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My husband is having issues with his feet. Toes hurt,

Customer Question
my husband is having issues...
my husband is having issues with his feet. Toes hurt, tingles, and are always feel that they are freezing. He is 60, in good health, works out 2 to 3 times a week. he is not a smoker nor a drinker. He drinks water and diet cokes (finally caffeine free). Has a large cup of coffee in the mornings with 9 sugars and 4 creams from McDonalds. He has to have sweets at lunch and dinner. He wears 2 pair of socks to work, (he is a salesman for a car dealership) but does not wear them to bed.
Submitted: 2 years ago.Category: Medical
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Answered in 15 minutes by:
1/22/2016
Doctor: Internist, Doctor replied 2 years ago
Internist
Internist, Doctor
Category: Medical
Satisfied Customers: 1,066
Experience: MD,MBBS, Diplomate American Board of Internal Medicine
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hi there,

i am online and will be happy to answer your questions.

thank for your patience

sorry to hear your problems

does he have any other medical illness like diabetes or high blood pressure / high cholesterol problem?

has he been tested for these?

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Customer reply replied 2 years ago
Not that I am aware of. And No we are waiting for his insurance to take effect. About another 30 days. did not know if we could do something on our own
Doctor: Internist, Doctor replied 2 years ago

hi again,

thank you for replying.

there can be a couple of explanations for this .

decreased vascular supply

or disturbed nerve supply to lower limb and feet.

both of them can be due to diabetes( and considering his cravings for sweet , i would recommend testing for diabetes as soon as possible),

it can cause both disturbed vascular and or nerve supply.

increased cholesterol can cause thickening of vessels and can cause like this.

some vitamin deficiencies esp B12 can present like this.

he needs one or more of following after a detailed history and physical exam by his primary caregiver.

1. ankle brachial pressure index ( a simple clinical test to check the vascular supply of feet )

2. diabetes, lipid profile and blood pressure testing

3. plus minus nerve conduction studies.

Please feel free to ask any questions you have.

kindly click on positive ratings if this answers your query.

kindly let me know if i should provide any clarifications. thank you

Regards

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