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Why is my left ankle swollen but not my right ankle

I have noticed that most days my left ankle is swollen whilee my right ankle is perfectly normal. I am 47yrs old, male smoker 6' 300lbs but other wise very strong and in good health. I also noticed that the swelling is not affected by temperature, walking or other activities. There are also times when there is no swelling at all and no apharent change in activity. I am not taking any medication of any kind and do not drink any alcohol. I am fairly active and move around quite a bt during the normal day, I would not condiser myself sedate at all.
In someone your age who is suffering from swelling of just one leg, the first and most important thing is to make sure you are not suffering from a blood clot in the leg, called a deep vein thrombosis. Both your age and weight put you at risk for this and, even more importantly, smoking greatly increases your risk. It is important to sort this out, as a blood clot in the leg can be dangerous, as it can break free and lodge in the lungs (called a pulmonary embolism), resulting in trouble breathing. I suggest showing this as soon as possible to your primary care doctor, who may decide to perform an ultrasound of the leg to look for a blood clot. If a blood clot is ruled out, then other possibilities would include trouble with your heart, which usually causes swelling in both legs but can occasionally mostly affect one leg, trouble with dilated varicose veins in the leg leading to swelling, or an inflammation of one of the joints in the foot or ankle (such as gout). Regardless, the first and most important step is to call your doctor and set up an appointment to determine if further testing is needed.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under ZocDoc’s Terms of Service.

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