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How to Treat and Manage Deep Vein Thrombosis?

A severe medical condition that is caused by clotting blood occurrence in deep veins is referred to as Deep vein thrombosis (DVT), which usually is diagnosed in the legs. According to the Centers for Disease Control and Prevention (CDC), approximately 900,000 people in the United States suffer from DVT each year. DVT may also result in other side effects, such as pulmonary embolism (PE), a condition that may be fatal that is brought on when blood clots enter the lungs. In this article, we will examine the causes, symptoms, diagnosis, management, and treatments of DVT as methods for preventing it and lowering the likelihood of consequences.

 

Causes and Symptoms of DVT

 

Deep vein thrombosis (DVT) is a condition that commonly occurs when blood clots become deep veins, usually in the legs and lower regions of the body. If ignored in the early stage, DVT can cause pain, swelling, and other serious complications. Explore the common causes and symptoms of DVT below:

 

Deep Vein Thrombosis Causes:

 

  • Trauma or surgery can cause damage to the inner lining of veins leading to clot formation and causing venous thrombosis.
  • Prolonged immobility can happen during long flights, car rides, or bed rest due to illness or injury.
  • Certain medical conditions like cancer, heart failure, and inflammatory bowel disease can increase the risk of DVT.
  • Certain genetic conditions like Factor V Leiden mutation increase the risk of DVT.

 

Deep Vein Thrombosis Symptoms:

 

  • The affected area may feel warm or appear reddish or discoloured.
  • One of the most common symptoms of DVT is swelling in the affected leg or arm.
  • Pain or tenderness, especially in the calf, can be a sign of DVT.
  • The veins in the affected area may appear more prominent or bulging than usual.

If you encounter any of these symptoms, it's important to get medical help right away because fast diagnosis and treatment can avoid serious problems.

 

Treatment of DVT

 

Deep vein thrombosis (DVT) is typically treated with a mix of medication and other measures. The main aim of treatment for thrombosis is to stop the clot from growing larger and prevent it from rupturing and resulting in a potentially fatal pulmonary embolism (PE). Some of the most common DVT treatments are:

 

  • Medication options:

Anticoagulants: These medications help prevent new clots from forming and existing clots from getting more significant. Examples include warfarin, heparin, and direct oral anticoagulants (DOACs).


Thrombolytics: These medications are used in rare cases where the clot is causing severe symptoms or is at high risk of causing a pulmonary embolism. Thrombolytics help dissolve the clot quickly.

 

  • Surgical Interventions:

 

Thrombectomy: - This is a surgical procedure where a surgeon removes the clot from the affected vein.


Vena Cava (IVC) Filter Placement: - This is a minimally invasive procedure where a filter is placed in the inferior vena cava to prevent clots from traveling to the lungs. Most advance method to treat and remove blood clots from the body is called CDT ( Catheter Director Thrombolysis) and PMT ( Pharmaco-Mechanical Thrombectomy) using most advance devices. This is performed by a Vascular Specialist who is trained in peripheral endovascular procedures. As the blood clot starts becoming harder with each passing day, it is very important to rush to a center having Vascular Specialist so that the clot is removed in timely manner. The blood clots older than one month are very difficult to remove and becomes a problem for entire lifespan.

 

Importance of following medical advice and treatment plans: -  Following your doctor's instructions for taking proper & timely medication and attending follow-up appointments is essential. Compression stockings or sleeves may also be recommended to help prevent swelling and reduce the risk of complications.

 

Education and Awareness: - Education about DVT and its risk factors can help individuals understand the importance of prevention and recognize the signs and symptoms of DVT. Encouraging individuals to seek medical attention immediately if they experience symptoms of DVT, such as swelling, pain, warmth, or redness in the legs. Raising awareness about DVT in the community and among healthcare professionals can help improve early detection and treatment of the condition. Prominent and instant treatment of DVT is essential to prevent serious complications. If you have been diagnosed with DVT, it is important to work closely with your healthcare provider to determine the best treatment plan for your needs.

 

Management and Prevention of DVT

 

Managing and preventing deep vein thrombosis (DVT) is an essential aspect of care to avoid serious complications. In this section, we will explore some ways you can manage and prevent DVT.


1. Lifestyle modifications:

 

Maintain a healthy weight, as being overweight can increase your risk of developing DVT. Regular physical activity can help improve blood flow and prevent blood clots. Plan and schedule at least 30 minutes of moderate exercise daily. Avoid prolonged sitting or standing, take breaks, and move around every 30 minutes to an hour to keep blood flowing.


2. Use of compression stockings and other devices:

 

Compression stockings: These special stockings apply pressure to your legs, which can help improve blood flow and reduce the risk of blood clots. Other devices: Devices such as intermittent pneumatic compression pumps or graduated compression stockings may be recommended for individuals at high risk of DVT.

 

3. Importance of regular check-ups and monitoring:

 

Regular check-ups with your healthcare provider are essential to monitoring any signs of DVT recurrence. If you have a history of vein thrombosis or are at high risk of developing DVT, your healthcare provider may recommend regular blood tests or imaging tests to monitor your condition.


Conclusion

 

Since deep vein thrombosis (DVT) is a severe condition that can lead to life-threatening complications such as pulmonary embolism (PE), early DVT diagnosis and treatment are essential for avoiding severe side effects. The most frequent forms of treatment for DVT are medications and surgical procedures. However, lifestyle changes, wearing compression stockings, and routine check-ups are crucial to controlling and avoiding DVT. It is crucial to visit the Neurology department and speak with a knowledgeable professional like Dr. ABCD if you have any worries about your risk of DVT or see deep vein thrombosis symptoms. They assist you in taking action to control your disease and lower the likelihood of problems. Keep in mind that early intervention and prevention can significantly impact your general health and wellness.

Dr. Virender K Sheorain
Peripheral Vascular and Endovascular Sciences
Meet The Doctor
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