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Swelling in the extremities is often caused by idiopathic edema or excess salt consumption. Swollen hands and feet are commonly caused by idiopathic edema, which is usually not serious. Swollen hands may be a sign of heart disease. Prolonged periods of physical inactivity may cause swollen hands and feet. Reducing salt consumption, for example, eliminating salty snacks can aleviate swelling.
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.