When is swelling dangerous

Swelling in the ankles, feet or legs often goes away on its own. Talk to your GP if it doesn't get better in a few days.

Causes of swollen ankles, feet and legs

Swelling in the ankles, feet and legs is often caused by a build-up of fluid in these areas, called oedema.

Oedema is usually caused by:

  • standing or sitting in the same position for too long
  • eating too much salty food
  • being overweight
  • being pregnant
  • taking certain medicines – such as some blood pressure medicines, contraceptive pills, antidepressants or steroids

Oedema can also be caused by:

  • an injury – such as a strain or sprain
  • an insect bite or sting
  • problems with your kidneys, liver or heart
  • a blood clot
  • an infection

Read about swollen ankles, feet and fingers in pregnancy

Symptoms of oedema

Symptoms of oedema include:

When is swelling dangerous
Swollen or puffy ankles, feet or legs

When is swelling dangerous
Shiny, stretched or red skin

Swelling in your ankles, feet or legs should go away on its own. But there are some things you can try to help.

  • lie down and use pillows to raise the swollen area when you can

  • get some gentle exercise, like walking, to improve your blood flow

  • wear wide, comfortable shoes with a low heel and soft sole

  • wash, dry and moisturise your feet to avoid infections

  • do not stand or sit for long periods

  • do not wear clothes, socks or shoes that are too tight

  • the swelling is only in 1 ankle, foot or leg and there's no obvious cause, such as an injury
  • the swelling is severe, painful or starts very suddenly
  • the swollen area is red or feels hot to the touch
  • your temperature is very high, or you feel hot and shivery
  • you have diabetes
  • it has not improved after treating it at home for a few days
  • it gets worse

Treatment for swelling or oedema that does not go away on its own depends on the cause.

It may include lifestyle changes, such as losing weight or going on a low-salt diet.

Content supplied by the NHS and adapted for Ireland by the HSE

When is swelling dangerous
This project has received funding from the Government of Ireland’s Sláintecare Integration Fund 2019 under Grant Agreement Number 123.

Taking a Closer Look at Edema

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Swelling in the body can happen for many reasons. Summer heat can cause your arms or legs to swell if you’ve been sitting or standing for a while. Body parts can also swell from overuse or an injury. But sometimes, swelling is a sign of an underlying medical condition.

More than half your body is made of water. Much of it flows around in your bloodstream. Water also makes up a lesser-known fluid called lymph. Lymph travels through the lymphatic system, which is made up of the tissues and organs that produce, store, and carry immune cellsCells that protect your body from invading viruses, bacteria, and other microscopic threats..

When your body fluids build up in one place, it can lead to swelling. This is called edema. You can get edema anywhere in your body—your feet, legs, ankles, hands, or even face. It can appear in one place or in many body parts at the same time.

Sometimes it’s only temporary. Pregnancy can lead to swelling in the legs and ankles from the pressure of the baby. Eating too much salt can cause you to retain water. So can certain medications, like some used for high blood pressure.

“Edema can cause problems with moving around, discomfort, infections, and difficulty with wound healing,” says Dr. Dhruv Singhal, a surgeon who treats lymph system problems at Harvard University. “So any kind of swelling should be looked at by a health care provider.”

Edema may be a sign of a serious medical condition. A dangerous type of blood clot called a deep vein thrombosis, or DVT, can cause sudden edema. Heart, liver, or kidney problems can also lead to swelling.

In a disease called congestive heart failure, the heart has problems pumping blood around the body. This can cause fluid to pool in the legs. With liver or kidney damage, fluid can’t pass through them quickly and can build up in the limbs.

Trauma to the body can also trigger edema. Singhal treats a type of edema caused by damage to the lymphatic system. This is called lymphedema. In the U.S., lymphedema is most often caused by cancer surgery.

Treatment for edema depends on the cause. If the swelling is caused by a drug, switching to a different type of medication may help. People with edema caused by a blood clot usually receive a blood thinner to break up the clot. Drugs called diuretics may be used for conditions like heart failure. These help your body get rid of excess fluid.

“We also have certain treatments that almost all patients get, no matter what the cause of their edema is,” Singhal says. These include compression garments: stockings, sleeves, or gloves that help reduce swelling. They can help reduce discomfort even if the cause of edema is something that can’t be treated. See the Wise Choices box for more tips for living with edema.

If you experience sudden swelling in one or more limbs, or minor swelling that’s getting worse over time, see a health care provider right away. Early treatment for many types of swelling can reduce symptoms in the long term, Singhal explains.

Swelling in the ankles, feet or legs often goes away on its own. See a GP if it does not get better in a few days.

Swelling in the ankles, feet and legs is often caused by a build-up of fluid in these areas, called oedema.

Oedema is usually caused by:

  • standing or sitting in the same position for too long
  • eating too much salty food
  • being overweight
  • being pregnant
  • taking certain medicines – such as some blood pressure medicines, contraceptive pills, hormone therapy, antidepressants or steroids

Oedema can also be caused by:

Symptoms of oedema include:

When is swelling dangerous
Swollen or puffy ankles, feet or legs.
When is swelling dangerous
Shiny or stretched skin.
When is swelling dangerous
Changes in skin colour, discomfort, stiffness and dents when you press on the skin.

Swelling in your ankles, feet or legs should go away on its own, but there are some things you can try to help.

  • raise your legs or the swollen area on a chair or pillows when you can

  • get some gentle exercise, like walking, to improve your blood flow

  • wear wide, comfortable shoes with a low heel and soft sole

  • wash, dry and moisturise your feet to avoid infections

  • do not stand or sit for long periods of time

  • do not wear clothes, socks or shoes that are too tight

1 or both of your ankles, foot or legs are swollen and:

  • it has not improved after treating it at home for a few days
  • it gets worse

  • you have swelling in 1 ankle, foot or leg and there's no obvious cause, such as an injury
  • the swelling is severe, painful or starts very suddenly
  • the swollen area is red or feels hot to the touch
  • your temperature is very high, or you feel hot and shivery
  • you have diabetes and your feet, ankles or legs are swollen

You can call 111 or get help from 111 online.

  • you feel short of breath or are struggling to breathe
  • your chest feels tight, heavy or painful
  • you're coughing up blood

You could have a blood clot in your lungs, which needs immediate treatment in hospital.

Treatment for swelling or oedema that does not go away on its own will depend on the cause. Your GP can help you with the right treatment.

Speak to your GP about making, lifestyle changes, such as losing weight or going on a low-salt diet.

Page last reviewed: 18 January 2022
Next review due: 18 January 2025