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Deep Vein Thrombois Tips

Blood Clotting During & Post Pregnancy - How To Avert It?

Dr.K.S Jeyarani Kamaraj 90% (1165ratings)
MBBS, DGO -Gynecology & Obstetrics, MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
Blood Clotting During & Post Pregnancy - How To Avert It?

Clotting of blood during or after pregnancy is fairly common these days. While the reasons for these are numerous, the driving reason behind this being that the mother is weak after such an ordeal and it is, therefore, likely to affect her health. In pregnant women, blood clots tend to form in the deep veins present in the legs or near the pelvic area. The condition is known as Deep Vein Thrombosis (DVT). One of the main concerns for people suffering from Deep Vein Thrombosis (DVT) is the occurrence of Pulmonary Embolism (PE), which is a life threating diseases and is caused when a DVT breaks and travels to the blood vessels connected to the lungs.

The symptoms of Deep Vein Thrombosis (DVT)
According to the data published on “Centre for Disease Control and Prevention” website, from a recent survey conducted it has been estimated that almost 900,000 people suffer from Deep Vein Thrombosis (DVT) every year in the United States i.e. 2 in every 1000 people suffer from this life-threatening disease.

This disease although life-threatening can be taken into account by proper medical care at the early stages and therefore patients are advised to look out for any or all of the following symptoms-

  • The patient is experiencing pain, swelling or tenderness in one of their legs, although both might have been affected.
  • You have noticed a change in skin colour, and it has taken a reddish shade.
  • There is a warm sensation in and around the area of the clot.
  • The veins on your legs are appearing larger than they should.

Although all of these are proven symptoms for Deep Vein Thrombosis (DVT), it is common to have discomfort from swelling legs during pregnancy and does not always mean that the patient has symptoms of Deep Vein Thrombosis (DVT). If you are having the slightest thought that it may be a case of Deep Vein Thrombosis (DVT), you should immediately contact your GP, midwife, or call your maternity unit.

Treatment for Deep Vein Thrombosis (DVT)
When a patient is suffering from Deep Vein Thrombosis (DVT) and she is pregnant, anticoagulants, which is a medicine that prevents clotting of blood, is administered to them. While not all anticoagulants are safe to use during pregnancy, quite a few are. It is highly advisable that a doctor or medical practitioner is consulted before taking any further step.

How to prevent Deep Vein Thrombosis (DVT)
Like all diseases around the world, Deep Vein Thrombosis (DVT) is too a preventable one if the certain Do’s and Don’ts are kept in mind. Below is a list of certain things to keep in mind, in order to prevent Deep Vein Thrombosis (DVT)-

  • Being active and moving around regularly, will keep the blood circulation normal.
  • Beware of your family history and consult your doctor with the same.
  • Look out for symptoms and contact your doctor at once if you see one.

Every disease is preventable and curable. It is on us, what we choose to do with it, succumb to it, or stand up and fight it. Look out for the above-mentioned points and you will be at a safe distance from the clutches of Deep Vein Thrombosis (DVT).

1464 people found this helpful

Varicose Veins - How Can Homeopathy Take Care Of Them?

MD-Homeopathy, BHMS, Certified in Lifestyle Medicine
Homeopathy Doctor, Kolkata
Varicose Veins - How Can Homeopathy Take Care Of Them?

Blood vessels are normally hidden under the skin, but a common complaint of people who stand for long durations of time is the appearance of bluish veins on their legs. In most cases, these veins appear twisted and enlarged. This condition is known as varicose veins. Pregnant women also often suffer from this condition.

Causes of Varicose Veins:

  1. Occupational: Standing long hours

  2. Genetic tendency

  3. Deep vein thrombosis: A condition which affects the valves of veins

  4. It might get triggered during pregnancy and due to obesity

Apart from the appearance of veins, the patient may experience swelling of the calf muscles, cramps in the legs and a feeling of heaviness. If left untreated, it could result in the formation of varicose ulcers and other complications.

