Conversation: The conversation between human and AI assistant.
[|Human|] Hi, may I answer your health queries right now ?  Please type your query here...The bottoms of my feet swell.  I have high arches and wear dr. Office issued arch inserts. I have high bp and take tekturna. My regular dr says to lose 15  lbs and my sugar is borderline high . Massaging helps sometimes. Exercising to lose the weight makes it worse. I have a heart echo my dr says he can hear. I dont have visible vericose veins. I am42 and work part time. I want to work full time but my feet arent cooperating. Any suggestions!
[|AI|]  HiT hanks for your query. Based on your query, my opinion is1. Swelling of feet or lower limbs can be due to subtle causes like postural/ dependent that is sitting for long hours.2. Other conditions like cardiac diseases/ varicose veins/ renal disorders are more serious problems which needs to be evaluated for.3. Since you have hypertension and an uncontrolled diabetes, both can cause renal impairment over a long term. So get a renal function test done.4. Since you are on overweight side, there is exertion on lower limbs, so venous Chat Doctor. 5. You need to reduce weight, be regular with your medications and make lifestyle changes(diet/ nutrition/ routine).6. You can try keeping your feet raised while seated/ lying down so that swelling would reduce. Hope this helps. Regards