High cholesterol can lead to heart disease and various other health issues. Symptoms often appear in the legs at night due to poor blood circulation, which prevents adequate oxygen and nutrient delivery through the veins.

**Swelling:** If you experience swollen feet at night, it could be linked to high cholesterol. This indicates poor blood flow in the veins. Individuals who frequently have swollen legs at night should seek medical advice.

**Cold feet before sleep:** Cold feet are often a sign of poor blood circulation due to elevated cholesterol levels. This condition involves the accumulation of bad cholesterol on artery walls, reducing blood flow. Over time, this symptom can also lead to nerve damage.

**Varicose veins:** Varicose veins are twisted veins in the legs, often appearing black, blue, or dark purple. This condition occurs when veins dilate due to weakened valves, often causing discomfort, pain, and serious problems like blood clots or ulcers. Patients with varicose veins usually experience more severe symptoms at night, including pain and swelling.

**Tingling in the legs at night:** Tingling in the legs at night can indicate high cholesterol and poor blood circulation through the veins. When blood flow is obstructed, nerves may not receive adequate nutrients or oxygen. Patients should consult a doctor for advice and appropriate medication.

**Discolored skin and dark spots:** High cholesterol levels also manifest clearly on the skin of the legs and feet. Discoloration, dark spots, and bluish-purple patches can appear easily due to reduced oxygen supply to tissues. Cholesterol plaque in the arteries restricts blood flow, causing the skin to lack essential nutrients. Over time, this leads to changes such as dry skin and slow-healing wounds. These symptoms are more noticeable at night.

**Restless legs syndrome:** Restless legs syndrome (RLS) is characterized by an uncontrollable urge to move the legs, accompanied by discomfort and numbness. High cholesterol exacerbates RLS symptoms by reducing blood flow to the lower limbs. Managing cholesterol levels and making lifestyle changes can improve a patient's health.

By Le Nguyen (According to Times of India)