Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues and feel concerned about them.
My Primary Opinion-
In My opinion, in the given situation you seem to suffer from-TOS(Thorasic Outlet Syndrome)-Venous with ? UEDVT(upper Extremity
Deep Vein Thrombosis)
Dear the course of events and its increased frequency along with popped up,engorged arm veins lately, is indicative of
thrombophlebitis with
Axillary vein thrombosis,from extra exertion of the upper arm from exhaustive work exposed lately.
Do's Suggested-
Dear, Get X-ray Neck and CT thorax and neck and Consult with Chest Surgeon/Vascular Surgeon.
Get USG with Doppler Study of upper limbs on affected side.
Rule out Neural compression,as to relieve
tingling and painful veins in upper limb.
Physiotherapy with change in posture/
Rest to upper limb
Anti-inflammatory-like NSAIDs-ibuprofen/ Blood thinner in case of thrombotic complications/ Antibiotics to control thrombophlebitis of upper veins.
Decompressive surgery by resection of extra
cervical rib / or pectoralis minor compression/ or Scaleni anticus compression in neck area, would be needed with Consults from Chest/ Vascular Surgeon.
PCDT-Percutaneous Catheter directed
thrombolysis - if need be with TPA-tissue plasminogen activator-like Activase/Alteplase, would be needed to over come thrombotic complcations to avoid risks with -UEDVT-(upper Extremity Deep vein Thrombosis)
Dear, Please update more information and details, on the lines asked above,to give further suggestions in this confusing complaint query.
Other causes need to be ruled out,after getting more details from you.
Next appointment-
Asap to review and plan the treatment for existing problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
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If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS