Iam35yr old female with panic disorder, a hx of mvp

Patient

Q: I.am.35yr old female with panic disorder, a hx of mvp and mild tricuspid regurgitation that has no effect on me. I Had a hysterectomy, appendectomy and gallbladder removal. For the past 11months my feet have started to swell and turn purple, often times there is a great deal of pain i Assume from the swelling, other times they feel numb or prickly , they also get extremely cold. A bi lat lower extremity Doppler was done and i have no issues with circulation. Blood work is all okay with just my rbc hgb & hct slightly above normal. My Ana all came back negative. Any ideas what this could possibly be
Ps its both feet

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