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What Causes Recurring Episodes Of Red, Swollen And Warmness In Feet?

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Posted on Sat, 30 Apr 2016
Question: can you explain intermittent episodes of foot -or feet- turning bright
red with slight swelling and heat, and occasionally a few dark red dots and at other times clear white and cold? No apparent pattern? When hot need to throw off socks and shoes..I am a non smoker and do not drink alcohol.feet react independently,
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Possibly Raynauds Phenomenom

Detailed Answer:
Hello and welcome,

Without seeing you, it hard to know for sure but this may be Raynaud's Syndrome. In Raynauds, there is vasospasm (white and cold) and vasodilation (red and hot). This affects the hands or feet or both. It happens often in association with physical or emotional triggers.

I see that you have possible ME, which may be a chronic low grade autoimmune disorder. And Raynauds is more common in autoimmune disorders.

I am not familiar enough with the side effects of pregabalin but you might want to talk with the doctor who prescribes it for you regarding if it has any association with this as some medications do have an association, such as certain migraine headache meds. My guess is the pregabalin is not causing it.

There are a number of meds to treat or lessen the symptoms of Raynauds such as calcium channel blockers, alpha blockers, and vasodilators. Avoid pseudoephedrine and beta blockers as these can make it worse.

Raynauds does not cause so much in the way of swelling (although vasodilation can cause a little swelling) so I think it would be a good idea for you to go in to see your doctor, especially if you can provoke it to happen while you are at the doctor's (warm socks perhaps?).

I hope this information helps.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (1 hour later)
dont experience the numbing effects, just cold.
Is there a condition called erythromelalgia which can be treated with topical application of midodrine ?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (8 hours later)
Brief Answer:
Information on erythromelalgia

Detailed Answer:
Hi - I think erythromelalgia is less likely for a few reasons. With this disease, there is usually a high white blood cell count and high platelets. And there isn't the white, cold symptoms. Usually there is dramatic relief just by taking aspirin and this is one of the diagnostic tools. So, if you tolerate aspirin, you might want to try it to see.

Raynauds does not have to include numbness. It can sometimes progress to blue skin and numbness but not always.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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What Causes Recurring Episodes Of Red, Swollen And Warmness In Feet?

Brief Answer: Possibly Raynauds Phenomenom Detailed Answer: Hello and welcome, Without seeing you, it hard to know for sure but this may be Raynaud's Syndrome. In Raynauds, there is vasospasm (white and cold) and vasodilation (red and hot). This affects the hands or feet or both. It happens often in association with physical or emotional triggers. I see that you have possible ME, which may be a chronic low grade autoimmune disorder. And Raynauds is more common in autoimmune disorders. I am not familiar enough with the side effects of pregabalin but you might want to talk with the doctor who prescribes it for you regarding if it has any association with this as some medications do have an association, such as certain migraine headache meds. My guess is the pregabalin is not causing it. There are a number of meds to treat or lessen the symptoms of Raynauds such as calcium channel blockers, alpha blockers, and vasodilators. Avoid pseudoephedrine and beta blockers as these can make it worse. Raynauds does not cause so much in the way of swelling (although vasodilation can cause a little swelling) so I think it would be a good idea for you to go in to see your doctor, especially if you can provoke it to happen while you are at the doctor's (warm socks perhaps?). I hope this information helps.