Conversation: The conversation between human and AI assistant.
[|Human|] Hi, im 24 years old, and I have been diagnosed with diabetes, angina, kidney problems, I have alot of swelling in my ankles, but when I sit, my legs and feet go numb, more of the right leg than the left, but I need to find out what could possibly be my problem, I have frequent chest pains on the left and sometimes it goes into the left arm, and I had a chemical stress test, and they said it was fine, but I have a enlarged hear....what should I do?
[|AI|]  Hithank-you for providing the brief history of you. As you have been diagnosed with heart and kidney issues for which you are facing swelling of the Lower limbs, this is related to the same issue. Due to weakness in the venous pull there will be venous insufficiency leading to swelling of the lower limbs. This is the commonest complain most patients face after weakness of the venous pull mechanism of the cardiac system. What I will advise is to get a thorough clinical examination and a diagnostic, post which you can undergo physical therapy under a cardio thoracic physical therapist who can help you make the functioning of the venous return better. You can discuss the same with your cardiologist. Even the American heart association and ACM guidelines which is always under good research says that physical therapy is effective in such conditions. Regards Jay In Chat Doctor.