MBBS, MS- General Surgery, FIAGES-Advanced Laparoscopy, Assistant professor in surgery, consultant surgeon
General Surgeon, Bangalore
Hello and greetings Ms. lybrate-user
you have been diagnosed as a case of deep vein thrombosis. It occurs because of the blood clots inside the veins of your legs. Hence your doctor has prescribed tab acitrom which is a blood thinner. This tablet prevents clotting of the blood. The clotting and bleeding mechanism have to be in a delicate balance. Excess thinning of blood is also harmful. It may cause bleeding from the nose while passing motions or excess bleeding during your menstrual cycles. Hence the dose of tab acitrom should be very meticulously adjusted.
Hence your doctor has advised for inr testing. This blood test is used to judge the correct dose of acitrom. This is called titration of dose. You may have to get blood tested for 3 to 5 times and then an adequate dose can be achieved.
Kindly do not worry, get yourselves tested every 3 days. During this time continue the medications. Go for review to your doctor with your blood test reports. He will analyse it and titrate the dose of tablet acitrom.
If you have cvi there are 3 modalities for therapy, compression stockings of grade iii are a must for a long duration to avoid any swelling, limb elevation and fluid restriction can be helpful, taking anti coagulants as prophylaxis is indicated, however using aspirin and clopidogrel for cvi is not effective, warfarin was earlier prescribed but with safe anti coagulants like xarelto 15 mg od no need for above medications. Third modality is surgery for which it is better to consult nearby vascular surgeon for future reference.
I hope you are taking this anticoagulant injection regularly on the advice and follow up of a doctor and not increasing it on your own . The swelling at the injection site is not a real problem and make sure it is not pus forming
MBBS, DNB (General Surgery), Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Faridabad
Weight loss will be preferable first by diet and if not possible by bariatric surgery. Assessment for spider veins should be done by venous doppler to see for underlying varicose vein whicn then may need treatment. Spider veins per se can be treated by microsclerotherapy.