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I Am 42, Male. I Have Had DVT Thrice -

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Posted on Thu, 18 Mar 2021
Question: I am 42, male. I have had DVT thrice - 2005, 2006, and 2013. First time on left leg, second time on both legs and third time on left leg. After the second time, around 2007 I got varicose veins in both legs. In Feb 2011, I did radio frequency ablation in both legs after confirming the DVT clot wasn't still there. In 2016, I started exercising and I got varicose veins on my left leg again. This time with black patches on the outside of my left leg and around my ankles...When I visited a new doctor (Dr. A) he said it is thrombophlebetic syndrome - He was angry when I told him I did radiofrequency ablation. He said that was stupid of me to do that because I have lost the veins completely and in case in future I needed to do bypass surgery I will not have a vein to use for it. He suggested I do angiography. I was quite upset the way he talked to me. After that I met another doctor (Dr. B) and i shared what the other doctor said about veins being needed for bypass. This doctor told me that this opinion is wrong because the vein with varicose is anyways damaged and cannot be really used for bypass even if required. (This was not hte docotr who did or suggested the radio frequency for me - that was my own decision based on a friend's experience). The new varicose veins on my left leg (and thormbophlelbtic syndrome) is hurting me If I exert my legs too much. My questions are:

1. Is the concern mentioned by the first doctor (Dr. A) correct?
2. Can I do ANY treatment for the varicose veins on my left leg again that will not cause permanent damage to the vein?
3. I saw a procedure called veneseal closure system on the Internet (https://veincenter.in/venaseal-vein-treatment). Does this mean the vein won't be permanently removed like in teh case of radio frequency ablation, surgery, etc?
4. Is there anythig else I can do (apart from radio frequency or wearing stockings) to get rid of my veins?
5. What is the best I can do to prevent thrombophlebtic syndrom from becoming worse?
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Follow up: Dr. T Chandrakant (0 minute later)
I am 42, male. I have had DVT thrice - 2005, 2006, and 2013. First time on left leg, second time on both legs and third time on left leg. After the second time, around 2007 I got varicose veins in both legs. In Feb 2011, I did radio frequency ablation in both legs after confirming the DVT clot wasn't still there. In 2016, I started exercising and I got varicose veins on my left leg again. This time with black patches on the outside of my left leg and around my ankles...When I visited a new doctor (Dr. A) he said it is thrombophlebetic syndrome - He was angry when I told him I did radiofrequency ablation. He said that was stupid of me to do that because I have lost the veins completely and in case in future I needed to do bypass surgery I will not have a vein to use for it. He suggested I do angiography. I was quite upset the way he talked to me. After that I met another doctor (Dr. B) and i shared what the other doctor said about veins being needed for bypass. This doctor told me that this opinion is wrong because the vein with varicose is anyways damaged and cannot be really used for bypass even if required. (This was not hte docotr who did or suggested the radio frequency for me - that was my own decision based on a friend's experience). The new varicose veins on my left leg (and thormbophlelbtic syndrome) is hurting me If I exert my legs too much. My questions are:

1. Is the concern mentioned by the first doctor (Dr. A) correct?
2. Can I do ANY treatment for the varicose veins on my left leg again that will not cause permanent damage to the vein?
3. I saw a procedure called veneseal closure system on the Internet (https://veincenter.in/venaseal-vein-treatment). Does this mean the vein won't be permanently removed like in teh case of radio frequency ablation, surgery, etc?
4. Is there anythig else I can do (apart from radio frequency or wearing stockings) to get rid of my veins?
5. What is the best I can do to prevent thrombophlebtic syndrom from becoming worse?
doctor
Answered by Dr. T Chandrakant (24 hours later)
Brief Answer:
Please give additional information

Detailed Answer:
Hi.
Thanks for your query.
Noted your history and seen the clear photos.
Please give additional information for me to assist you better:
Please post the Color doppler reports, particularly of the left leg. Detailed reports help a lot in decision making.

Has any Doctor found out the reasons for repeated DVT - very rare to reoccur. Any detailed discussion in past, investigations or so to know the cause OR you did not continue the medicines and not taking care hence the recurrence. Dehydration is one of the common precipitating factors as also long sitting and so on.

Which city do you stay and get consultations and treatment?
Awaiting for your details as asked for.

Dr T Chandrakant.
General Surgeon.

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
Please give additional information

Detailed Answer:
Hi.
Thanks for your query.
Noted your history and seen the clear photos.
Please give additional information for me to assist you better:
Please post the Color doppler reports, particularly of the left leg. Detailed reports help a lot in decision making.

