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Swelling is caused by fluid buildup in the tissues. Gravity pulls the fluids to your feet and ankles, causing them to swell. Swelling can be caused by a serious condition of the kidney, heart, liver or blood vessels. Some other causes of swelling are:
Quick Answer. Causes of swollen ankles or feet include congestive heart failure, pregnancy, injury to the ankle or foot, kidney disease and sitting or being on one's feet for a long time, according to WebMD. If the person's ankles swell in the evening, it could also be a sign the body is retaining salt. Continue Reading.