I am suffering from varicose vein. 20 years back I had D.V.T. And my leg became larger than normal from calf area. My profession require excessive stairs climbing. I have developed itching recently at ankle area and it has become red for last one year. What are my options.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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1.Varicose veins are swollen, dilated and tortuous veins under the skin particularly the calf muscle 2. It occurs due to a defect in the valve mechanism of deep veins of leg resulting in stagnation of blood in the veins. 3.It affects mostly women 4. It occurs due to obesity, during pregnancy, aged people and sometimes it runs in family Symptoms 1.Many patients are asymptomatic excepting facing cosmetic embarrassment due to the dilated and swollen veins. 2.Some patients have burning, throbbing,aching, heavy filling, cramp, swelling, discomfort in leg in leg. Pain worsened after prolonged sitting/standing 3.Few patient may develop itching around vein, Eczematous rashes or ulcer near the ankle. Prevention If you are having varicose veins 1. Do regular exercise, reduce weight if over weight, 2.Avoid tight cothing, 3.Avoid prolonged standing/sitting 3. Keep the leg elevated while sleeping, sitting 4.consult surgeon for further advice Treatment 1.Compression stocking If no relief 2.sclerotherapy, 3.Laser surgery or vein stripping. 4. Consult a good surgeon for treatment.  

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