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1. What Do Cold Feet Mean In A 64 Yo

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Posted on Tue, 1 Sep 2020
Question: 1. What do cold feet mean in a 64 yo patient with normal labs otherwise ie no diabetes?
2. What are expected symptoms 3 weeks after covid 19 infection in an otherwise healthy adult?
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Answered by Dr. Panagiotis Zografakis (6 hours later)
Brief Answer:
there are some potential causes, please read the complete answer

Detailed Answer:
Hello,

1. cold feet can be caused by various causes. I'll make a non-exhaustive list:
(a) peripheral arterial disease: it causes reduced blood flow to the involved areas but it is usually unilateral (at least in the beginning). Can be diagnosed with an ultrasound scan (triplex).
(b) hypothyroidism: a high TSH should suffice for the diagnosis.
(c) peripheral neuropathy: some patients may experience cold feet.
(d) anemia: a very low hematocrit caused by low iron, low B12 or other disorders may cause cold feet.
(e) fever: a patient with an infection usually feels cold but fever in general - even when caused by non-infectious disorders - may cause cold feet.
(f) advanced heart failure: due to inadequate peripheral circulation the feet may be cold. It may also occur in advanced COPD with right heart failure.

2. A patient that has recovered after a COVID-19 infection is not expected to have any symptoms. There are patients with symptoms though, which may depend on the complications they experienced. For example, after serious lung involvement, a patient may experience exertional dyspnea. Other patients may feel weak or tired, etc.

I hope I've answered your question. Please let me know if you need further assistance.

Kind Regards,
Dr. Panagiotis Zografakis,
Internal Medicine Specialist
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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1. What Do Cold Feet Mean In A 64 Yo

Brief Answer: there are some potential causes, please read the complete answer Detailed Answer: Hello, 1. cold feet can be caused by various causes. I'll make a non-exhaustive list: (a) peripheral arterial disease: it causes reduced blood flow to the involved areas but it is usually unilateral (at least in the beginning). Can be diagnosed with an ultrasound scan (triplex). (b) hypothyroidism: a high TSH should suffice for the diagnosis. (c) peripheral neuropathy: some patients may experience cold feet. (d) anemia: a very low hematocrit caused by low iron, low B12 or other disorders may cause cold feet. (e) fever: a patient with an infection usually feels cold but fever in general - even when caused by non-infectious disorders - may cause cold feet. (f) advanced heart failure: due to inadequate peripheral circulation the feet may be cold. It may also occur in advanced COPD with right heart failure. 2. A patient that has recovered after a COVID-19 infection is not expected to have any symptoms. There are patients with symptoms though, which may depend on the complications they experienced. For example, after serious lung involvement, a patient may experience exertional dyspnea. Other patients may feel weak or tired, etc. I hope I've answered your question. Please let me know if you need further assistance. Kind Regards, Dr. Panagiotis Zografakis, Internal Medicine Specialist