<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have noticed that my ankles and wrists are very swollen lately. What could be the reason for it?  <response>: Based on what you described, it is possible that you are experiencing symptoms of Juvenile rheumatoid arthritis. This is a type of arthritis that affects children and young adults, and can cause swelling and stiffness in the joints. 