Is Your Ankle Swelling Due to Varicose Veins or Blood Clots? - Cardiology

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Is unilateral ankle edema due to varicose veins or venous thrombosis?


Hello Doctor: My mother has been experiencing severe swelling in her left ankle recently, and it takes a long time for the indentation to return after pressing on it.
Some people have suggested that it might be a venous thromboembolism.
Is that possible? Which specialist should we consult? Thank you.

Xiao Ting, 30~39 year old female. Ask Date: 2017/05/25

Dr. He Dongjin reply Cardiology


Hello, it is recommended to see a cardiologist for further examination.
Changhua Hospital cares about you.

Reply Date: 2017/05/25

More Info


Swelling in the ankle, particularly when it is severe and takes a long time to return to its normal state after being pressed, can indeed be concerning. There are several potential causes for this type of swelling, including varicose veins and blood clots, among others.
Varicose veins occur when the veins become enlarged, dilated, and overfilled with blood. This condition is often associated with a feeling of heaviness, aching, or swelling in the legs, especially after prolonged periods of standing or sitting. The swelling is typically due to the pooling of blood in the veins, which can lead to increased pressure and fluid leakage into the surrounding tissues.

On the other hand, blood clots, particularly deep vein thrombosis (DVT), can also cause significant swelling in the affected limb. DVT occurs when a blood clot forms in a deep vein, usually in the legs. Symptoms can include swelling, pain, tenderness, and changes in skin color. In some cases, DVT can lead to serious complications, such as a pulmonary embolism, if the clot dislodges and travels to the lungs.

Given your mother's symptoms, it is crucial to seek medical attention promptly. The best course of action would be to visit a healthcare provider who specializes in vascular medicine or a general practitioner who can evaluate her condition. They may perform a physical examination and order diagnostic tests, such as an ultrasound, to determine whether there is a blood clot or if the swelling is due to varicose veins or another condition.

In addition to varicose veins and blood clots, other potential causes of ankle swelling include heart failure, kidney disease, liver disease, and certain medications that can cause fluid retention. Therefore, a thorough evaluation is essential to identify the underlying cause of the swelling.

If the swelling is accompanied by other symptoms such as redness, warmth, or pain in the leg, it is particularly important to seek immediate medical attention, as these could be signs of a more serious condition like DVT.
In summary, while both varicose veins and blood clots can cause ankle swelling, the severity and duration of your mother's symptoms warrant a professional evaluation. A vascular specialist or a general practitioner would be the appropriate healthcare provider to consult for this issue. Early diagnosis and treatment are key to managing the condition effectively and preventing potential complications.

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