Homeopathy is a holistic form of treatment that is very effective when it comes to varicose veins. This form of the medication does not address only the symptoms but also takes into account the personality of the person and his or her overall health.

It helps to reduce pain, control further varicosity, reduces swelling. Homeopathy also helps significantly in the cases which have varicose ulcers. Homeopathic treatment is strongly recommended for all cases of varicose veins except for those which are truly surgical in nature.

Homeopathy treats this condition by stimulating the immune system and restorative processes in the body while strengthening the walls of the veins. It has negligible side effects, but should ideally be taken under a qualified homeopath doctor’s guidance.

Some homeopathic remedies used to treat varicose veins include the following:

  1. Hamamelis: Hamamelis is the most popular homeopathic medicine used to treat varicose veins. This is prescribed in cases where the veins bleed and there is a feeling of tiredness. The patient may also feel the leg muscles becoming sore or bruised and suffer from inflamed varices.

  2. Pulsatilla: This medicine is often prescribed to pregnant women suffering from varicose veins and in cases of varicose veins that are extremely painful. Some of the personality characteristics taken into account when prescribing Pulsatilla is intolerance to heat and thirstlessness.

  3. Calcarea: Painless cases of varicose veins are often treated with Calcarea. However, there may be a burning sensation in the varicose veins. The patient, in such cases, is usually obese, but malnourished and sweats excessively though his/her hands and feet stay cold.

  4. Graphites: Varicose veins that are excessively itchy can be treated with Graphites. It is also effective in cases where the patient suffers from cramps in the legs and other skin problems. Patients who benefit from Graphites for varicose vein treatment are often obese and suffer from constipation.

  5. Arnica: Arnica is often used to treat varicose veins that are sore and bruised. In such cases, the patient’s legs may also have blue–black discolouration and they may appear as if they had been beaten. Any kind of exertion aggravates the symptoms.  

1903 people found this helpful

Blood Clots - How To Avert Them?

Advanced Infertility, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Visakhapatnam
Blood Clots - How To Avert Them?

Blood clots can be alarming, more so during pregnancy. The seriousness is much more because of the baby growing inside you. However, the good part is that this condition is considered rare.
However, one can take steps to minimize the risks of this condition during pregnancy.

What is a blood clot?
Blood clots develop when the platelets obstruct blood flow. Normally, this happens after any injury or a cut, in order to prevent continuous bleeding. During pregnancy, blood clots act as a safeguard against losing excessive blood at the time of labor. Deep vein thrombosis (DVT) is however, a serious condition wherein a blood clot forms within the leg’s deep veins or the pelvic area. DVT is linked to Pulmonary Embolism, a condition wherein a blood clot ruptures and travels all the way to the lungs’ blood vessels.

Bear in mind that statistically, a blood clot may affect one or two out of every 1000 women. So there should be no real alarm unless you realize that you could be at risk. The risks of this condition are at their highest, either during the initial six weeks, post-childbirth or the first 3-4 months post pregnancy.

The risk factors are:

  1. Family history of DVT
  2. Smoking or having been exposed to passive smoke
  3. Age- especially above the age of 35
  4. Being overweight or obese
  5. Sedentary lifestyle devoid of any exercise
  6. Childbirth via a C-section

Common symptoms:
Although rare, some of the common symptoms include:

  1. Pain or swelling in the affected leg
  2. Pelvic pain
  3. Pain that deteriorates while walking/moving around
  4. Abnormally large veins

Possible complications:
Placental abruption or blood clots in the placenta

  1. Stroke
  2. Heart attack
  3. Miscarriage
  4. Pulmonary Embolism

Treatment and prevention
Adopting a healthier way of life by following a proper diet and exercising regularly is the basic preventive measure you can take. Discuss the type of exercises you can do with the healthcare provider. Exercising regularly ensures better circulation, thus averting the formation of blood clots. Now is as good a time as ever when it comes to quitting tobacco. An anticoagulant will be administered that prevents blood clotting.

