[60F] Experiencing severe foot pain and cold sensation with discoloration

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Peripheral Artery Disease (PAD)

• Rationale: PAD occurs when the arteries that supply blood to your limbs become narrowed or blocked. Symptoms can include pain, numbness, and a cold sensation in the affected limb, even if it feels warm to the touch. The reddish-purple color and hard texture of your foot, along with the pain extending up your leg, are also consistent with PAD.
• Typical Treatments/Testing: Diagnosis often involves a physical exam, blood tests, and imaging studies like an ultrasound or angiography. Treatment may include lifestyle changes, medications to improve blood flow, and possibly surgical interventions.

Diabetic Neuropathy

• Rationale: Given your prediabetic status, diabetic neuropathy is a possibility. This condition involves nerve damage due to high blood sugar levels and can cause pain, numbness, and a cold sensation in the feet and legs.
• Typical Treatments/Testing: Diagnosis usually involves a physical exam, blood tests, and nerve function tests. Treatment focuses on managing blood sugar levels, pain relief, and lifestyle changes.

Deep Vein Thrombosis (DVT)

• Rationale: DVT is a blood clot that forms in a deep vein, usually in the legs. Symptoms can include swelling, pain, and a change in color of the affected limb. The hard texture of your foot and the pain extending up your leg could be indicative of DVT.
• Typical Treatments/Testing: Diagnosis often involves a physical exam, blood tests, and imaging studies like an ultrasound. Treatment typically includes blood thinners and sometimes surgical intervention.

What you can do

Peripheral Artery Disease (PAD)

• Seek Medical Attention: It's crucial to see a healthcare provider as soon as possible for a proper diagnosis and treatment plan.
• Lifestyle Changes: Quit smoking, as it can worsen PAD. Engage in regular physical activity and maintain a healthy diet.
• Medication: Your doctor may prescribe medications to improve blood flow and manage symptoms.

Diabetic Neuropathy

• Blood Sugar Management: Work with your healthcare provider to manage your blood sugar levels effectively.
• Pain Management: Over-the-counter pain relievers may help, but consult your doctor for specific recommendations.
• Foot Care: Regularly check your feet for any sores or injuries and keep them clean and dry.

Deep Vein Thrombosis (DVT)

• Seek Immediate Medical Attention: DVT can be life-threatening if the clot travels to your lungs, causing a pulmonary embolism.
• Medication: Your doctor may prescribe blood thinners to prevent the clot from growing.
• Compression Stockings: These can help reduce swelling and improve blood flow.

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 Increase in Pain or Swelling: This could indicate a worsening of your condition.
• Shortness of Breath or Chest Pain: These could be signs of a pulmonary embolism, which is a medical emergency.
• Changes in Skin Color or Temperature: If your foot becomes significantly colder or changes color, seek immediate medical attention.

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