Has any Doctor found out the reasons for repeated DVT - very rare to reoccur. Any detailed discussion in past, investigations or so to know the cause OR you did not continue the medicines and not taking care hence the recurrence. Dehydration is one of the common precipitating factors as also long sitting and so on.

Which city do you stay and get consultations and treatment?
Awaiting for your details as asked for.

Dr T Chandrakant.
General Surgeon.

Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. T Chandrakant (13 hours later)
Thank for the reply doctor. Regarding your questions
A. Reasons for DVT - They did run a few tests in 2007 when I had it the second time - something to figure out genetic mutation or something, They could not find anything, so it was concluded that my blood has a tendency to clot. I don't have the test results from 2007. I had not been taking medicines after the first two episodes regularly. Only after the third episode I started taking medicines.
B. I don't have medical records from the beginning . In my first episode, I was only prescribed Aspirin and that was in XXXXXXX No major tests were done. After the second episode, i had done the test mentioned above in Wockhardt XXXXXXX The third time was in XXXXXXX - a doppler was done and I was prescribed Acitrom for life. It is after the second episode that i was asked to take Aspirin for life but I did not take it seriously.

C. I used to sit in the same place for a long time in a weird position. At this time I would have my hands tightly gripping my legs just above ankles. The first two times DVT happened after I was sitting like this for a long time and watching TV. I sit like that for more than 30-45 minutes. The third time I don't remember sitting like that. I used to have alcohol everyday (not when the first time it happened but during the second and third time).

D. I have attached my last scan reports in 2019. This was taken because I had gone to another doctor to undrestand whether I can take Pradaxa (or cheaper substitutes of it) instead of Acitrom since Acitrom requires constant monitoring. He asked me to do a doppler scan, a creatinine test and a XXXXXXX blood test - all were normal. HE said I can try taking Pradaxa but there is no antidote to it like there is Vitamin K for Acitrom. I decided not to take Pradaxa.

E My question now is not because I have any new issues, but with the issues of varicose veins - so I have not done a doppler test recently because my questions are for general understanding. Since I am now trying everything to get healthier, i wanted to know answer to the following questions in my first post:


1. Is the concern mentioned by the first doctor (Dr. A) correct?
2. Can I do ANY treatment for the varicose veins on my left leg again that will not cause permanent damage to the vein?
3. I saw a procedure called veneseal closure system on the Internet (https://veincenter.in/venaseal-vein-treatment). Does this mean the vein won't be permanently removed like in teh case of radio frequency ablation, surgery, etc?
4. Is there anything else I can do (apart from radio frequency or wearing stockings) to get rid of my veins?
5. What is the best I can do to prevent thrombophlebtic syndrom from becoming worse?

default
Follow up: Dr. T Chandrakant (0 minute later)
Thank for the reply doctor. Regarding your questions
A. Reasons for DVT - They did run a few tests in 2007 when I had it the second time - something to figure out genetic mutation or something, They could not find anything, so it was concluded that my blood has a tendency to clot. I don't have the test results from 2007. I had not been taking medicines after the first two episodes regularly. Only after the third episode I started taking medicines.
B. I don't have medical records from the beginning . In my first episode, I was only prescribed Aspirin and that was in XXXXXXX No major tests were done. After the second episode, i had done the test mentioned above in Wockhardt XXXXXXX The third time was in XXXXXXX - a doppler was done and I was prescribed Acitrom for life. It is after the second episode that i was asked to take Aspirin for life but I did not take it seriously.

C. I used to sit in the same place for a long time in a weird position. At this time I would have my hands tightly gripping my legs just above ankles. The first two times DVT happened after I was sitting like this for a long time and watching TV. I sit like that for more than 30-45 minutes. The third time I don't remember sitting like that. I used to have alcohol everyday (not when the first time it happened but during the second and third time).

D. I have attached my last scan reports in 2019. This was taken because I had gone to another doctor to undrestand whether I can take Pradaxa (or cheaper substitutes of it) instead of Acitrom since Acitrom requires constant monitoring. He asked me to do a doppler scan, a creatinine test and a XXXXXXX blood test - all were normal. HE said I can try taking Pradaxa but there is no antidote to it like there is Vitamin K for Acitrom. I decided not to take Pradaxa.

