Deep Vein thrombosis (DVT) In India
Q. What is deep vein thrombosis?
* Arteries bring oxygen-rich blood from your heart to the rest of your body, whereas your veins are the blood vessels that return oxygen-poor blood back to your heart. You have three kinds of veins...
* DVT can cause sudden swelling, pain or a sensation of warmth. DVT can be dangerous because it can cause a complication known as pulmonary embolism. In this condition, a blood clot breaks free from your deep veins, travels through your bloodstream, and lodges in your lungs. This clot can block blood flow in your lungs, which can strain your heart and lungs. A pulmonary embolism is a medical emergency. A large embolism can be fatal in a short time...
What are the symptoms ?
About half of all DVT cases do not cause symptoms. The symptoms you feel can depend on the location and size of your blood clot. They include swelling, tenderness, leg pain that may worsen when you walk or stand, a sensation of warmth, and skin that turns blue or red....
What causes DVT ?
When something goes wrong with your body's blood clotting system, DVT can occur. Once a small clot forms in your vein, it can cause an inflammation that may encourage more blood clots to form...
Some specific causes of DVT include : -
* Major surgery on your hip, knee, leg, calf, abdomen, or chest
* A broken hip or leg
* Prolonged travel (this is sometimes called economy class syndrome because people flying coach on airplanes have less room to move their legs)...
Some factors that increase your chances of developing DVT in the upper body include : -
* Having a long, thin flexible tube called a catheter inserted in your arm vein. Catheters can irritate your vein wall and cause clots to form
* Having a pacemaker or implantable cardioverter defibrillator (ICD) for the same reason...
What tests will I need ?
First, your physician asks you questions about your general health, medical history, and symptoms. In addition, your physician conducts a physical exam. Together these are known as a patient history and exam. To confirm a diagnosis of DVT, the physician may order a duplex ultrasound test or another test called a venogram. ..
How is DVT treated ?
* Your physician or vascular surgeon can usually treat DVT with medications or minimally invasive procedures. Rarely, surgery may be required.
* If you have DVT, your physician may inject an anticoagulant drug called heparin. Anticoagulants are also called blood thinners...
* Alternatively, your physician may prescribe a medication known as a low molecular weight heparin (LMWH). This has many of the same effects as heparin, but is given through an injection in the abdomen once or twice a day. ..
* Rarely, physicians recommend surgery to remove a deep vein clot. The procedure is called venous thrombectomy. You may need this surgery if you have a severe form of DVT called phlegmasia cerulea dolens, which does not respond to adequate non-surgical treatment. Phlegmasia cerulea dolens, if not adequately treated, can cause gangrene, which is tissue death and occurs when tissues in your body do not receive enough oxygen and blood. Gangrene is very serious and can lead to amputation. ..
What can I do to stay healthy ?
Physicians know that DVT is more likely if you have surgery. If you are scheduled for surgery, your physician may recommend one or more of the following, to prevent DVT:
* Taking anticoagulants before and immediately after your surgery. This technique is especially helpful if you are undergoing orthopedic joint replacement surgery, such as knee replacement. Your physician may also recommend anticoagulants if you experience heart attacks or are hospitalized for other major illnesses
* Being fitted with a sleeve-like device on your legs during surgery. This device compresses your legs regularly to help blood keep flowing through your veins until you can walk again...
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