Family, Internal Medicine, General Medical Questions/Cold feet

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Question
hi...i am 27 years old and 153 pounds and (i am not overweight) with asthma which usually worsens in cold weather if i am not caeful plus my feet are really cold. They remain cold whether i wear socks and shoes, especially the toes even if my heels get warm the toes would remain cold. The right foot is more problematic than the left..i also have sciatic pain in my right leg and have used pain killer prescribed by my doc...i dont usually exercise alot but since the pain and now cold feet, i dont sit rather walk in my office room or keep standing...i am concerned because my friend suggested there might be a clot that's preventing proper blood circulation to my feet.

Answer
Dear Haris,

Toes and fingers vasoconstrict quicker than the rest of the body because the blood vessels are small, and there is nothing to keep them warm. If you notice a discoloration to your nail beds, you may have something called Raynaud's phenomenon. It is a syndrome where the blood vessels have a difficult time dilating. It is not serious and the only remedy is to keep your fingers and toes warm. A clot would cause pain due to the lack of oxygen blocked by the clot. If this is the case, you will need to have a Doppler ultrasound performed.  

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

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Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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