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Phlebitis

Phlebitis is an inflammation of the veins that are located near the surface of the skin. This is not typically a serious condition, and it usually improves after about 1 to 2 weeks. Phlebitis is also called superficial thrombophlebitis of superficial vein thrombosis.

Symptoms

Phlebitis usually impacts the veins in the legs, but it can also be present in the veins of the arm or the neck. The most common symptoms of phlebitis are:

  • Pain and tenderness or swelling in the affected area of the body
  • Warm or itchy skin over the affected area
  • Changes to the colour or the texture of the affected skin. The skin could be red, or it could feel hard

More serious symptoms of phlebitis complications are:

  • Throbbing and cramping in the legs, arms, or neck
  • Sudden swelling in the legs, arms, or neck
  • Warm skin around the painful area
  • Swollen veins, which are hard and sore when you touch them

Causes & Risk Factors

Phlebitis is often caused by injury or surgical procedures. The injury to the vein increases the risk of forming blood clots.

The risk factors for phlebitis are:

  • Sedentary lifestyle
  • Prolonged inactivity related to illness or recovery from surgery. This inactivity can also happen due to travelling and sitting for long periods on planes or the bus.
  • Being obese
  • Smoking
  • Having cancer
  • Having blood disorders
  • Having an injury to the arms or legs
  • Being engaged in hormone therapy
  • Taking birth control pills
  • Being pregnant
  • Having varicose veins

Diagnosis

Diagnosis is often made in part by collecting a full medical history. You will also usually need to have a d-dimer test done to measure the clotting factors in your blood. Ultrasounds can be done to locate clots in the veins or places where blood flow is blocked. Venograms can be used to find clots and blockages in the smaller veins in the legs as well.

Treatment & Prevention

Treatment of phlebitis can be quite simple in most cases. Compression stockings can be used to both prevent and treat this condition. You can also take NSAIDs to help control the pain and inflammation that are associated with the condition.

If there is an indication that your phlebitis might spread to deeper veins, you might be given a blood thinner to take. Some people will need to take blood thinners for their whole life to manage this condition.

You might also be told to elevate your legs when you are sitting and to wear compression stockings when you are travelling. Compression stockings and making sure to move around and get enough exercise each day can help to treat and also prevent phlebitis. You can also help prevent phlebitis by stopping smoking, eating a healthy diet, and being sure that you follow all instructions for aftercare if you have surgery or if you have suffered an injury to the skin.

 
 
 

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