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Blood Clots In The Legs - How To Keep It At Bay?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Nagpur
Blood Clots In The Legs - How To Keep It At Bay?
A blood clot in the leg is termed as Deep Vein Thrombosis or DVT. This blood clot can be fatal because it usually blocks the passage of blood to the heart by damaging the one way valves of the veins. This can also reach other organs like the lungs in which situation the case becomes complicated and may also lead to death. There are various ways of preventing the onset of these clots. Follow these points to know more.

* Blood Thinners: Prolonged hospital stay and a major surgery like joint replacement can lead to blood clots in the legs or DVT. Therefore, it is imperative to ask your doctor about a prescription for blood thinners which can help in better blood flow despite minimal motion in the legs or stiffness.

* Compressions Stockings: If you have been in the hospital for a prolonged period or suffering from leg paralysis, then the risk of blood clots is greater than most others. You can make use of compression stockings which will help in preventing clots by holding the area tight so that the blood is forced to pump and flow. These should be used every time you are admitted to the hospital.

* Exercise: It is important to keep moving in case you are travelling in a long flight that is over four hours long. Also, you can try certain mild exercises in case you have a long standing condition of pain or cramping in the leg muscles and joints. From simple toe flexes to muscle strengthening exercises like the heel or towel hook, you can ensure that the tightening action makes your muscle firm so that the blood clots do not have a chance to form. You may also need to lose weight in case you are overweight so that you can alleviate the risk of these clots.

* Water: Staying hydrated is something that we all need to follow in any case, but it is especially important if you are risk of developing blood clots in the legs. Drinking plenty of fluids is a natural way of thinning the blood, especially if you have been in bed or travelling for prolonged periods.

* Loose Fitting Clothing: You may want to wear loose fitting clothing when you are travelling or in the hospital so that you do not end up unnecessarily compressing an area in a way that will be detrimental for the blood flow there. Wearing loose clothing ensures that the blood flow carries on as per its normal routine without any blockages.

It is important to remember the above points so that you keep blood clots in the legs at bay.

Blood Clots - How To Avoid It In Leg?

MBBS, D.ORTHO, MS, Fellowship in Minimally Invasive Surgery
Orthopedist, Kolkata
Blood Clots -  How To Avoid It In Leg?
A blood clot in the leg is termed as Deep Vein Thrombosis or DVT. This blood clot can be fatal because it usually blocks the passage of blood to the heart by damaging the one-way valves of the veins. This can also reach other organs like the lungs in which situation the case becomes complicated and may also lead to death. There are various ways of preventing the onset of these clots. Follow these points to know more.

* Blood Thinners: Prolonged hospital stay and a major surgery like joint replacement can lead to blood clots in the legs or DVT. Therefore, it is imperative to ask your doctor about a prescription for blood thinners which can help in better blood flow despite minimal motion in the legs or stiffness.

* Compressions Stockings: If you have been in the hospital for a prolonged period or suffering from leg paralysis, then the risk of blood clots is greater than most others. You can make use of compression stockings which will help in preventing clots by holding the area tight so that the blood is forced to pump and flow. These should be used every time you are admitted to the hospital.

* Exercise: It is important to keep moving in case you are travelling in a long flight that is over four hours long. Also, you can try certain mild exercises in case you have a long-standing condition of pain or cramping in the leg muscles and joints. From simple toe flexes to muscle strengthening exercises like the heel or towel hook, you can ensure that the tightening action makes your muscle firm so that the blood clots do not have a chance to form. You may also need to lose weight in case you are overweight so that you can alleviate the risk of these clots.

* Water: Staying hydrated is something that we all need to follow in any case, but it is especially important if you are at risk of developing blood clots in the legs. Drinking plenty of fluids is a natural way of thinning the blood, especially if you have been in bed or travelling for prolonged periods.

* Loose Fitting Clothing: You may want to wear loose-fitting clothing when you are travelling or in the hospital so that you do not end up unnecessarily compressing an area in a way that will be detrimental for the blood flow there. Wearing loose clothing ensures that the blood flow carries on as per its normal routine without any blockages.

It is important to remember the above points so that you keep blood clots in the legs at bay.
3619 people found this helpful

Debiclot 110 mg by indian Dr. And xarelo 20 mg rivaroxaban by german Dr. Understand these for preventing blood clots. Why the volume mg differ?

BHMS
Homeopath, Hooghly
Debiclot 110 mg by indian Dr. And xarelo 20 mg rivaroxaban by german Dr. Understand these for preventing blood clots....
It's depends on the severity, knowledge of the doctor, you should follow what your doctor have advised.
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What is Deep Vein Thrombosis (DVT)?

Diploma In Medical Radio-Diagnosis, DNB - Radio Diagnosis, Post Doctoral Fellowship In interventional Radiology - Sir Ganga Ram Hospital, New Delhi
Radiologist, Jaipur
What is Deep Vein Thrombosis (DVT)?
What is Deep Vein Thrombosis?