E My question now is not because I have any new issues, but with the issues of varicose veins - so I have not done a doppler test recently because my questions are for general understanding. Since I am now trying everything to get healthier, i wanted to know answer to the following questions in my first post:


1. Is the concern mentioned by the first doctor (Dr. A) correct?
2. Can I do ANY treatment for the varicose veins on my left leg again that will not cause permanent damage to the vein?
3. I saw a procedure called veneseal closure system on the Internet (https://veincenter.in/venaseal-vein-treatment). Does this mean the vein won't be permanently removed like in teh case of radio frequency ablation, surgery, etc?
4. Is there anything else I can do (apart from radio frequency or wearing stockings) to get rid of my veins?
5. What is the best I can do to prevent thrombophlebtic syndrom from becoming worse?

doctor
Answered by Dr. T Chandrakant (11 hours later)
Brief Answer:
As detailed

Detailed Answer:
Thanks for your details and the report.
To answer your specific questions:
1) Concerns by both Doctors are true to some extent. Our old teaching suggested to save veins as explained by
Dr A; but now a days arterial grafts are being used as the medical science is always progressing. So, whatever happened forget about it.
2) Since your reports are saying about incompetent valves, the chances of getting this being treated by local ligation of the leaking-back valves may stop back-flow and helps regression of the varicose veins and yet all the veins are in place. With Color doppler it is possible to point out the site exactly and thus get ligatured or so.
3) I do not think Vena-seal should be used at the moment.
4) As detailed in (2).
5) First of all, you have to walk a bit at least - every hour.
Plenty of oral fluids, Dehydration should be avoided at any cost as dehydration is a precursor.
Try to find a Doctor specialized in vein treatment - discuss with him, get all the related investigations, even a biopsy of a vein to know the exact cause. If the primary cause is found then a specific treatment can help you to have DVT free life. Any Autoimmune disease?

I hope this answers your queries and helps you.

Please give feedback.

Dr T Chandrakant.


Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
As detailed

Detailed Answer:
Thanks for your details and the report.
To answer your specific questions:
1) Concerns by both Doctors are true to some extent. Our old teaching suggested to save veins as explained by
Dr A; but now a days arterial grafts are being used as the medical science is always progressing. So, whatever happened forget about it.
2) Since your reports are saying about incompetent valves, the chances of getting this being treated by local ligation of the leaking-back valves may stop back-flow and helps regression of the varicose veins and yet all the veins are in place. With Color doppler it is possible to point out the site exactly and thus get ligatured or so.
3) I do not think Vena-seal should be used at the moment.
4) As detailed in (2).
5) First of all, you have to walk a bit at least - every hour.
Plenty of oral fluids, Dehydration should be avoided at any cost as dehydration is a precursor.
Try to find a Doctor specialized in vein treatment - discuss with him, get all the related investigations, even a biopsy of a vein to know the exact cause. If the primary cause is found then a specific treatment can help you to have DVT free life. Any Autoimmune disease?

I hope this answers your queries and helps you.

Please give feedback.

Dr T Chandrakant.


Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. T Chandrakant (10 hours later)
Thank you for the detailed reply, doctor. It is very helpful. I don't have any autoimmune disease.

I have one more question about ligation of leaking valves. I have never heard of this from anyone - I have heard only sclerotherapy, laser treatment and radio frequency.

1) Are there any side/hidden effects of this that a common man will not know - like in the case of veins not being available for any future purpose when doing laser/radio frequency?
2) Is there any place you recommend in XXXXXXX or XXXXXXX for this?
default
Follow up: Dr. T Chandrakant (0 minute later)
Thank you for the detailed reply, doctor. It is very helpful. I don't have any autoimmune disease.

I have one more question about ligation of leaking valves. I have never heard of this from anyone - I have heard only sclerotherapy, laser treatment and radio frequency.

1) Are there any side/hidden effects of this that a common man will not know - like in the case of veins not being available for any future purpose when doing laser/radio frequency?
2) Is there any place you recommend in XXXXXXX or XXXXXXX for this?
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
As detailed

Detailed Answer:
Thanks for your appreciation.
Nice to know you do not have any autoimmune diseases.
Sclerotherapy, laser and Radio-frequency modules of treatment have evolved over time and the newer generation wants to adopt to newer things as a natural instincts. And nothing wrong in it say for example Arthroscopy for Knee and other joints, Laparoscopy for gallbladder and other abdominal surgeries is standard treatment now, very rarely open surgery are performed.
This explanation is given for you to understand further discussion, following which you may be helped better.
1) to answer your first question:
* Try to find an old General Surgeon in your city and discuss selective closure of leaking valves only. You may need to consult a few till someone understands your needs -
Skin discoloration by hemosiderin is an indication to close the leaking valves only - this black discoloration is side effect of leaking valves causing stasis and may lead to varicose ulcer near ankle.
I have already explained: There are now better ways for heart bypass surgery, so better to stop worrying about the veins lost.
Let us concentrate on present problems and avoidance of anticipated complications.
2) In Banglore Or Manglore - please try to find an old general surgeon as they are best tuned for this type of selective surgery. I will try to find one - I am in XXXXXXX (MP).
Please keep in touch and give follow up.




Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
As detailed

Detailed Answer:
Thanks for your appreciation.
Nice to know you do not have any autoimmune diseases.
Sclerotherapy, laser and Radio-frequency modules of treatment have evolved over time and the newer generation wants to adopt to newer things as a natural instincts. And nothing wrong in it say for example Arthroscopy for Knee and other joints, Laparoscopy for gallbladder and other abdominal surgeries is standard treatment now, very rarely open surgery are performed.
This explanation is given for you to understand further discussion, following which you may be helped better.
1) to answer your first question:
* Try to find an old General Surgeon in your city and discuss selective closure of leaking valves only. You may need to consult a few till someone understands your needs -
Skin discoloration by hemosiderin is an indication to close the leaking valves only - this black discoloration is side effect of leaking valves causing stasis and may lead to varicose ulcer near ankle.
I have already explained: There are now better ways for heart bypass surgery, so better to stop worrying about the veins lost.
Let us concentrate on present problems and avoidance of anticipated complications.
2) In Banglore Or Manglore - please try to find an old general surgeon as they are best tuned for this type of selective surgery. I will try to find one - I am in XXXXXXX (MP).
Please keep in touch and give follow up.




Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. T Chandrakant (2 days later)
Thanks a lot again for explaining things to me. This is really helpful. I will try to find a doctor as you suggested - it probably will be difficult but I will see doctors and check about local ligation.
default
Follow up: Dr. T Chandrakant (0 minute later)
Thanks a lot again for explaining things to me. This is really helpful. I will try to find a doctor as you suggested - it probably will be difficult but I will see doctors and check about local ligation.
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Thanks a lot

Detailed Answer:
Thanks for your appreciation.
You surely will find one. Usually the old Surgeons retired or near retirement from Medical colleges.
Please request for ligation of leaking valves only.
And give feedback.
Please get a fresh color Doppler study done and skin marked over the leaking valves.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
Thanks a lot

Detailed Answer:
Thanks for your appreciation.
You surely will find one. Usually the old Surgeons retired or near retirement from Medical colleges.
Please request for ligation of leaking valves only.
And give feedback.
Please get a fresh color Doppler study done and skin marked over the leaking valves.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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I Am 42, Male. I Have Had DVT Thrice -

I am 42, male. I have had DVT thrice - 2005, 2006, and 2013. First time on left leg, second time on both legs and third time on left leg. After the second time, around 2007 I got varicose veins in both legs. In Feb 2011, I did radio frequency ablation in both legs after confirming the DVT clot wasn't still there. In 2016, I started exercising and I got varicose veins on my left leg again. This time with black patches on the outside of my left leg and around my ankles...When I visited a new doctor (Dr. A) he said it is thrombophlebetic syndrome - He was angry when I told him I did radiofrequency ablation. He said that was stupid of me to do that because I have lost the veins completely and in case in future I needed to do bypass surgery I will not have a vein to use for it. He suggested I do angiography. I was quite upset the way he talked to me. After that I met another doctor (Dr. B) and i shared what the other doctor said about veins being needed for bypass. This doctor told me that this opinion is wrong because the vein with varicose is anyways damaged and cannot be really used for bypass even if required. (This was not hte docotr who did or suggested the radio frequency for me - that was my own decision based on a friend's experience). The new varicose veins on my left leg (and thormbophlelbtic syndrome) is hurting me If I exert my legs too much. My questions are: 1. Is the concern mentioned by the first doctor (Dr. A) correct? 2. Can I do ANY treatment for the varicose veins on my left leg again that will not cause permanent damage to the vein? 3. I saw a procedure called veneseal closure system on the Internet (https://veincenter.in/venaseal-vein-treatment). Does this mean the vein won't be permanently removed like in teh case of radio frequency ablation, surgery, etc? 4. Is there anythig else I can do (apart from radio frequency or wearing stockings) to get rid of my veins? 5. What is the best I can do to prevent thrombophlebtic syndrom from becoming worse?