Varicose Veins: Symptoms and Concerns in the Legs - Surgery

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Venous issues


The appearance of prominent veins on the front and back of the lower leg, as well as on the inner side of the calf, which are a bluish-green color similar to those on the arms and hands, may indicate the presence of varicose veins.
If these veins become more pronounced after standing for a period of time, resembling the way the veins in the arms protrude when hanging down, it is possible that this condition is related to venous insufficiency or varicose veins.

xuesheng, 10~19 year old female. Ask Date: 2017/07/07

Dr. Li Qinglong reply Surgery


Hello, sir: Regarding the issue you mentioned, such as varicose veins, we still recommend that you take the time to visit the surgical outpatient clinic for a physician's examination to confirm the diagnosis.
Thank you again for your correspondence.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2017/07/07

More Info


Varicose veins, or varicosities, are enlarged, twisted veins that often appear blue or green due to the pooling of blood. They commonly occur in the legs and can lead to various symptoms and concerns. Based on your description, it sounds like you may indeed be experiencing symptoms consistent with varicose veins.


Symptoms of Varicose Veins
1. Visible Veins: The most apparent symptom is the appearance of bulging, twisted veins that can be seen just beneath the skin. These veins may appear blue, green, or purple, similar to what you described in your arms and legs.

2. Swelling: Standing for prolonged periods can lead to swelling in the legs, particularly in the lower legs and ankles. This is due to increased pressure in the veins, which can cause blood to pool.

3. Pain or Discomfort: Many individuals with varicose veins report a feeling of heaviness, aching, or cramping in the legs, especially after standing or sitting for long periods. This discomfort can sometimes be relieved by elevating the legs.

4. Skin Changes: Over time, varicose veins can lead to changes in the skin, including discoloration, dryness, or even the development of ulcers in severe cases.

5. Itching or Burning Sensation: Some people experience itching or a burning sensation around the affected veins.


Causes and Risk Factors
Varicose veins occur when the valves in the veins that help regulate blood flow become weakened or damaged. This can lead to blood pooling in the veins, causing them to enlarge. Several factors can contribute to the development of varicose veins:
- Genetics: A family history of varicose veins increases your risk.

- Age: As you age, the valves in your veins may weaken.

- Gender: Women are more likely to develop varicose veins, partly due to hormonal changes during pregnancy, menstruation, or menopause.

- Obesity: Excess weight puts additional pressure on the veins.

- Prolonged Standing or Sitting: Occupations that require long periods of standing or sitting can increase the risk.


Diagnosis and Treatment
If you suspect you have varicose veins, it is essential to consult a healthcare professional for a proper diagnosis. A physical examination and possibly an ultrasound may be conducted to assess the veins' condition.

Treatment options vary depending on the severity of the condition:
1. Lifestyle Changes: Regular exercise, weight management, and elevating the legs can help alleviate symptoms.

2. Compression Stockings: These can help improve circulation and reduce swelling.

3. Minimally Invasive Procedures: Treatments such as sclerotherapy, laser therapy, or endovenous laser treatment can effectively close off or remove varicose veins.

4. Surgery: In severe cases, surgical options may be considered to remove or tie off the affected veins.


Conclusion
Based on your symptoms, it is plausible that you are experiencing varicose veins. The visible changes in your leg veins, especially after standing for a while, align with common symptoms of this condition. It is advisable to seek medical evaluation to confirm the diagnosis and discuss appropriate treatment options tailored to your specific situation. Early intervention can help manage symptoms and prevent complications associated with varicose veins.

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