Blood clots can arise anywhere in your body. They develop when blood thickens and clumps together. When a clot forms in a vein deep in the body, it's called Deep Vein Thrombosis (DVT). Deep vein blood clots typically occur in the lower leg or thigh. But if your symptoms stem from a blood clot deep in your leg, it can be dangerous. Blood clots can happen to anyone, anytime. But some people are at increased risk. Therefore, they should immediately consult with vein specialist to avoid blood clot forming in the veins which can help avoid potentially serious problems.

DVT Symptoms:

"Deep vein thrombosis has classic symptoms - for example, swelling, pain, warmth, and redness on the leg," says Dr. Rajendra Bansal, a DVT treatment expert in Jaipur. But about 30 40% of cases go unnoticed since they don't have typical symptoms. In fact, some people don't realize they have a deep vein clot until it causes a more serious condition.

Deep Vein Clots:

DVT symptoms include deep vein clots - especially those in the thigh - can break off and travel through the bloodstream. If a clot lodges in an artery in the lungs, it can block blood flow and lead to a sometimes-deadly condition called pulmonary embolism. This disorder can damage the lungs and reduce blood oxygen levels, which can harm other organs as well.

Some people are more at risk for deep vein thrombosis than others. "Usually people who develop deep vein thrombosis have some level of thrombophilia, which means their blood clots more rapidly or easily," Dr. Bansal says, a DVT specialist in Jaipur. Getting a blood clot is usually the first sign of this condition because it s hard to notice otherwise. In these cases, lifestyle can contribute to a blood clot forming if you don t move enough, for example. Your risk is higher if you ve recently had surgery or broken a bone if you re ill and in bed for a long time, or if you're traveling for a long time (such as during long car or airplane rides).

Other Symptoms:

Having other diseases or conditions can also raise your chances of a blood clot. These include a stroke, paralysis (an inability to move), chronic heart disease, high blood pressure, surgical procedure, or having been recently treated for cancer. Women who take hormone therapy pills or birth control pills are pregnant, or within the first 6 weeks after giving birth are also at higher risk. So are those who smoke or who are older than 60. But deep vein thrombosis can happen at any age.

Chronic vs Acute DVT:

Chronic DVT refers to long-standing venous thrombosis present for more than 28 days. It can either permanently block the vein or it can adhere to the wall of the vein. Chronic DVT that doesn t block the vein can still cause long-term problems known as Post Thrombotic syndrome which occurs due to pooling of blood in legs by gravity as the protective valves are damaged or destroyed. Patient symptoms are:

Leg swelling after standing for long periods
Aching pain
Varicose veins
Skin ulcers in severe cases.
Acute DVT refers to venous thrombosis for which symptoms have been present for 14 days or less. The symptoms of acute DVT are sudden limb swelling and pain. During this period the clot is soft and easily treated with clot-dissolving drugs. The period between 14-28 days is called Sub-acute DVT.

Clues of a Clot:

Seek DVT treatment if you have these symptoms. They may signal a deep vein clot or pulmonary embolism:

Swelling of the leg or along a vein in the leg
Pain or tenderness in the leg, which you may feel only when standing or walking
Increase in warmth in the area of the leg that s swollen or painful
Red or discolored skin on the leg
Unexplained shortness of breath
Pain with deep breathing
Coughing up blood
A prompt diagnosis and a proper DVT treatment can help prevent the complications of blood clots. See your doctor immediately if you have any signs or symptoms of deep vein thrombosis or pulmonary embolism. A physical exam and other tests can help doctors determine whether you ve got a blood clot.

Your doctor will diagnose deep vein thrombosis (DVT) based on your medical history, a physical exam, and the color Doppler ultrasound or sometime may require CT or MRI. He or she will identify your risk factors and rule out other causes of your symptoms. After analyzing the risk factors, the doctor will tell you whether you need an immediate DVT treatment or not.

DVT Treatment

There are many ways in Deep Vein Thrombosis treatment. DVT treatment process includes medicines, certain devices, and therapies. The main goals of DVT treatment include:

Stopping the blood clot from getting bigger
To dissolve the already formed clot
Preventing the blood clot from breaking off and moving to your lungs
Reducing your chance of having another blood clot
To prevent long-term complication known as Post Thrombotic Syndrome.
Anticoagulants (Blood Thinners):

These are the most common medicines in DVT treatment. These medicines decrease your blood s ability to clot. They also stop existing blood clots from getting bigger. However, blood thinners can t break up blood clots that have already formed. (The body dissolves most blood clots with time.)

Blood thinners are taken either as a pill, an injection under the skin, or through a needle or tube inserts into a vein (called intravenous or IV injection). There are different types of Blood thinner. The choice of anticoagulant depends upon multiple factors, including the preference of the patient and the healthcare provider, the patient s medical history and other conditions, and cost considerations.

Initial anticoagulation is continued for 5 to 10 days. After that, long-term anticoagulation is continued for 3 to 12 months depending upon the patient profile, length of vessel involvement and risk of recurrence. In some patient where permanent risk factor like a congenital cause or cancer lifelong anticoagulation may require.

