### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
quick hx: of me, 57 yo female, 5 8 approx wt 165+, hx of varicose veins currently with painful swollen left ankle, inadvertently felt very strong pulse in abdomen while resting with leg elevated. took resting blood pressure, 134/87 heart rate 76. normally have low blood pressure. concerned about aneurysm. take no medications, avoid processed foods, keep active. I was a surgical scheduler for a vascular group which is why I am alarmed.

### output:

Here you have told you have varicose vein as well swollen left ankle. And usually your blood pressure use to be low but now its 138/87. Blood pressure is still key and not so high, but I would like to know do you have diabetes? If yes then since when? As well are you taking any medication for blood pressure? There are many things unclear so I am giving you general guideline. For varicose vein issue I suggest to use stocking to control it as well consult a vascular surgeon for his opinion. Here based on severity of problem doctor will guide you either for surgical management or conservative treatment with medication and regular use of stocking and doing physiotherapy treatment as well exercises. Now for your ankle swelling if this goes off along with varicose vein then good but if not as well till the time it is taking time to go away I suggest to use hot and cold pack for some pain relief and keep your leg elevated for reducing swelling. You can also use crew bandage or stocking at ankle level also to reduce the swelling. Keep doing frequent ankle-toe movement for reducing swelling further with muscle action. Here if you follow the steps by step process as per my suggestion it will definitely help you. Take care.