<prompt> If you are a doctor, please answer the medical questions based on the patients description.My father 84 year old suddenly has very swlloen ankles. his serum bilirubin total 1.23 mgdl, bilirubin direct 0.51 mgdl, bilirubin indirect is 0.72 mgdl serum urea 21.00 mgdl. Does he have jaundice?? Why is his feet and ankles both feet swelling so much? the swelling is painless  <response>: Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. The bilirubin levels farewell within normal limits only. So your father is not having any jaundice. As far as the leg swelling is considered, there are a number of different conditions which can cause it - which include heart disease, liver disease, kidney disease, varicose veins etc. These conditions cause painless swelling. You can discuss with his doctor about these possibilities. I hope that answers your question. Regards. 