<s>[INST] My wifes palms and feet became cold suddenly and she was feeling congestion in her chest. Her blood perssure was normal (80-120) (she is 41 yrs old) but pulse was about 83 at that time. The symptoms subsided after an hour and again the palm and feet become warm. She is nomral now. Please advise. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Sudden Sweating of palms and feet, chest congestion etc. are characteristic symptoms of heart diseases. So better to first rule out heart related diseases in her case. So consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). If all these reports are normal then no need to worry about heart diseases. She is 41 years old. So she is approaching menopause. During this period, women tend to develop hormonal imbalance and this can also cause similar symptoms. So get done hormone levels to rule out hormonal imbalance. She may need hormone replacement therapy (HRT). Don't worry, she will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. </s>