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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Swollen Left Leg With History Of Varicose Veins Done And Twisted Main Vein?

My Father has a very swollen left leg. It is twice the size, purple and discoloured. He has gone to every doctor and they cannot find problem. He has had a scan today to find there was not a clot, which is what we thought. He has however had his varocise veins done in this leg and the main vein has a twist. Will this be the cause of his problem? He is 75 yrs and a bus driver and doesn't do a lot of exercise. its been bad for almost a year.
Mon, 24 Feb 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Your father has a history of varicose veins and it has been treated also.
The appearance of swelling legs and purple discoloration on the same leg could be due to development of varicose vein again in another vein.
Deep vein thrombosis (DVT) is also a cause of swelling on the lower limbs.
However, the scan has not revealed any clot thus the possibility of DVT is ruled out.
You need to consult your surgeon for clinical examination to rule out the presence of varicose veins.
Relevant investigations to the know the status of the veins may also be required.
Appearance of varicose vein again may require repeat surgery of the vein.
Stasis of blood in lower limbs for long durations is an important cause of varicose veins.
Regular exercise especially of the lower limbs can help to prevent the stasis of blood in lower limbs.

Thanks and take care
Dr Shailja P Wahal

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Orthopaedic Surgeon, Joint Replacement Dr. Mukesh Chugh's  Response
hi
after going through query ased on his profession varicose veins is the cause of his suffering.my advice would be stop sitting /standing for long duration,use elastic pressure garment(stocking),limb elevation,calcium dobesilste tablet and excercises.
take care
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What Could Cause Swollen Left Leg With History Of Varicose Veins Done And Twisted Main Vein?

Hello and welcome to HCM, Your father has a history of varicose veins and it has been treated also. The appearance of swelling legs and purple discoloration on the same leg could be due to development of varicose vein again in another vein. Deep vein thrombosis (DVT) is also a cause of swelling on the lower limbs. However, the scan has not revealed any clot thus the possibility of DVT is ruled out. You need to consult your surgeon for clinical examination to rule out the presence of varicose veins. Relevant investigations to the know the status of the veins may also be required. Appearance of varicose vein again may require repeat surgery of the vein. Stasis of blood in lower limbs for long durations is an important cause of varicose veins. Regular exercise especially of the lower limbs can help to prevent the stasis of blood in lower limbs. Thanks and take care Dr Shailja P Wahal