### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I m a woman in her late thirties. I am experiencing significant (obvious) swelling in my feet, ankles and calves almost every day. It goes away overnight (while I am asleep in bed) but seems to show up again every evening. I also experience puffiness in my face. I am overweight but not obese, and I walk at least 1.5 miles every day. My Grandmother has congestive heart failure (has had it a long time) and she began getting symptoms like this in her thirties. Do you think that is my future as well?

### output:

Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on Chat Doctor. We can't be sure that these symptoms you are experiencing now indicate heart failure without doing some examinations. Usually swollen ankles and feet are found in heart congestive failure, but in these cases, feet and ankles are more swollen in the evening and less in the morning. Kidney problems, diabetes, thyroid problems etc., may lead to similar symptoms. So to determine the real cause of these concerns I would recommend you to do some examinations to let us know more about your health.- Blood pressure monitoring-Blood sugar and lipids-Urine test, proteinuria- Liver enzymes, and kidney function indicators (creatinine, urea)- ECG-Heart ultrasound examination and cardiologist consultation doctor may ask for more examinations if he sees reasonable. After we get these results well be able to determine your condition and treat it accordingly. Feel free to ask us again on this website. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards! Chat Doctor. 