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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes DVT In Leg, Pain In Left Lower Leg And Behind Thigh?

yes, i have a history of DVT to the l/leg and had surgery a year ago. The pain has returned to my left lower leg, knee and back of the thigh. There is no calf pain or redness or swelling. The Dr. put me om a blood thinner but after lowering the dose twice it still caused me to have nose bleeds and to cough up blood. Today the pain is almost unbearable and I may need to go to the ER. Right now it is in my hip as well. Could this still be another blood clot.
Fri, 26 Jun 2020
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Pediatric Surgeon 's  Response
Hi,

DVT or deep vein thrombosis is clotting of blood in the deep veins of the lower limb especially in those who are genetically predisposed or who remain in bed for long duration without changing their posture.

The presentation is acute unbearable pain especially in the calf muscles and swollen lower limbs. If untreated, the problem progresses towards the hip and gradually involves the whole of the limb.

Sometimes, it is associated with superficial thrombophlebitis. This presents with localised pain with redness.

Superficial thrombophlebitis can also progress to DVT, that is the reason why your treating doctor might have prescribed you blood thinner medications. The best thing to know whether DVT is happening or not is doppler ultrasound of lower limb. That will tell presence of any clot.

Also, sometimes there may be some effect of blood thinner medications on the bone and they may become weak and present as pain.

That may be seen on local X-ray of the body part and if suspicion is strong MRI may be done. Therefore, it is advisable to visit to an ER and get yourself checked.

Hope I have answered your queries. Let me know if I can assist you further.

Take care

Regards,
Dr. Manish Kumar Gupta
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What Causes DVT In Leg, Pain In Left Lower Leg And Behind Thigh?

Hi, DVT or deep vein thrombosis is clotting of blood in the deep veins of the lower limb especially in those who are genetically predisposed or who remain in bed for long duration without changing their posture. The presentation is acute unbearable pain especially in the calf muscles and swollen lower limbs. If untreated, the problem progresses towards the hip and gradually involves the whole of the limb. Sometimes, it is associated with superficial thrombophlebitis. This presents with localised pain with redness. Superficial thrombophlebitis can also progress to DVT, that is the reason why your treating doctor might have prescribed you blood thinner medications. The best thing to know whether DVT is happening or not is doppler ultrasound of lower limb. That will tell presence of any clot. Also, sometimes there may be some effect of blood thinner medications on the bone and they may become weak and present as pain. That may be seen on local X-ray of the body part and if suspicion is strong MRI may be done. Therefore, it is advisable to visit to an ER and get yourself checked. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Manish Kumar Gupta