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Swollen feet or ankles? Blood tests that check kidneys, liver and more

Mild ankle swelling after long standing, travel or in hot weather is common and usually goes down overnight. Swelling that stays, leaves a dent when pressed, or also appears around the eyes in the morning may come from the kidneys, liver, heart or thyroid. Blood and urine tests help your doctor see which organ needs attention.

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Tests to ask about

Kidney function test (KFT)

Creatinine and urea show if kidneys are removing fluid and waste properly.

₹220 Book Details
Urine routine / microalbumin

Protein in urine is an early sign of kidney trouble.

₹180 Book Details
Liver function test with albumin

Low albumin from liver or kidney disease causes swelling.

₹790 Book Details
Thyroid profile (T3, T4, TSH)

Low thyroid can cause puffiness and swelling.

₹1,200 Book Details
Complete blood count (CBC)

Severe anaemia can strain the heart and add to swelling.

₹330 Book Details

Common reasons doctors look for

  • Long sitting or standing, heat, or high salt intake
  • Kidney problems – often with puffiness around eyes and frothy urine
  • Liver disease – low albumin lets fluid leak into tissues
  • Heart weakness – often with breathlessness on lying down
  • Underactive thyroid
  • Varicose veins, or a clot in one leg

How to prepare

Kidney, liver, thyroid and CBC need no fasting. For urine tests, give a fresh morning mid-stream sample. If lipid profile or fasting sugar is included, fast 10–12 hours.

When to see a doctor

Go to a hospital immediately if swelling comes with breathlessness, chest pain, or coughing up frothy or pink sputum. Sudden painful swelling of one leg can be a blood clot and needs urgent care. Swelling with very little urine also needs a doctor quickly.

Swelling in Feet & Legs – FAQs

Which test is done for swelling in feet?

Commonly kidney function (creatinine, urea), urine routine for protein, liver function with albumin, thyroid and CBC. Your doctor may also check your heart.

Can kidney problems cause swelling?

Yes. When kidneys leak protein or cannot remove extra water, swelling of feet and face is common.

Is swelling in one leg different?

Yes. Swelling, pain and redness in only one leg can be a clot in a vein and needs prompt medical attention.

Does diabetes matter here?

Diabetes is a leading cause of kidney disease. If you have diabetes, your doctor may ask for HbA1c and a urine microalbumin test too.

This page is general information, not medical advice or a diagnosis. Please talk to a doctor about your symptoms.

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