Swelling in Legs and Ankles: Could It Be Your Heart?

  • Swelling (edema) in the legs or ankles may signal heart failure or circulation issues.
  • Causes include heart, kidney, liver, and vein problems.
  • Warning signs: swelling with breathlessness, weight gain, or fatigue.
  • Cardiologists use echocardiograms, ECGs, and blood work for diagnosis.Dr. Sunny Malhotra offers evaluation in Brampton, Mississauga, and Milton.

    Introduction

    Many people dismiss swelling in their ankles or feet as a sign of aging or long days on their feet. But persistent swelling—called edema—can be a sign of serious heart disease. At my cardiology clinics in Brampton, Mississauga, and Milton, patients often come in with swollen legs that reveal hidden heart failure or circulation problems.

    What Causes Leg Swelling?

    Heart-Related Causes
    Heart Failure: Weakened heart function causes fluid to build up in the legs.
    Right-Sided Heart Failure: Fluid backup leads to ankle and abdominal swelling.

    Non-Heart Causes
    Kidney disease (reduced fluid excretion).
    Liver disease (low protein levels).
    Venous insufficiency (leaky leg veins).

    Medication side effects (calcium channel blockers, NSAIDs).

    Warning Signs of Heart-Related Swelling
    Swelling that gets worse in the evening.
    Weight gain of more than 2–3 pounds overnight.
    Shortness of breath or waking up gasping.
    Fatigue and reduced exercise tolerance.

    Cardiologist Evaluation in Brampton, Mississauga, and Milton

    Tests may include:
    Echocardiogram: Checks heart function.
    Electrocardiogram (ECG): Detects rhythm problems.
    Blood tests: Kidney, liver, thyroid, BNP.
    Ultrasound of the legs: To check for clots or venous disease.

    Treatment Options

    Lifestyle: Reduce salt intake, elevate legs, compression stockings.
    Medications: Diuretics for fluid removal.
    Treating the root cause: Heart failure therapy, vein procedures, or kidney care.

    Conclusion

    Swollen legs or ankles may seem harmless but often reflect deeper health issues. Patients in Brampton, Mississauga, and Milton should schedule an evaluation with Dr. Sunny Malhotra for accurate diagnosis and relief.

    FAQ

    Q1: Can standing all day cause swelling?
    Yes, but persistent or worsening swelling should be checked by a doctor.

    Q2: Is swelling always heart failure?
    No, but it’s a major cause. Other organs like the liver and kidneys
    can also be involved.

    Q3: What foods worsen swelling?
    High-salt foods increase fluid retention.

    Q4: Should I see a cardiologist or family doctor first?
    A family doctor can start the work-up, but a cardiologist provides
    specialized testing and treatment.

    Q5: How do I book an appointment?
    Through www.drsunnymalhotra.com at Brampton, Mississauga, or Milton locations.

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