Should Not Ignore

Swelling in your ankles or legs could be more than just tiredness. Dr. Nikhila Pachani explains how edema connects to heart health and when to see a doctor.

Swollen Feet and Ankles? It Could Be Edema — A Warning Sign You Should Not Ignore

Have you noticed your feet, ankles, or legs looking puffy or feeling heavy by the end of the day? Many people brush this off as tiredness or standing too long. But according to Dr. Nikhila Pachani, Consultant Interventional Cardiologist at Backbone Medicity Hospital, Rajkot, that swelling could be a condition called edema — and it deserves attention.

What Is Edema?

Edema is the medical term for swelling caused by fluid building up in the body's tissues. While mild swelling can happen for many harmless reasons, persistent or worsening swelling — especially in the lower limbs — can sometimes point to a problem with your heart, kidneys, or liver.

Why Does the Heart Cause Swelling?

When the heart is not pumping as strongly as it should — a condition known as heart failure — blood does not circulate efficiently. Fluid then starts to collect in the legs and ankles because of gravity. This is one of the most common signs that the heart is under stress.

How to Check for Pitting Edema at Home

There is a simple self-check you can try. Press firmly on the swollen area of your leg or ankle for a few seconds, then release. If a dent or "pit" remains, it is called pitting edema. This type of swelling is more likely to be linked to heart, kidney, or liver issues and should be evaluated by a doctor.

Warning Signs That Need Prompt Medical Attention

Do not wait if you notice any of the following:

  • Persistent swelling in the legs, ankles, or feet that does not go away with rest
  • Shortness of breath, especially when lying down or during light activity
  • Rapid weight gain over a short period (this can mean fluid is collecting inside the body)

These symptoms together are a strong signal that something may be wrong with the heart, and getting checked early can make a real difference.

What Should You Do?

Edema on its own does not always mean heart disease, but it should never be ignored when it keeps coming back or gets worse. A proper evaluation — which may include an ECG, an echocardiogram, or other tests — can help find the cause and guide the right treatment.


If you or a family member in Rajkot or anywhere in Gujarat are experiencing unexplained leg swelling, breathlessness, or sudden weight gain, please consult a qualified cardiologist at the earliest to get a proper diagnosis.

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