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

### input:
I have femoral neuropathy for 4 years after bypass surgery. Neuropathy is mute compared to the pain i begin having a couple of months ago. I thought it was gout but I know better now(I wish my doctor did) .my left foot is swollen and painful to walk on. Gout medicine does nothing at all. Searching in hope, I came upon Charcot foot. Is it possible that this could be the problem ? Prior to getting this whatever,I could handle the pain and discomfort, but Now I walk with 2 canes if or when I do get up. My foot. Is swollen,cold or warm,m toes have. Little feeling and noway will the doctor help with pain pills due to taking Gabapentin and Tramadol..life sucks at 66 . Please help,Please..174 Doctors online and I can t even get a rip without having $15 ? I hope you all sleep well tonight,I MOST CERTAINLY WON T... Ed Amy of you take THE OATH.?

### output:

Hello, The chief symptoms you have are pain and coldness of the leg. Along with swelling. Now the very first diagnosis that I would think of in case of these features is a thrombosis of the blood vessels. That would explain the symptoms best. I think the bypass vessel graft was taken from the same leg. So it's likely that the area supplied by the blood vessel is involved and affecting you. This usually doesn't happen because the remaining vessels pick up the function of the vessel removed. Maybe that has not happened in your case. Another possibility is that the previously normal vessels are getting thrombosed. I would recommend testing with the Doppler study. That will be able to detect the thrombus. If found, you will need anticoagulation medicine like Warfarin. Hope I have answered your query. Let me know if I can assist you further.  