Other available treatments, which are for specific situations, include thrombolytic therapy or placing a filter in a major blood vessel (the inferior vena cava).

Thrombolysis (Clot-Busting DVT Treatment):

Minimally invasive procedures in DVT treatment are performed by an interventional radiologist under X-ray Guidance, if a patient has severe pain, difficulty in walking, significant swelling while on blood thinners, or if there is clot blocking the pelvic veins (iliac veins). When performed early, thrombolysis is highly effective at dissolving a clot and preserving the valves in the veins.

It is designed to rapidly break up the clot, restore blood flow within the vein, and potentially preserve valve function to minimize the risk of post-thrombotic syndrome. The interventional radiologist inserts a tiny tube called catheter into the vein behind the knee or other leg vein and threads it into the vein containing the clot using x-ray guidance. The catheter tip is placed into the clot and a clot-busting drug is infused directly to the thrombus (clot) followed by clot removal by special devices. The fresher the clot, the faster it dissolves one to two days. Clinical resolution of pain and swelling and restoration of blood flow in the vein is greater than 85 percent with these invasive techniques. In patients in whom thrombolysis or blood thinners are not medically appropriate, an interventional radiologist can insert a vena cava filter, a small device that functions as an umbrella to capture blood clots that would float to the lung, but allows normal liquid blood to pass.

DEEP VEIN THROMBOSIS PREVENTION:

You can take simple steps to lower your chances for a blood clot:

Exercise your lower leg muscles if you re sitting for a long time while traveling.
Get out of bed and move around as soon as you re able after having surgery or being ill.
The more active you are, the better your chance of avoiding a blood clot.
Take any medicines your doctor prescribes to prevent clots after some types of surgery.
Wear compression stocking to prevent complication or recurrence as per instruction.
Keep regular follow-up with your doctor to avoid or prevent post DVT complication.
SPECIAL PRECAUTIONS FOR PEOPLE WITH DEEP VEIN THROMBOSIS:

Patients being treated for venous thrombosis are at an increased risk for developing another blood clot. The patient should watch for new onset leg pain or swelling. If these symptoms occur, the patient should speak to his/her health care provider or seek medical attention as soon as possible.
Risk of bleeding is high with anticoagulant so dose should not change unless the provider or clinic directs the patient to do so.
Patients may bleed easily from anywhere while taking anticoagulants. In some cases, bleeding can develop inside the body and can t notice immediately. Bleeding inside the body can cause a person to feel faint, or have pain in the back or abdomen. A healthcare provider should be notified immediately if there is any sign of this problem.
3038 people found this helpful

My father 75 years old. Problem related to endovascular surgery (50 to 80% veins blocked by colour doppler test) operation is must sir.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My father 75 years old. Problem related to endovascular surgery (50 to 80% veins blocked by colour doppler test) oper...
50 to 80% blockage case surgery is advisable. You can consult me through Lybrate for homoeopathic treatment till you decide.
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My friend got clots in his back and he is not able to sit or sleep its really hurting him very badly with out operation how can we get ride of it?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
My friend got clots in his back and he is not able to sit or sleep its really hurting him very badly with out operati...
Foods and Drinks Known to Dissolve or Prevent Blood Clots Grape juice. Water. Garlic. Virgin olive oil. Kiwi. Leafy green vegetables like kale or spinach.
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I have a blood clot in my leg I had a surgery and they give me fondaparinux sodium injection for good but I got a lot of side effects is there anything to replace this medicine?

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Varanasi
I have a blood clot in my leg I had a surgery and they give me fondaparinux sodium injection for good but I got a lot...
You can switch over to warfarin. But get a regular INR checked. This should help you. Kindly make a personal consultation to me regarding specific medication.
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क्रोनिक पल्मोनरी एम्बोलिज्म एवं डीप वेन थ्रोम्बोसिस ठीक होने में कितना समय लगता है। मैं dabigatran 110 mg with homochek 1 साल से खा रहा हूँ।

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
क्रोनिक पल्मोनरी एम्बोलिज्म एवं डीप वेन थ्रोम्बोसिस ठीक होने में कितना समय लगता है। मैं dabigatran 110 mg with homoch...
Hi if you able to find any cause for thrombosis. U can stop that. And need to evaluate any blood clotting disorder you have.in that case plan will change. It better to consult vascular surgeon their can be difficult scenarios where you might stop or continue dabigatra.
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What Are The Common Symptoms Of A Brain Stroke?

DM - Neurology, MBBS, MD - Medicine
Neurologist, Bhubaneswar
What Are The Common Symptoms Of A Brain Stroke?
A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage. Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below).

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

Treatment depends on the type of stroke.
Ischemic strokes can be treated with 'clot-busting' drugs.
Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a Clot Buster drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.
Rush to the nearest Stroke Centre whenever you experience such symptoms.
U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER.
Endovascular procedures
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including

High blood pressure,
Cigarette smoking,
Diabetes
Atrial fibrillation and
Physical inactivity.
More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.
Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.
1848 people found this helpful