Everything you need to know about deep vein thrombosis?

Recognising Deep Vein Thrombosis Symptoms: What You Need to Know

Deep Vein Thrombosis


Deep-vein thrombosis happens when blood clots form in a deep vein in the leg. Deep vein thrombosis can influence veins in the pelvis. DVT (deep vein thrombosis) clots usually form in the thighs or lower leg and can also occur in other body parts. Thromboembolism, post-thrombotic syndrome, and postphlebitic syndrome are some of the names for the illness. DVT is a type of blood clot that originates in the deep veins of the leg or pelvis. When a thrombus or blood clot breaks off, it causes an embolus. Emboli can travel to the lungs and cause a pulmonary embolism.


DVT
DVT

What are the symptoms of DVT?

Common symptoms, as mentioned below,

  • One side swelling in the foot, ankle, or leg
  • Cramping pain or tenderness in the leg
  • Severe pain in your affected leg begins in your calf.
  • A patient may have unexplained pain in their foot and ankle.
  • A patient may have an affected skin area that feels warmer than the skin in the surrounding areas.
  • A patient may face a change in skin colour in the affected area that becomes blue or reddish.

 

Common symptoms of PE include:

  • Unexpected shortness of breath or fast breathing
  • Severe chest pain that often comes with coughing or movement
  • Pain in the back
  • A persistent cough (sometimes with bloody sputum or phlegm)
  • Excessive sweating more than normal
  • Rapid heartbeat
  • Feeling dizzy or fainting

Not everyone with a DVT will have symptoms, but symptoms may affect them. Some individuals are unaware that they have DVT until the clot progresses from their leg or arm to their lungs. It is essential to call your doctor immediately. Even if you feel uneasy, visit your doctor. 

 

What are the possible causes of DVT?

A DVT is more likely if you have the following conditions:

  • A genetic disorder that potentiates your risk of blood clots
  • Cancer and the treatment of chemotherapy. 
  • Limited blood circulation in a deep vein due to injury or surgery.
  • Long periods of stagnation decrease blood circulation.
  • Sitting indelible in a car, truck, bus, train, or aeroplane.
  • Lack of mobility as a result of surgery or an injury
  • If you cross the age of 40 
  • Highly obese 
  • If you consume birth control pills or hormone therapy
  • If you have a central venous catheter or pacemaker,

How do doctors diagnose DVT?

Prevalent tests to diagnose DVT are:

A duplex venous ultrasound:

Duplex venous ultrasound is the most common test used to diagnose DVT. It illustrates the flow of blood through the veins and any blood clots. While scanning your arm or leg, an ultrasound technician will apply pressure. 

A blood clot may be present if the pressure fails to induce vein contraction.



Venography:

Venography uses X-rays to show your deep veins. Experts may inject a contrasting material dye into your veins to observe the veins and any blood clots. Experts can check for any blockages in blood circulation. 

 

Other tests:

Magnetic Resonance Imaging and Magnetic Resonance Venography (MRV) 

MRI shows pictures of organs and structures inside the body, and MRV shows images of the blood vessels in the body. MRI and MRV can often provide more information than an X-ray method. 

 

Computed tomography:

You may notice a CT scan or an X-ray showing structures inside the body. Experts use a CT scan to detect DVT in the abdomen and pelvis and blood clots in the lung (pulmonary embolism).

 

If your doctor thinks you may have a genetic disorder that causes blood clots, you may need other extra precautions and blood tests. These tests may be vital for patients. Experts may not link your history of blood clots to any other cause. If a blood clot forms in an unusual or unique area, such as a vein in the intestines, liver, kidney, or brain, your team of experts will carefully treat it. Even if you have a strong family history of blood clots, a group of doctors will handle it. 


Deep Vein Thrombosis-What is it, Causes, Prevention, and More1
Deep Vein Thrombosis-What is it, Causes, Prevention, and More1
 

What treatments are available for patients with DVT?

Highly experienced surgeons can offer their best treatments to patients with DVT in sophisticated hospitals. It includes medications, compression stockings, and elevating the affected leg. 

For large blood clots, drs use more invasive tests and treatments.

The aims of the treatment are to:

  1. Block the clot from getting large.
  2. Prevent the clot from breaking off in your vein and travelling to your lungs.
  3. Minimise the risk of another blood clot.
  4. Avert long-term complications from the blood clot.

What is the treatment for DVT? 

Treatment for deep vein thrombosis (DVT) involves a combination of medication and lifestyle changes.

Here are the frequent treatments mentioned below:

 

  • 1. Anticoagulant medications: 

Doctors often prescribe blood-thinning medications, such as heparin or warfarin, to prevent further blood clotting and reduce the risk of complications.

Newer anticoagulants like rivaroxaban and apixaban are helpful alternatives to traditional blood thinners.

In severe cases of DVT, healthcare providers may administer thrombolytic therapy to dissolve the blood clot more rapidly. Thrombolytic therapy is a more invasive treatment, and doctors reserve it for situations where there is a high risk of complications.

  • 3. Compression stockings:

Wearing compression stockings helps reduce swelling and improve blood flow in the legs, thus lowering the risk of developing complications like post-thrombotic syndrome.

  • 4. Elevating the affected leg:

Keeping the affected leg elevated when possible helps reduce the swelling and discomfort associated with DVT.

  • 5. IVC Filters:

If anticoagulant therapy is contraindicated or ineffective in rare cases, healthcare providers may implant an inferior vena cava (IVC) filter to prevent blood clots from travelling to the lungs.

Making lifestyle modifications such as maintaining a healthy weight, staying physically active, avoiding prolonged periods of immobility, and quitting smoking can help prevent DVT recurrence.

 

It's crucial to follow the treatment plan prescribed by your healthcare provider and attend regular follow-up appointments to monitor your condition and adjust the treatment as necessary.


EXERCISES
Exercises for DVT 

FAQs

How does Deep Vein Thrombosis affect pregnant women?

Pregnancy increases the risk of DVT due to changes in blood clotting factors and pressure on the veins from the growing uterus. Pregnant women with additional risk factors, such as obesity or a history of DVT, are at higher risk. DVT during pregnancy requires careful management to balance the need for anticoagulant therapy to prevent clotting with the potential risks to the developing fetus. Consultation with a healthcare provider is essential for personalised management and monitoring throughout pregnancy.


What complications can arise from untreated Deep Vein Thrombosis?

 If left untreated, DVT can lead to fatal complications such as pulmonary embolism (a blood clot in the lungs), post-thrombotic syndrome (chronic leg pain and swelling), and even death in severe cases.


Who is at risk of developing Deep Vein Thrombosis?

Anyone can develop DVT, but certain factors increase the risk, such as prolonged immobility, surgery, pregnancy, obesity, smoking, and a history of DVT or blood clotting disorders.



 

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