Ask Dr. Roach: Two Causes of Cold Toes | Lifestyle | #elderly | #seniors | #execrise
Dear doctor. cockroach: I am 79 years old I have systemic lupus erythematosus, but now my main focus is on the lungs (COPD, asthma) and it is controlled. However, no one seems to tell me how to prevent my toes from feeling like they’re submerged in ice. It hurts even when I’m sleeping. I wear warm socks day and night. I asked a nephrologist, a rheumatologist, and a respiratory specialist, but no one seems to have an answer.
Dear reader: Many people, especially the elderly, may feel cold on their toes, but there are two specific possibilities, depending on your medical condition and age.
The first is peripheral arterial disease. All arteries in the body, from the main arterial blood vessels, the aorta to the toes, can be blocked by cholesterol and calcium plaques. This condition is called atherosclerosis. Occlusion of the arteries that supply blood to the heart and brain is the same condition that causes a heart attack and stroke, respectively. Symptoms of peripheral arterial disease also include lower limb pain and cramps from exercise. Diagnosis is important because treatment not only improves symptoms, but also helps prevent heart attacks and strokes. The examination is simple and uses Doppler ultrasound of the blood vessels in the legs. This test is recommended for people with your symptoms or medical history.
The second is Raynaud’s phenomenon. Most people know that when Raynaud’s syndrome is exposed to very mild cold air, it can change the color of the hands and cause painful coldness, but toes and feet also have an effect. It can be affected. In some cases, only the feet can be affected. If you wear warm socks and shoes, the color change will not be noticeable.
Although lupus is a common condition associated with Raynaud’s syndrome, many do not know that inflammatory rheumatic diseases such as lupus and rheumatoid arthritis also increase the risk of atherosclerosis. Physicians need to be aware of the increased risk and be ready to test and treat heart disease in people with lupus.
Dear doctor. cockroach: My wife was recently diagnosed with Huntington’s disease. She was 67 years old and had significant symptoms for about a year. What prescription can help me overcome this illness?
Dear reader: Unfortunately, Huntington’s disease is a degenerative neurological disorder that triggers abnormal movements, mental illness, and dementia, and there is no cure or cure for the disease. Family history is important when considering a diagnosis, as it occurs within the family because it is caused by a hereditary abnormality in the huntingtin gene.
There is no cure to delay or stop the disease, but there is a cure for the symptoms. Anomalous movements called chorea, which means “dance” in Greek, can be treated with drugs such as tetrabenazine. Mental problems, especially depression and abnormal thoughts, may also be treated. Unfortunately, there is clearly no effective treatment for dementia associated with Huntington’s disease. The progression of each of these symptoms varies and can be exacerbated over years or even decades.
Diagnosis of Huntington’s disease poses incredible difficulties for patients and caregivers, and it is important to support an experienced team. Genetic counseling is especially important if the wife has siblings or children. You can read more about this condition at the Huntington’s Disease Association in the United States. https://hdsa.org/..
Contact Dr. Roach ToYourGoodHealth@med.cornell.edu
Ask Dr. Roach: Two Causes of Cold Toes | Lifestyle