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Doctor insights on: Two Dvts In My Leg

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Leg pain d dimer negative at 178 cut off 250 but previous d dimer two weeks ago was 73 scared of dvt?

Leg pain d dimer negative at 178 cut off 250 but previous d dimer two weeks ago was 73 scared of dvt?

D-DIMER not specific: D-dimer is significant when it is negative since it excludes clot formation. A positive d-dimer, however, is not diagnostic of a clot since it can be positive for other reasons. In a low risk patient with a negative d-dimer, the chances of a DVT are very low. ...Read more

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I have two swollen lymp nodes in my right leg just below the knee, what should I do? Went to emergency room today becuase I thought I had dvt.

I have two swollen lymp nodes in my right leg just below the knee, what should I do? Went to emergency room today becuase I thought I had dvt.

Unusual: Generally infrageniculate lymph nodes are not palpable.
So if these are nodes and palpable there is a cause which needs to be found.
Infection and nodes responding,
lymph problem, neoplasm or something else.
See pcp and followup. ...Read more

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I had two neg. D dimer tests, but my legs are killing me. I never had a DVT ever but is it worth it to get an ultrasound to be sure?

I had two neg. D dimer tests, but my legs are killing me. I never had a DVT ever but is it worth it to get an ultrasound to be sure?

Multiple causes: See your pcp and be guided as to arterial, venous, or musculoskeletal.
Or see a vascular surgeon before spending time and dollars on unnecessary testing. ...Read more

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If you're diagnosed with dvt, blood clot what is the treatment? Does it stay forever or can it be fixed? Going for ultrasound in two days because leg pain

If you're diagnosed with dvt, blood clot what is the treatment? Does it stay forever or can it be fixed? Going for ultrasound in two days because leg pain

DVT: The treatment is anticoagulants like heparin/coumadin. If there is contraindications to anti coagulation, or if it is ineffective, sometimes an inferior vena cava filter is necessary. With treatment the clot may resolve completely. ...Read more

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I have blue spider veins in my leg and one or two small purplish veins. Am I at risk of DVT in pregnancy if I become pregnant? I'm terrified!!!!

I have blue spider veins in my leg and one or two small purplish veins. Am I at risk of DVT in pregnancy if I become pregnant? I'm terrified!!!!

No: These spider veins and small blue veins are simply a sign that some of your veins and a bit of back flow creating these veins that you see. DVT in pregnancy is always a small risk but you are no more likely than anyone else. These are really benign vascular formations and not associated with DVT. DVT as name involves deep veins not these superficial spiders. ...Read more

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44 year-old female with a history of DVT and stroke; on Warfarin daily now with right leg swelling and bilateral leg pain.....?

44 year-old female with a history of DVT and stroke; on Warfarin daily now with right leg swelling and bilateral leg pain.....?

Need good ultrasound study and a cardiac echo: Was there a reason found for the stroke? A clot in the leg may travel to the lung, but should not normally be able to get to the brain. The most likely reason it did is a defect in the heart. An echocardiogram will help sort the heart out, and can guide a repair. A good ultrasound of the legs is necessary to see if there is a recurrent clot. If not, another consideration is Post-Thrombotic Syndrome - failure o the valves in the leg veins from scarring after DVT. Patients with DVT need to wear compression hose daily for at least 2 yrs after DVT to minimize the risk of PTS. ...Read more

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Recently had two DVTs Took blood thinners but I'm now off. The past few days my inner thigh has been swollen and black and blue. Should I get help?

Recently had two DVTs Took blood thinners but I'm now off. The past few days my inner thigh has been swollen and black and blue. Should I get help?

Yes: If you have had no injury that would result in a bruise like this then you should be evaluated, especially given your history of several DVTs. ...Read more

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Left back of thigh cramps for two hours. It's a nagging pain. Is this DVT?

Left back of thigh cramps for two hours. It's a nagging pain. Is this DVT?

Cramp: A DVT commonly presents as pain in calf. It is associated with swelling of ankle and foot. Risk factors include smoking, obesity, estrogen use also commonly associated with long trip of some type or trauma or surgery. ...Read more

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Sudden calf pain. But pain in upper thigh near butt for a week or two. Started running about a month ago. DVT? Or mire likely overuse or injury?

Sudden calf pain. But pain in upper thigh near butt for a week or two. Started running about a month ago. DVT? Or mire likely overuse or injury?

