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A 32-year-old female asked:

I have varicose veins. in one leg, there is a hard, hot and very painful lump. is it a blood clot? can i die from this?

2 doctor answers5 doctors weighed in
Dr. Robert Uyeda
General Surgery 47 years experience
Yes and probably not: Sounds like superficial venous thrombphlebitis, which can spread to become deep venous thrombophlebitis, a condition which can cause pulmonary embolism and death. If you have no calf tenderness or swelling, DVT is not likely. More concerning is skin erosion, which can lead to bleeding and infection. Have your doctor look at it.
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Dr. John Landi
Phlebology 49 years experience
Phlebitis: What you are describing is superficial phlebitis or a clot in a superficial varicose vein. The treatment is warm compresses to the area and ibuprofen. You should also see a veins specialist for a full venous evaluation. including a venous ultrasound. Superficial phlebitis usually does not travel but a vein specialist can determine the extent of the phlebitis
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 30, 2020


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