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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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My left foot is swollen and has many small red dots..start of the toes

Resolved Question:

My left foot is swollen and has many small red dots on it as well as being darker at the start of the toes.
Submitted: 6 years ago.
Category: Medical
Expert:  Dr Basu replied 6 years ago.
Chat Conversation Started
Mysticdoc :

Hi,

Mysticdoc :

Thanks for your question.

Mysticdoc :

How long you have this problem going on?

Mysticdoc :

Have you seen your doctor for this?

Mysticdoc :

Any tests done?

Mysticdoc :

Do you have any other medical condition?

Mysticdoc :

Do you take any medication?

Customer:

Swelling off and on for awhile

Customer:

Spots just recent

Customer:

no tests

Customer:

I am on penicillin for a tooth extraction

Mysticdoc :

ok

Mysticdoc :

thank you

Mysticdoc :

ok

Customer:

also taking Sulfameth/Trimethoprim

Mysticdoc :

Do you het any pain while walking to the point you have to stop?

Mysticdoc :

I mean do you get any pain while walking

Customer:

no, but sometimes feels a little wierd.

Mysticdoc :

did you get this red dots after you started Sulfameth/Trimethoprim?

Customer:

It is recent, so maybe

Customer:

swelling for a year or so.

Customer:

off and on

Customer:

darkness at the start of the toes for about a year.

Mysticdoc :

ok thank you

Mysticdoc :

This is likely related to incompetent veins in your legs.

Mysticdoc :

THis is common with advancing age, also with long standing.

Mysticdoc :

Once you develop swelling, the foot discoloration may happen after long time.

Mysticdoc :

Peripheral arterial disease is another possibility, although this is unlikely since you do not get pain on walking.

Mysticdoc :

Other systemic diseases like heart disease, liver disease & kidney disease should be ruled out.This is easiy done with routine blood tests.

Customer:

I sit mostly at job and home

Mysticdoc :

For now, try to keep your feet elevated as much as possible.

Mysticdoc :

Wear compression stockings during walking

Mysticdoc :

Well --when you sit you keep your feet hanging,. This aggravates the incompetency of the veins.

Mysticdoc :

Hence, the problem.

Mysticdoc :

You need to see your doctor for a clinical evaluation for the blood tests I suggested above.

Customer:

explain incompetency

Mysticdoc :

incompetency means the veins are not able to carry the blood to the deep venous system properly resulting in blood stasis or accumulation at legs --causes swelling & discoloration.

Customer:

would this cause cramps in the foot/ankle? I get those too at night many times.

Mysticdoc :

Yes, this can cause cramps.

Mysticdoc :

A doppler ultrasound is also required to check the blood flow through your arteries & veins.

Mysticdoc :

these are simple tests 7 treatment is available.

Mysticdoc :

Please see your doctor.

Customer:

OK, thanks I will.

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