[43F] With difficulty bending toes and numbness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Difficulty Bending Toes, Numbness, and Tingling

1. Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness, tingling, and weakness in your feet. It can be associated with diabetes, but other causes include vitamin deficiencies, infections, and exposure to toxins.
2. Peripheral Artery Disease (PAD): Reduced blood flow to your extremities can cause pain, numbness, and difficulty moving your toes. This is often due to atherosclerosis (narrowing of the arteries).

Thick and Hard Toenails

1. Fungal Infection (Onychomycosis): This is a common cause of thickened toenails and can be treated with antifungal medications.
2. Psoriasis: This skin condition can also affect the nails, causing them to become thick and hard.

Shortness of Breath with Minimal Activity

1. Heart Failure: Given your history of an enlarged heart, it's possible that your heart is not pumping efficiently, leading to fluid buildup and shortness of breath.
2. Chronic Obstructive Pulmonary Disease (COPD): This condition can cause shortness of breath and is often related to smoking or long-term exposure to lung irritants.

What you can do

Difficulty Bending Toes, Numbness, and Tingling

• Peripheral Neuropathy:
  • Ensure you are getting enough vitamins, especially B vitamins.
  • Avoid alcohol and maintain a healthy diet.
  • Consult a doctor for a thorough evaluation and possible nerve conduction studies.
• Peripheral Artery Disease (PAD):
  • Engage in regular, moderate exercise like walking.
  • Avoid smoking and manage cholesterol levels.
  • Consult a doctor for a vascular assessment.

Thick and Hard Toenails

• Fungal Infection:
  • Keep your feet clean and dry.
  • Use over-the-counter antifungal treatments.
  • Consult a doctor for prescription medications if over-the-counter treatments are ineffective.
• Psoriasis:
  • Moisturize your nails and avoid nail trauma.
  • Consult a dermatologist for specialized treatments.

Shortness of Breath with Minimal Activity

• Heart Failure:
  • Limit salt intake to reduce fluid retention.
  • Monitor your weight daily to track fluid buildup.
  • Consult a cardiologist for a comprehensive evaluation and management plan.
• COPD:
  • Avoid smoking and exposure to lung irritants.
  • Engage in pulmonary rehabilitation exercises.
  • Consult a pulmonologist for a detailed assessment and treatment plan.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Sudden worsening of shortness of breath or chest pain.
• Severe pain, swelling, or redness in your toes or feet.
• Significant changes in your balance or coordination.
• Any new or worsening symptoms.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.