Conversation: The conversation between human and AI assistant.
[|Human|] Hi. In the morning, I rarely have an issue, but in the evening (by 3-5pm and after) all of my arm and leg veins are bulging. There is also change in color from pink to red and swollen feet/toes. I wake up with numb limbs throughout the night very frequently but have not been diagnosed diabetic, vein disorders nothing. I will drink more water but don t know if it would make it worse. I recently quit smoking after 15years, if that helps form an opinion. Thank you. Jeanie.
[|AI|]  Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have bulging of veins and also numbness of limbs a thorough neuromuscular assessment is advised. Post which we need to understand the blood sugar levels and also the venous insufficiency. You may be advised later to undergo a Doppler of veins to rule out any venous insufficiency, also and NCV test will help reveal the functions of the nerve. As with increase in the high blood sugar levels there might be deposition if sugar on the nerve and lead to numbing effect. As you were a smoker for 15 years and now have diabetes there might be a possibility of venous insufficiency. In either cases, physical therapy and some simple exercises symptoms will come under control and also on long run performing exercises will help you to control the sugar levels and also the numbness. RegardsJay In Chat Doctor.