2342 people found this helpful

Deep Vein Thrombosis (DVT) - All You Should Know About It!

MBBS, MS - General Surgery, FRCSED, Surgery
Vascular Surgeon, Hyderabad
Deep Vein Thrombosis (DVT) - All You Should Know About It!

What is DVT?

Deep vein thrombosis is a kind of vascular disorder. It happens when a thrombus (blood clot) forms in the deep vein anywhere in the body. It especially develops in the legs. This is a grave ailment and can actually be fatal for you unless you seek treatment right away.

What are the symptoms of DVT?

A worrying feature of deep vein thrombosis is that in most cases it shows no symptoms in the earlier phases. Moreover, what makes diagnosis hard is that even when symptoms manifest, they are very similar to those of other disorders like tissue or muscle inflammation or arthritis.

Here are some typical deep vein thrombosis symptoms:

• One or both of your legs become swollen
• Your legs feel tender and hurt a lot in all postures
• The skin of your legs always feel hot to the touch
• Your skin looks blotchy or discoloured
• You bleed when you cough
Wheezing and breathing problems
Dizziness
• Frequent and sharp chest pain

Who is susceptible to DVT?

Deep vein thrombosis usually happens when you sit or lie in one position for long stretches of time especially when you are recuperating after an illness or surgery. It can also happen to you for other reasons-

• Injury: An injury to your legs can narrow the blood vessels and that reduces the blood flow through the veins. That is why blood clots can develop there.
Pregnancy: The additional weight that woman has to carry in the course of her pregnancy exerts extra pressure on the veins of the legs and pelvis and thus clots may form in the veins.
• Contraceptive pills: Birth control pills raise the chances of a woman getting deep vein thrombosis by four times.
Obesity: Obesity means forcing extra pressure onto your veins.
Smoking: Smoking interferes with the flow of blood through your veins and raises the possibility of getting blood clots.
• The family history of deep vein thrombosis: if anyone in your family has deep vein thrombosis, you might contract it too because it is hereditary.

Complications:

DVT becomes lethal if the blood clot becomes dislodged and travels from the legs to the lungs, it can cause a pulmonary embolism. This can lead to blockage of the artery of the lung and in that case, a person may die.

Treatment for deep vein thrombosis:

Treatment for DVT includes both invasive and non-invasive vascular techniques.

• Blood-thinning medicines: They prevent blood platelets from clumping together and reduce the size of the existing clots.
• Thrombolytic drugs: If medicines are not effective, work, these drugs will be injected into your veins. They travel down the veins to where the blockage is and disintegrate the clots so that blood can once again flow through the vein uninterrupted.
• Compression stockings: They exert pressure on the vein containing the clot, prevent it from moving, and do not allow new clots to develop. You have to wear them throughout the day.
• Surgery: In very rare cases, when non-invasive methods have no effect, you may have to undergo a kind of vascular surgery called venous thrombectomy. The surgeon will make a minute incision in the vein where the clot is lodged, siphon it out and then repair the damaged vein.

Deep vein thrombosis is easily curable with treatment. Do not delay it, as DVT has the potential to kill you.

1943 people found this helpful

Blood Clots In Legs - Are They Preventable?

MS - Orthopaedics, MBBS
Orthopedic Doctor, Bijnor
Blood Clots In Legs - Are They Preventable?

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. f*  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.

2809 people found this helpful

Deep Vein Thrombosis - Causes, Symptoms & Treatment!

BHMS & MD, MCAH
Homeopathy Doctor, Vijayawada
Deep Vein Thrombosis - Causes, Symptoms & Treatment!

Deep vein thrombosis (DVT) is a condition of the blocked deep vein (especially of legs) with blot clot called thrombus. When any of the deep veins are blocked, It results in the swelling, redness, pain and warmth feeling of on the affected site. Sometimes the clot travels through the blood to lungs and causes a pulmonary embolism.

