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Swelling (Edema)

Swelling in the feet, ankles or face can have many causes — the kidneys are an important one to check properly.

Medically reviewed by the RIIMS nephrology team · Last updated: June 2026

When does swelling point to the kidneys?

When kidneys cannot remove enough salt and water, or when protein is leaking into urine, fluid collects in the tissues — typically feet and ankles by evening, or around the eyes in the morning. Heart, liver and vein problems can also cause swelling, so the right tests matter: kidney function, urine protein, and a careful history.

Symptoms to watch for

  • Swollen feet or ankles, worse by evening
  • Puffiness around eyes in the morning
  • Tight rings or shoes
  • Sudden weight gain
  • Reduced or foamy urine
  • Breathlessness when lying flat (seek care promptly)

How RIIMS approaches it

  • Identify the true cause — kidney, heart, liver or medication
  • Report-based kidney work-up: creatinine, eGFR, urine protein
  • Salt, fluid and diet guidance that fits Indian meals
  • Treatment of the cause, with honest monitoring

When to consult a kidney doctor

Swelling that persists, recurs, or comes with foamy urine, high BP or breathlessness should be evaluated without delay.

Medical disclaimer: Information on this site is for awareness only and does not replace medical consultation. Treatment depends on doctor evaluation and patient reports. RIIMS does not promise guaranteed cure or recovery.

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