Brief Answer:
She need evaluation.

Detailed Answer:
Hello!
I read carefully your query and understand your concern.

There are many possible causes for cold feet.When a patient complains that he has cold feet for a while , it is necessary to run some test to exclude serious causes.

Most common causes for cold feet include:
-A problem with blood circulation in the feet.This is the most important cause.
It might be due to peripheral artery disease,artery narrowing (Raynaud’s phenomenon ).
-Hypothyroidism (Underactive thyroid gland)
-Diabetes and diabetic neuropathy.
-Some times no specific causes is founded for cold feet.

Whatever the reason is ,a person who complains cold feet for long time need a complete evaluation.
A problem with blood circulation in legs should be excluded.

She may need to do some studies including:
-Blood sugar
-Thyroid function test :FT3,FT4.TSH.
-Ankle brachial index. It compares the blood pressure in her ankle with the blood pressure in her arm.It is used to diagnose peripheral artery disease.
-Doppler ultrasound to evaluate blood flow through blood vessels of the feet.

I would suggest to consult a physician and get examined because physical examination is also very important to understand if this feeling of cold feet is objective (when the doctor too feel that the feet are cold) or it is just a sensation .

Hope it was of help.
Let me know if you have additional questions or doubt to clarify.I will be happy to help.

Regards!

Dr.Rovena Murati

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