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Swollen AnklesPainless swelling of the ankles and feet is a common problem, particularly among older adults. Other possible causes include hormonal or salt imbalances, congestive heart failure, kidney disease, premenstrual syndrome, varicose veins, extensive burns or sunburn, generalized gonorrhea infection, injury, and insect bites or stings. A number of medications also can cause swollen ankles, including antidepressants, calcium channel blockers, chemotherapy agents, replacement estrogen or testosterone, oral contraceptives, and tamoxifen (Nolvadex). Ankles swell when fluid moves from the capillaries into the surrounding tissue and stays there. If you squeeze a swollen ankle, the fluid will move out of the affected area, and a deep impression may be made that can last for a few moments. In addition to the ankles, the calves or even the thighs may be affected. Herbal treatments for swollen ankles work over a period of three to six months. Other treatments, such as support stockings, can produce results in three to six weeks, which are then stabilized by the use of herbs. You should call a health-care provider immediately if swollen ankles are accompanied by shortness of breath, chest pain, difficulty speaking, inability to urinate, weight gain of more than six pounds (three kilograms) in three days or less, or an unusually slow or fast heartbeat. Supplements and herbs
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