Doctor insights on:
Treatment Of Splenic Vein Thrombosis
Many options: Depending on location, severity, & other medical conditios, the recommendations will vary. Commonly blood thinner medication is delivered orally, intravenous, or subcutaneous. Examples are coumadin, (warfarin) Xarelto, Lovenox, and heparin. When blood thinners fail or can't be given (bleeding risks) then an IVC filter if often used. Catheter thrombolysis good option for ileofemoral DVT. See vascular surgeon ...Read more
Anticoagulation: There are two kinds of blood clots-superficial and deep. Deep is the more serious and is also called dvt. The treatment for DVT is to first make the diagnosis usually with a venous ultrasound or cat scan. Next patients are placed on blood thinners of which there are many including heparin, coumadin, (warfarin) lovenox, pradaxa, xaralto, etc, the duration of treatment is dependent on many factors. ...Read more
TPA (alteplase): When DVT new tpa (alteplase) is effective at clearing the clot so that the function of the valves in the veins are preserved. ...Read more
No but,,: A low INR is not a direct cause if pain. It stands for International Normalized Ratio and is the ratio of the patients prothrombin time to a normal prothrombin time value raised to the power of the ISI (international Sensitivity Index) or a ratio of tissue factor to a reference tissue factor. However if it's low it can mean that the blood is clotting more and can lead to thrombosis in patients. ...Read more
Pain: For most people such a pain would be gas in the gut. Given your history, it would be prudent to see your doctor and be checked out if this isn't a brief one-time episode. ...Read more
Yes, as for the DVT:
You need to have it confirmed with a doppler us, then be started on blood thinners.
Seeing you pcp will be helpful to start this and he/she can treat the shin splints, which is much less serious problem, than the dvt. If any chest symptoms (pain, shortness of breath, coughing, etc) occur, you need to go a hospital, for controlling the pe, a much more serious condition. ...Read more
Extension and Bleed: Medications are used to prevent propagation of the clot to more extensive areas of the cerebral venous system. Studies indicate a tendency toward better outcome in patients treated with anticoagulant therapy than in those who are not treated with anticoagulants. In einhaupl's study, even patients with cerebral hemorrhage appeared to benefit from anticoagulation. Risks are for hemorrhage or stroke. ...Read more
Oral administration.: Warfarin is available in an oral dose and is given on a daily basis. Its effects lasts 24 hours and takes about 72 hours to clear from your system. Heparin is given either intravenously or subcutaneously and requires dosing every 4 to 8 hours or continuously depending on the method of administration. Long term anticoagulation is easier and better tolerated with an oral medication. ...Read more
Woud you please discuss the complications that can arise in the treatment of cortical venous thrombosis?
Risk of bleeding: Anticoagulation, with Coumadin or Heparin or several newer agents, is the main treatment for clots. Older people especially have a risk of bleeding while on these, so a fall should be evaluated for a hematoma on the brain. Other risks: because it lowers vitamin k, Coumadin therapy increases the risk of arterial calcification & heart valve calcification, especially if too much vitamin d is present. ...Read more
If what you are asking is 'is laser effective in treating venous thrombosis in a diabetic? " the following applies.
Venous thrombosis is usually treated with compression, ambulation, anticoagulation, and anti-inflammatories. Deep or superficial vein involvement varies the treatment. Diabetics have arterial problems, too. See a phlebologist or vascular surgeon. ...Read more
My father is recently diagnosed with hepatic vein thrombosis with symptoms of fullnes, itching & swollen liver. What should be the treatment plan?
Anti coagulation: Evaluation for, the source is next, in some cases an atriocaval shunt might be needed. ...Read more
Hcc stage 4, portal vein thrombosis and vascular participation AFP 70 GGT 350, age 80, no treatment is done. No physical symptoms. Prognosis?
Many factors: PVT and and age alone does not indicate prognosis. Child's score, performance status and the BCLC scoring system can help determine this. A multi-disciplinary team should review. In a patient with good performance status and PVT, with good liver function. AlB above 3.0, Tbili less than 2.0, could be treated with Y-90 therasphere and or Sorafenib. ...Read more
I masturbate very roughly 3 months ago and develop penis vein thrombosis. Doc said it will go with time. I haven't stp masturbtn. And its not going?
Depends: How long have you been on warfarin? What does "didn't respond" mean? Do you have pain? Do you have swelling? Do you have a thrombophilia? Do you have paget-schroetter syndrome? Have you had surgery? Your question really can't be answered specifically without more information and an examination. You need to talk it over with your doctor. ...Read more
A blood clot:
A DVT is a blood clot (thrombus) which has formed in the deep vein of usually the leg. It may involve the lower, upper or entire leg.
Less frequently it involves the upper extremity. The other kind of clotting is superficial phlebitis which occurs in the veins just under the skin. If either is suspected one should seek immediate medical attention. ...Read more
Many factors: Patients with a hereditary condition, called venous insufficiency have a valvular condition that allows blood to pool while standing or sitting, decreased return to heart when not lying down. Can lead to inflammation due to decreased blood flow through the vein, damage to vein and blood clotting. Other factors blood clotting disorder, malignancy, recent surgery, hx dvt, pregnancy, hrt, infection. ...Read more
Predisposition: Spontaneous thrombosis of a non peripheral vien suggests a possibility of underlying predisposition for clotting. Evaluation of protein c, protein s activities, d dimer, factor x and cardolipin and phosphlpid antibodies should be evaluated. All to say a fell hemotolaogic workup is necessary. If these abnormaitie exist consider smoking birthcontrol cancer as underlying triggers. ...Read more
Pain, swelling, red: Only about 50% of people with blood clots have symptoms directly related to that blood clot. The most common symptoms, when you have them, are pain, swelling, redness and increased warmth over the vessel involved. Occasionally, trouble breathing and pain in the chest are the first signs - which can happen if part of a 'silent clot' breaks off and travels to the lungs. ...Read more
Multiple.: There are many causes for DVT but all causes revolve around 3 factors: stasis of blood, injury to the vessel wall or increased propensity to clot (hypercoagulabe state). Stasis occurs with long trips or immobility due to illness or casts. Injuries to the vein wall can occur with trauma from something within the vein or external to it. Hypercoagulable- increased risk of clotting -genetic/acquired. ...Read more
Possibly: Deep vein thrombosis (DVT) is a blood clot in one or more of the internal veins. Most often in the legs, less often in the arms. If a blood clot breaks loose and flows through the heart and into the lungs it can be fatal. Dvt is a common complication of many medical illnesses. If you are ill you should ask your doctor about this as there are effective prevention approaches. ...Read more