What is Deep Vein Thrombosis?

If your veins are damaged or if blood flow through them is very slow, a thrombus (blood clot) may form in deep veins in your body. This disorder is known as deep vein thrombosis (DVT), sometimes known as venous thrombosis. The blood clots may completely or partially obstruct blood flow via your vein. Although they can also form in the arm, brain, intestines, liver, or kidney, DVTs most frequently occur in the lower leg, thigh, or pelvis.

Who is more likely to have Deep Vein Thrombosis?

Deep vein thrombosis, or DVT, is more likely to occur if you:

  • Age more than 60
  • Are oversized
  • Smoke
  • Previously experienced DVT
  • Use HRT or the contraceptive pill.
  • Suffer from heart failure or cancer
  • Possess varicose veins

Additionally, there are instances in which your risk of developing DVT is elevated.

Among them are if you:

  • Are hospitalized or have just left the hospital, particularly if you have limited mobility (such as following surgery).
  • Are restrained to their beds.
  • Travel a great distance (more than 3 hours) via automobile, train, or aircraft.
  • Are expecting a child or if you have given birth within the last six weeks.
  • Lack of moisture.

DVT can occasionally occur for no apparent reason.

What are the symptoms of Deep Vein Thrombosis?

Usually, the veins in your arms or legs are where a DVT occurs. Up to 30% of DVT patients experience no symptoms at all, yet occasionally, there are extremely minor symptoms that don't need to be taken seriously. These symptoms of acute DVT include the following:

  • Swelling in your leg or arm (this might happen quickly sometimes).
  • Sensitivity or soreness in your arm or leg, which might only be felt when moving or standing.
  • The area that is swollen or hurting may feel warmer than usual on your arm or leg.
  • Reddish or discoloured skin.
  • Your skin's superficial veins can be larger than usual.
  • Pain in the belly or flanks (occurs when deep vein thromboses in the abdomen are affected).
  • Severe headaches, generally with an abrupt onset, and/or seizures (resulting from blood clots affecting the brain's veins).

Some patients are u naware that they have a deep vein thrombosis (DVT) until the clot moves from their arm or leg and into their lungs. Chest pain, breathlessness, a bloody cough, dizziness, and fainting are signs of acute PE.

What causes Deep Vein Thrombosis?

Your risk of Deep Vein Thrombosis increases if these conditions occur-

  • If you are overweight
  • Suffering from cancer its treatment
  • You are older than 40
  • If there is any family history of deep vein thrombosis
  • Having restricted blood flow in a deep vein as a result of surgery, a wound, or being immobile.
  • Being immobile after surgery or a major injury, as well as sitting for long periods in a car, truck, bus, train, or airplane.
  • Having recently given birth or being pregnant.

What is the diagnosis and tests for Deep Vein Thrombosis?

Your doctor will diagnose DVT after a physical examination and discussion of your symptoms. The doctor will look at your legs for pain, swelling or color changes in your skin. Which tests are scheduled for you will depend on how high or low your DVT risk level is determined by your clinician.

Those tests are-

Treatment for DVT has three main objectives.

Following are some options for the treatment of DVT.

Blood thinners - These are other names for medications known as anticoagulants, which prevent blood clots from growing larger. Blood thinners reduce the chances of new clots forming. Blood thinners can be taken by mouth, injected under the skin, or through an intravenous (IV) line. Several types of blood thinners are used for DVT. You will decide which one is best for you after discussing the pros and cons of each option with your healthcare provider.

You might need to stay on blood thinners for up to three months. It`s critical to take them just as you`re instructed. That`s because taking too much can lead to serious side effects. If you are taking a blood thinner like warfarin (Jantoven), you will need regular blood tests to check the level of the drug in your body. There are several blood thinners that are unsafe to take while pregnant.