SIGNS & SYMPTOMS-

* Swelling

* Redness

* Pain

COMPLICATIONS-

* Pulmonary embolism

* Postphlebitic syndrome (it is characterized by pain, swelling, brownish or reddish skin discoloration and skin ulcer on the leg)

RISK FACTORS-

Many factors can increase your risk of developing deep vein thrombosis (DVT).

* Inheriting a blood-clotting disorder. Some people inherit a disorder that makes their blood clot more easily. This condition on its own might not cause blood clots unless combined with one or more other risk factors.

* Injury to a vein

* Abdominal and pelvic Surgery

* Pregnancy. Pregnancy increases the pressure in the veins in your pelvis and legs

* Prolonged bed rest

* Being overweight or obese

* Birth control pills (oral contraceptives) or hormone replacement therapy

* Smoking

* Heart failure

* Inflammatory bowel disease

* Cancer

* Age. Being older than 60

* Sitting for long periods of time

PREVENTION-

* Calf muscle stimulation during surgery

* Active leg exercises

* Graduated support stocking

* Treatment for DVT

* If you have had surgery or have been on bed rest for other reasons, try to get moving as soon as possible

* If you're sitting for a while, don't cross your legs which can hamper blood flow

* If you're traveling a long distance by car walk around

* If you're on a plane, stand walk occasionally

* If you can't do that exercise your lower legs


* Lose weight

* Quitting smoking

HOSPITAL MANAGEMENT-

* Supportive care

- oxygen therapy

- maintaining hypotention

* Anticoagulation therapy

- heparin

- warfarin

* Thrombolytic therapy

- streptokinase or tPA to hasten the lysis of pulmonary embolus or emboli

* Inferior vena cava interruption (if thrombolytic and anticoagulant therapies are contraindicated or if the patient continues to have recurrent pulmonary embolism despite these therapies, vena caval interruption is indicated by the transvenous placement of Greenfield filter in the inferior vena cava just below the renal veins)

* Pain relief

* Anticoagulant medications

 

HOMEOPATHIC TREATMENT-

* THROMBOSIS, lower limbs - Apis mel

* Edema of Foot - Apis., Ars., aur-m., aur., Chel., dig., Kali-c., kali-i., lach., Lyc

* Red swelling of foot - Ars., bry., carb-v., Kali-c

* Red blue swelling of the foot - Ars alb

* Swelling foot painful - Apis., ars., aur., led., merc., sulph

 

 

7 people found this helpful

Thoracotomy - Know Care Required Post It!

MBBS, MS - General Surgery
General Surgeon, Delhi
Thoracotomy - Know Care Required Post It!

The chest cavity within the ribs is a very vital area of your body. There are multiple vital organs within this area and if there are any problems with any of these, then one of the ways to perform surgery in this area is with the help of thoracotomy.

What is thoracotomy?
Thoracotomy is the opening up of the chest cavity for the doctors to allow access to the vital organs within the region such as:

  • Heart
  • Lungs
  • Throat
  • Aorta
  • Diaphragm

In this procedure, the doctors make a medium to large incision on the side of the chest which may extend much further up the back depending on how far the doctor needs access too. However, in certain cases, the doctors may extend the incision to the front of the chest and even remove ribs to allow access. Thoracotomy is a major and invasive surgery. It is a fairly common surgery but carries risks because of it being such an invasive surgery.