Overuse: This would be a rare location for a blood clot. It sounds more like an overuse problem--you started running too hard too fast or a strain from an abnormal gait or footwear ...Read more

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I'm 28. Found small DVT in calf two weeks ago. How likely is it for the clot to travel to lung while on lovenox (enoxaparin)?

I'm 28. Found small DVT in calf two weeks ago. How likely is it for the clot to travel to lung while on lovenox (enoxaparin)?

Unlikely: Blood clots below the knee seldom travel to the lungs, even when untreated. While on lovenox, (enoxaparin) the risk is even lower ...Read more

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I have leiden's factor v. I had a DVT in my thigh two monthsago. I take 8mg Coumadin (warfarin) daily and adjust it per my pt. Cani use treadmill for 1 hour per day, pretty fast?

I have leiden's factor v. I had a DVT in my thigh two monthsago. I take 8mg Coumadin (warfarin) daily and adjust it per my pt. Cani use treadmill for 1 hour per day, pretty fast?

Yes: Keeping fit is important.
Swelling can be an issue.
If no swelling and no pain, keep it up.
Swimming can be a good and better exercize due to position and no dependent legs. ...Read more

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Would 3 ultrasounds of the leg miss a dvt?

Would 3 ultrasounds of the leg miss a dvt?

Ultrasound and DVT: A venous duplex ultrasound is the most accurate test to evaluate for DVT between the lower calf and the groin. The accuracy of the test usually depends on the machine used and the expertise of the ultrasonographer and the interpreter of the exam. 3 negative ultrasounds is certainly strong evidence that no clot would exist between the areas examined. Clots, however, can occur in other areas. ...Read more

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I am starting on Coumadin for a dvt in leg. I was wondering how Coumadin impacts menstration?

I am starting on Coumadin for a dvt in leg. I was wondering how Coumadin impacts menstration?

Minimal effect: Normal menstrual blood is usually non clotting anyway and Coumadin should not have much impact. There is an exception, and that is if you have heavy clotty blood from bleeding uterine fibroids, Coumadin may increase the bleeding as it is directly from small arteries. ...Read more

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I av a DVT in leg can I use s sunbed?

I av a DVT in leg can I use s sunbed?

Sure, but why?: No contraindications to using the sun bed other than the risk of melanoma and death. ...Read more

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What are the symptom of DVT or blood clits in leg?

What are the symptom of DVT or blood clits in leg?

Swelling and? Pain: A DVT in the calf presents with unilateral fullness or swelling, with some mild discomfort or pain. However, DVT can be silent, with very vague and mild discomfort. DVT in pelvic veins may have almost no symptoms. A high index of suspicion in patients at risk is necessary. Venous doppler studies, a painless sound wave test, can clear or verify the diagnosis. Good luck. ...Read more

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How do I know if I have pain in my legs that is dvt?

How do I know if I have pain in my legs that is dvt?

Pain and swelling: The most common symptom of DVT is pain and the most common physical finding is swelling. However, not everyone has these. If you have unexplained swelling with or without calf or thigh pain then a venous ultrasound would be indicated to look for a dvt. Sometimes even a ct scan or mrv is necessary. The bottom line is, if DVT is considered, then proper testing is required. ...Read more

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Can a dvt in the leg last about 2 years and does it come and go?

A DVT is rarely: Symptomatic for two years however once there has been a DVT there will be disfigurement and disruption of the normal venous function in that area leading to intermittent swelling and pain. On appropriate anticoagulant therapy the clot itself should regress over several months and therefore not last two years but the recurrence rate is quite high (~10%/yr) without long term anticoagulation. ...Read more

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Are there any tests I can do at home to see if pain in my leg is dvt?

Nothing: I completely agree with dr. Rasak. If you are concerned about the possibility of having a dvt, you need to see medical attention. ...Read more

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I have dvt which is being treated. The pain in my leg has almost gone however as I have become more mobile my leg has become redder. Is this normal?

Post-thrombotic: Sounds like post-thrombotic syndrome, especially if your leg has now become more dependent rather than elevated. Ask your doctor whether it is safe to start compression stockings/socks. ...Read more

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I got DVT in my leg. I just wondering if it is ok to take warfrin at 8 :30am that should be taken at 6 am. Worry!

I got DVT in my leg. I just wondering if it is ok to take warfrin at 8 :30am that should be taken at 6 am. Worry!

Take it now: The anticoagulant effect of warfarin/coumadin persists beyond 24 hours. If you missed a dose of wafarin at the intended time of day, you should take the dose as soon as possible on the same day. You should not double the dose the next day to make up for a missed dose. ...Read more