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Varicose veins
My mom is 62 yrs old, having varicose veins from last 3 years, undergone laste treatment 2 yrs back. But now since last 1 week she is having a swollen leg from ankle to knee and also having red rashes and burning sensation and also on the ankle where the red rashes are present feels hot after she stands for a few minutes and cools down once she sits down.
What treatment is needed here? Ankle photos attached
Answers (17)
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Hi,
Looks like a acute worsening of chronic venous insufficiency, with skin inflammation due to poor circulation. There is also a possibility of cellulitis.
Elevate the leg above heart level as much as possible when sitting or lying down.
See a doctor soon a Vascular Surgeon or a General Surgeon.
This is not something to manage only at home
Please get her examined today or tomorrow. Feel free to consult for further guidance.
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From the attached photo, there is visible ankle swelling and dark skin discoloration around the ankle, which along with the burning sensation, warmth, and redness points to an acute worsening of chronic venous insufficiency. In someone with a history of varicose veins and prior laser treatment, this new flare with warmth and redness raises concern for superficial thrombophlebitis (a clot in a superficial vein) or recurrence of venous disease â and a deep vein thrombosis (DVT) must be ruled out urgently, as DVT can be serious if left untreated.
Next Steps
Please take her to a vascular surgeon or emergency department urgently for a venous Doppler ultrasound to rule out DVT. Please consult me directly on Practo for a detailed evaluation.
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Varicose veins with new pain/swelling for 1 week after previous laser treatment needs doctor review.
Do next:
Consult a vascular surgeon and get venous Doppler ultrasound to check recurrence or clot.
Till then: leg elevation, walking, avoid long standing, use compression stockings if already advised.
Go urgent if one-leg sudden swelling, redness/warmth, severe pain, breathlessness, or chest pain.
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B/l oedema needs further evaluation and share following
CBC
KFT
LFT
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• Venous stasis dermatitis (skin inflammation due to chronic venous insufficiency)
• Cellulitis (skin infection)
• Superficial thrombophlebitis (inflamed vein with clot)
• Deep Vein Thrombosis (DVT), which can be serious
Because these conditions require different treatments, it is not safe to prescribe treatment without an examination.
Next Steps
Until she is evaluated
• Elevate the affected leg above heart level when resting.
• Avoid prolonged standing.
• Walk gently; avoid complete bed rest unless advised by a doctor.
• Do not massage the leg.
• Stay well hydrated.
• If compression stockings were previously prescribed, use them only if DVT has been ruled out and they remain appropriate for her condition.
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Is she diabetic . Get her checked for diabetes foot or peripheral vascular disease. You need to act immediately by consulting a physician
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Avoid sugar rice potatoes
Walk
Do connect and consult
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