When is thoracotomy performed?
Some of the indications where thoracotomy is performed would be –

  1. To check for lung diseases
  2. To remove non-cancerous or benign tumors
  3. To treat infections of the chest cavity also known as empyema
  4. To remove blood from the lungs in a condition known as Hemothorax
  5. Thoracotomy is also performed as an emergency procedure to remove fluid from the chest cavity
  6. One of the most common cases wherein this procedure is performed is during pulmonary embolism or a blood clot within the lungs
  7. Treatment of wounds sustained from knife stabbings or gunshot wounds
  8. As a part of treatment for lung cancer

Risks of Thoracotomy

  1. Since thoracotomy is more invasive than other procedures, it tends to carry more risks as well. Some of the risks are mentioned as follows -
  2. Infection of the wound, as is the case with any surgery
  3. Excessive bleeding during the surgery
  4. Development of Pneumonia due to the lungs becoming inflamed after the surgery
  5. If the heart surgery isn’t successful, then it might lead to further worsening of the problems.
  6. Further chances of blood clots; especially deep vein thrombosis, wherein a clot in the leg moves up to the lungs causing serious health problems.
  7. Leakage of air through the walls of the lungs that results in longer healing time and thus warrants longer hospital stay.

Aftercare
Aftercare is fairly complicated with this procedure and will take some time to heal completely.

  1. In most cases, tubes to carry out fluids, as well as IV Drips, may also be connected to you.
  2. You will also be given anti-pain and anti-inflammatory medications in order to deal with post-surgery recovery.
  3. You will also be recommended breathing and movement exercises to slowly improve your tolerance and bring back normalcy in movement.
  4. You will also need to be careful while touching the area so as not to infect it.
  5. Ensure your hands are thoroughly washed and clean when you touch them. Also, ensure that dressings are changed regularly with the appropriate precautions as prescribed by the doctors.
3106 people found this helpful

Blood Clots In Legs: How To Prevent Them?

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedic Doctor, Malappuram
Blood Clots In Legs: How To Prevent Them?

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.

2771 people found this helpful

Blood Clots - How To Avoid It In Leg?

MBBS, D.ORTHO, MS, Fellowship in Minimally Invasive Surgery
Orthopedic Doctor, 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.

3621 people found this helpful

What is Deep Vein Thrombosis (DVT) - Symptoms,Treatment & Prevention

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

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 a vein specialists to avoid blood clots forming in the veins which can help avoid potentially serious problems.

Deep Vein Thrombosis (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

Deep Vein Thrombosis (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 of Deep Vein Thrombosis (DVT)?

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 Deep Vein Thrombosis (DVT)

Chronic Deep Vein Thrombosis 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:

  1. Leg swelling after standing for long periods
  2. Aching pain
  3. Varicose veins
  4. Skin ulcers in severe cases.

Acute Deep Vein Thrombosis (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 Deep Vein Thrombosis (DVT)?

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

  1. Swelling of the leg or along a vein in the leg
  2. Pain or tenderness in the leg, which you may feel only when standing or walking
  3. Increase in warmth in the area of the leg that’s swollen or painful
  4. Red or discolored skin on the leg
  5. Unexplained shortness of breath
  6. Pain with deep breathing
  7. Coughing up blood

Prompt diagnosis and proper Deep Vein Thrombosis (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.

Deep Vein Thrombosis (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:

  1. Stopping the blood clot from getting bigger
  2. To dissolve the already formed clot
  3. Preventing the blood clot from breaking off and moving to your lungs
  4. Reducing your chance of having another blood clot
  5. To prevent long-term complications known as Post Thrombotic Syndrome.

Anticoagulants (Blood Thinners)

These are the most common medicines in Deep Vein Thrombosis (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 patients where permanent risk factors 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 a 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:

  1. Exercise your lower leg muscles if you’re sitting for a long time while traveling.
  2. Get out of bed and move around as soon as you’re able after having surgery or being ill.
  3. The more active you are, the better your chance of avoiding a blood clot.
  4. Take any medicines your doctor prescribes to prevent clots after some types of surgery.
  5. Wear compression stocking to prevent complications or recurrence as per instruction.
  6. Keep a regular follow-up with your doctor to avoid or prevent post DVT complications.

SPECIAL PRECAUTIONS FOR PEOPLE WITH DEEP VEIN THROMBOSIS:

  1. 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.
  2. The risk of bleeding is high with anticoagulants so the 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.


 

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