phlebitis

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Phlebitis is an inflammation of a vein. A clot that forms in an inflamed blood vessel is called thrombophlebitis. Thrombosis is a clot that can partially or completely block a blood vessel. I am sure you have heard of deep vein thrombosis (DVT).

This occurs when a clot forms in a deep vein, and it is life threatening. The risk of this clot formation is that it could spread to one of your vital organs such as the heart or lungs. Blood clots can form after surgery, childbirth or extended bed rest. They can also be a result of infection. Symptoms of phlebitis can include:-

A hard, cord like vein that is sensitive to the touch.
Swelling
A surrounding area that is red and warm when touched.
Slight fever.

If you think you have any of these symptoms it is best to see your doctor or healthcare provider immediately. They may then advise a doppler ultasound examination, this test uses sound waves to locate any clots. Another test may be a venogram, which uses a dye which is injected in the foot. X rays are then taken to visualise the circulation, and thus see any potential blockages. If the case is serious a lung scan may be used to check if the clot has travelled to the lungs.

A common drug used for the treatment of phlebitis is Indocin. For deep vein thrombosis you may need to take blood thinning drugs such as Warfarin ( Coumadin) and Heparin. A deep vein clot may cause no symptoms. In fact the first indication of it's presence could be when the clot reaches the lungs, causing a person to cough up blood tinged phlegm, chest pain and shortness of breath. Even president Nixon had a severe case of phlebitis, it is no respecter of status.

Other conditions that can lead to phlebitis include

Inactivity. Being sedentary, such as when you take long trips by plane or car.
Smoking
Overweight
Injury to the leg
Injury to the vein ( injections or IV )
Age. The older you are can increase the risk.

Things you can do to help prevent phlebitis:-

Avoid long periods of prolonged rest or standing.
Avoid birth control pills.
Try not to cross your legs.
Avoid wearing knee high hosiery or garters that can restrict blood flow.
Exercise your legs at least every hour on long journeys.
Wear properly fitting elastic stockings which help blood flow.