[61F] With burning sensation and swelling in feet

What might be happening

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

Burning and Tingling Sensation in Feet

• Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause burning, tingling, and redness in the feet. It can be caused by various factors, including diabetes, infections, and toxins, but since you don't have diabetes, other causes should be considered.
• Erythromelalgia: This is a rare condition that can cause redness, burning pain, and swelling in the feet and hands. It often worsens with heat and improves with cooling.

Swelling in Feet and Ankles

• Venous Insufficiency: This occurs when the veins in your legs have trouble sending blood back to your heart, leading to swelling, especially after standing or walking.
• Heart Failure: Given your history of arrhythmia and occasional shortness of breath, heart failure could be a concern. It can cause fluid retention, leading to swelling in the feet and ankles.

Occasional Chest Pain and Shortness of Breath

• Angina: This is chest pain caused by reduced blood flow to the heart. It can feel like gas pains and may be associated with shortness of breath.
• Gastroesophageal Reflux Disease (GERD): This can cause chest pain that feels like gas pains and is often mistaken for heart-related pain.

What you can do

Burning and Tingling Sensation in Feet

• Peripheral Neuropathy:

  • See a doctor: It's important to get a proper diagnosis. Your doctor may recommend blood tests, nerve conduction studies, or other tests.
  • Foot care: Keep your feet clean and dry, wear comfortable shoes, and avoid walking barefoot.
  • Pain management: Over-the-counter pain relievers like ibuprofen can help, but consult your doctor for appropriate medications.

• Erythromelalgia:

  • Cooling: Keep your feet cool by soaking them in cool water or using a fan.
  • Avoid triggers: Try to avoid heat and activities that worsen the symptoms.

Swelling in Feet and Ankles

• Venous Insufficiency:

  • Compression stockings: These can help reduce swelling and improve blood flow.
  • Elevate your legs: When sitting or lying down, elevate your legs to help reduce swelling.
  • Exercise: Regular physical activity can improve circulation.

• Heart Failure:

  • See a doctor: Given your history of arrhythmia and recent symptoms, it's important to consult a healthcare provider. They may recommend tests like an echocardiogram or blood tests.
  • Monitor symptoms: Keep track of your weight and any changes in swelling or shortness of breath.

Occasional Chest Pain and Shortness of Breath

• Angina:

  • See a doctor: It's crucial to get a proper diagnosis and treatment plan. Your doctor may recommend lifestyle changes, medications, or further tests.
  • Lifestyle changes: Quit smoking, eat a heart-healthy diet, and exercise regularly.

• GERD:

  • Dietary changes: Avoid foods that trigger symptoms, such as spicy or fatty foods.
  • Medications: Over-the-counter antacids or acid reducers can help, but consult your doctor for appropriate medications.

What you should look out for

Given the severity of some of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening chest pain
• Shortness of breath that worsens or occurs at rest
• Sudden or severe swelling in your feet or ankles
• Fainting or dizziness

Remember, while I can provide information and suggestions, it's important 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.