Thrombolytics, or "clot busters," When alternative treatments aren't working or for more severe cases of PE or DVT, these pharmaceuticals are employed. A tube (catheter) inserted straight into the clot is used to administer clot busters. These usually are reserved for people that have huge clots of blood in their bodies and can be very bleeding-heavy.

Filters: If you can't take medication to thin your blood, a filter may be inserted into the vena cava, a big vein in your abdomen. A vena cava filter stops clots that break loose from traveling to your lungs.

Support stockings (compression stockings)These unique knee socks help prevent blood clots in the legs and lessen edema. Wear them on your legs from your feet to roughly the level of your knees. If at all possible, wear these stockings during the day for a few years to treat DVT.

How to recover from Deep Vein Thrombosis?

You have options for assisting your recovery from deep vein thrombosis (DVT).

You will be urged to: once you leave the hospital

What distinguishes superficial venous thrombosis (DVT) from DVT?

Phlebitis or superficial thrombophlebitis is typically described as blood clots in a vein close to the skin's surface. This condition is known as superficial venous thrombosis.

Rarely do blood clots of this kind make their way to your lungs until they pass from the superficial to the deep venous systems. A doctor can use a physical examination to identify superficial vein clots, but an ultrasound is required to identify DVT.

What is the danger of DVT?

The blood clots may break loose and enter your circulation, even though DVT is not a life-threatening condition in and of itself. A pulmonary embolism (PE) occurs when blood clots that are flowing through your body lodge in the blood arteries in your lungs. You require an immediate diagnosis and course of treatment because this ailment may be fatal.

When a DVT occurs in the legs, up to half of the patients experience sporadic limb pain and swelling that can linger for months or even years. These symptoms, known as post-thrombotic syndrome, can be brought on by harm to the vein's inner lining and valves, which makes blood "pool" more than it ought to. This causes your veins to become more pressurized, which causes pain and swelling.

The following traits are present in this condition:

Why Tender Palm Super-Speciality Hospital for Deep Vein Thrombosis?

Tender Palm Hospital, owned by doctors, is renowned for attracting the most skilled professionals in the country. With the finest vascular surgeons specialized in Deep Vein Thrombosis. Tender Palm stands out as the one of the best hospital for vascular surgeries in Lucknow, India. Boasting cutting-edge infrastructure and advanced technology, Tender Palm ensures top-notch medical care for its patients.

To seek an expert consultation for any vascular condition

  • D-dimer blood test: Blood clots create a particular type of protein called D-dimer. The majority of patients with severe DVT have higher blood levels of D dimer. Often, this test might assist in ruling out pulmonary embolism (PE).
  • Venography: This test uses dye and X-rays to study the veins in the feet and legs. The dye is injected into a large vein in the foot or ankle. The abnormal blood vessels involved in varicose veins will keep much of the dye, causing them to be very visible under X-ray. This test is rarely given because it is invasive. Ultrasound: One test that is often given first is ultrasound.
  • MRI: It can be used in diagnosing DVT in abdominal veins.
  • Duplex ultrasound: This test is non-invasive. It uses color images that outline blood flow through the vein by using sound waves.
  • This test is commonly used to diagnose DVT. During the examination, a medical professional gently applies a tiny handheld gadget called a transducer to the skin over the targeted body part. Several days' worth of additional ultrasounds may be performed to look for growing blood clots or to see if any already exist.
    • Stop further bleeding
    • Avoid the clot dislodging and travelling to the lungs.
    • Reduce the risk of your developing another DVT.
    • Regularly go for walks.
    • Delay taking any flights or lengthy trips for at least two weeks after starting blood thinner medication. When seated, keep your injured leg raised.
    • Increased skin colouring or pigmentation
    • Persistent leg edema
    • Bleeding accumulation
    • High intravenous pressure
    • We call these ulcers on the legs "venous stasis ulcers."

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Our Experts

Dr. Ashutosh Pandey
Dr. Ashutosh Pandey
Consultant - Vascular Surgeon

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