Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor,I have been diagnosed with an allergy to cold in my toes. They go numb, turn purple and blue, and hurt something awlful when I can feel them. But for the past year or two they hurt worst in the summer. The heat makes my feet swell, my toes go numb or they throb. I think my issue is more a circulation problem. What do you think??
[|AI|]  HI, thanks for using Chat Doctor I agree with you, it does sound more of a circulatory issue. You should consider a re-evaluation by either your doctor or another for second opinion. The assessment would include (1)history-need to know if any smoking history because this causes circulation problems, history of high cholesterol, diabetes or hypertension history of symptoms(2)examination of the pulses in the feet(3)investigations such as a Doppler ultrasound hope this helps