Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am worried about a disease that I was diagnosed with 2 years ago. PAD. Just yesterday another vascular surgeon said that my arteries look fine. He thinks it all back problems that are making my legs swell and hurt. I was just wondering if theres one test better then another. Ive had an ankle block and ultrasound. I am gonna go for another opinion.
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. Since you mentioned that there is ankle block and swelling and pain in legs, these are not clear finding for us as physical examination reveal another thing. As you stated that you are a patient of Peripheral arterial disease (PAD), 2nd opinion is that your swelling may be due to back problem. However, it is very difficult to evaluate a diagnosis without complete examination & reports. In my opinion the most foremost reason may be, 1 Kidney involvement (edema i.e. swelling over legs and ankle), so consult a primary physician and get in blood for serum creatinine, urea, uric acid level. 2 Due to hypoproteinemia, so again blood and urine examination will find out the cause.3 Of course arteries or venous blockage may be the reason, but this is most uncommon reason as I have seen. So don't be in panic consultation with a primary care physician will yield good result for you.