text: my feet and hands always hurt, turn purple and are always cold. is this bad?   there is a possibility that you:  1) are anemic 2) have poor circulation 3) have reynaud's syndrome  if you have anemia, people may say you have tired blood. that's because anemia — a condition in which there aren't enough healthy red blood cells to carry adequate oxygen to your tissues — can make you feel tired.   various disorders can lead to poor circulation either generally or in particular areas of circulation. poor circulation may lead to blueness (cyanosis), pallor, and other symptoms. poor circulation can also reduce healing effectiveness in affected areas leading to poor healing. any needs prompt professional medical advice. blueness can indicate cyanosis such as from lack of circulation and can be very serious. this can arise due to various severe illnesses that inhibit circulation or oxygen takeup. localized cyanosis can also occur in areas of poor circulation such as the hands and fingers in raynaud's phenomenon. cyanosis may also be described as purple skin or dark skin in some cases. any form of cyanosis, circulation symptom or circulatory disorder needs medical investigation.   reynaud's syndrome is a condition in which the smallest arteries that bring blood to the fingers or toes constrict (go into spasm) when exposed to cold or from an emotional upset. the small veins are usually open, so the blood drains out of the capillaries. the result is that the fingers or toes become pale, cold and numb. if there's a spasm in the small veins and blood is trapped in the capillaries, the fingers or toes turn blue as the blood loses its oxygen.