Honestly, trying to keep up with the medical chart of the 45th and 47th President is a bit like trying to read a map in a hurricane. One day he’s the "healthiest individual ever elected," and the next, the internet is spiraling over a bruise on his hand or a slight stumble on a ramp. But if you strip away the campaign trail theatrics and the Twitter—excuse me, Truth Social—bravado, what is Trump diagnosed with based on actual medical records?
It’s not as mysterious as people make it out to be.
Between the 2024 campaign and his current term in 2026, we’ve actually gotten more specific data than we did back in 2016. The most recent "big" news dropped in July 2025. That’s when the White House confirmed that President Trump was diagnosed with chronic venous insufficiency (CVI).
If that sounds like scary medical jargon, don't sweat it. Basically, it’s a super common condition for guys in their late 70s. It just means the valves in your leg veins aren't quite as snappy as they used to be, so blood pools a bit instead of rushing straight back to the heart. It’s what caused that lower leg swelling and those "mysterious" hand bruises that had everyone on social media playing amateur doctor for a week.
The "Perfect Score" and the Cognitive Question
You've probably heard him talk about it. "Person, woman, man, camera, TV."
People love to joke about it, but the Montreal Cognitive Assessment (MoCA) is a real thing. Trump’s physicians, including Dr. Sean Barbabella in his 2025 report, have consistently noted that he scores a 30/30. Now, is that an IQ test? No. Not even close.
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The MoCA is a screening tool for dementia. It asks you to draw a clock, identify a camel, and remember a few words. Scoring perfectly doesn't mean you're a genius; it just means that, clinically speaking, your brain isn't showing signs of Alzheimer’s or standard age-related cognitive decline.
Critics and groups like the "Anti-Psychopath PAC" have spent years arguing that he fits the criteria for malignant narcissism or antisocial personality disorder. It’s important to note, though, that these aren't official diagnoses from his actual doctors. They’re "armchair diagnoses" based on observed behavior. Under the Goldwater Rule, psychiatrists aren't even supposed to give these opinions without a personal exam, but that hasn't stopped the debate from raging in every op-ed section in the country.
Heart Health, Statins, and the 224-Pound Reveal
For a long time, the biggest concern was his heart. In 2018, his LDL (the "bad" cholesterol) was sitting at 143. That’s high. His doctors at the time bumped his dose of Rosuvastatin to 40mg.
By the time his 2025 physical rolled around, the numbers looked a lot better. His LDL dropped to an optimal 51 mg/dL. That’s actually a massive improvement, likely thanks to a combination of that high-dose statin and Ezetimibe, another cholesterol med.
Then there’s the weight. In 2019, he was officially "obese" at 243 pounds.
Fast forward to April 2025:
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- Weight: 224 pounds.
- Height: 6'3".
- Blood Pressure: 128/74.
He’s lost about 20 pounds. He swears he hasn't touched Ozempic or any GLP-1 drugs, though he did joke in early 2026 that he "probably should."
The List of "Minor" Conditions
If you look at the fine print of the memos released by White House doctors over the years, there’s a grocery list of smaller issues. They aren't life-threatening, but they're part of the "what is Trump diagnosed with" puzzle.
- Rosacea: This is why his skin often looks flushed or red. He uses a topical cream (Mometasone) for it.
- Diverticulosis: Found during a 2024 colonoscopy. It’s just little pockets in the colon wall. Super common, usually harmless unless they get inflamed (which would be diverticulitis).
- Actinic Keratosis: Basically, sun damage on the skin that can become precancerous if ignored. He gets these frozen off or treated regularly.
- Bilateral Cataracts: He had surgery for these, which is why his vision is reported as normal despite his age.
- The Ear: We can't forget the scarring on his right ear from the 2024 assassination attempt. It’s mentioned in every physical now as a "benign finding."
COVID-19 and the Lingering Questions
We also have to talk about October 2020. That was the most "at-risk" he's ever been. He was diagnosed with a pretty severe case of COVID-19, requiring supplemental oxygen and experimental antibody treatments (Regeneron).
While he recovered quickly, doctors often look for "long COVID" symptoms in patients of that age. So far, his official reports show no signs of pulmonary or cardiac damage from the virus. His 2025 MRI and CT scans of the chest came back "perfectly normal."
Dealing with the CVI Diagnosis
Since the 2025 diagnosis of chronic venous insufficiency, his routine has changed slightly. CVI isn't something you "cure" with a pill. It’s managed.
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If you see him sitting with his legs up or wearing slightly thicker socks, that’s why. Compression stockings are the standard treatment. They help push the blood back up the leg. Walking helps too, which is why his doctors constantly highlight his "active lifestyle" on the golf course. It’s not just for the cameras; it keeps the calf muscles pumping.
What it Means for the Future
So, is he "fully fit" like Dr. Barbabella says?
Medically, on paper, he’s in better shape than most 79-year-olds. His cholesterol is under control, his heart function is "robust," and his neurological tests are clear. The biggest "threats" are the ones he's already managing: weight, cholesterol, and now the CVI.
If you're looking for actionable insights on how he stays mobile at nearly 80, it's pretty simple:
- Aggressive Lipid Management: He didn't just "try" to lower cholesterol; he used high-dose statins to crush those numbers.
- Consistent Activity: Walking 18 holes of golf (even if you use a cart for some of it) is a lot more movement than the average senior gets.
- Preventative Screening: He gets more MRIs and CT scans in a year than most people get in a decade.
If you're concerned about your own leg swelling or heart health as you age, the "Trump protocol" is actually decent advice: get a colonoscopy when you're supposed to, don't ignore "mild" swelling, and keep your LDL below 100. It's not magic; it's just modern medicine.
Check your own blood pressure and cholesterol levels regularly. If you notice persistent swelling in your ankles or legs, don't wait—ask your doctor about a vascular ultrasound to check for CVI. It's a common part of aging, but catching it early keeps those "minor" issues from becoming major ulcers or clots.