Which Specialist to Consult for Visible Veins and Swelling?

Q: Which Specialist to Consult for Visible Veins and Swelling?

Hello： Diovan (valsartan) is a medication that inhibits angiotensin II receptors, leading to a reduction in vascular smooth muscle contraction and promoting moderate vasodilation, thereby achieving the goal of lowering blood pressure. <br>If this medication is not suitable, it is

If the veins on the back of your hand are prominent, you should consult a vascular specialist or a dermatologist?

Hello doctor, I started taking antihypertensive medication last month, and my blood pressure has decreased.
However, I am not sure if it is due to my blood vessels being narrower, but the veins on the backs of my hands and the soles of my feet have been prominent.
In the past two days, I have also noticed swelling between the index and middle fingers of my palms.
I asked my attending physician, but they said it should not be related to the medication.
In this situation, which specialty should I consult?

Ming Yi, 50~59 year old female. Ask Date: 2020/12/13

Dr. Wu Zongying reply Family Medicine

Hello: Diovan (valsartan) is a medication that inhibits angiotensin II receptors, leading to a reduction in vascular smooth muscle contraction and promoting moderate vasodilation, thereby achieving the goal of lowering blood pressure.
If this medication is not suitable, it is advisable to consult a physician for alternative options.

Reply Date: 2020/12/13

More Info

When dealing with visible veins and swelling, particularly after starting a new medication like a blood pressure medication, it is important to consult with the right medical specialist. In your case, the best course of action would be to see a vascular specialist or a vascular surgeon. These professionals specialize in conditions affecting the veins and arteries, and they can provide a thorough evaluation of your symptoms.

Visible veins, especially when accompanied by swelling, can be indicative of several underlying issues. Common causes include venous insufficiency, which occurs when the veins cannot effectively return blood to the heart, leading to pooling of blood in the extremities. This can result in visible veins and swelling, particularly in the hands and feet. Other potential causes could include blood clots, inflammation, or even side effects from medications.

In your case, since you have recently started taking a blood pressure medication, it is essential to consider whether this medication could be contributing to your symptoms. While your primary physician indicated that the medication is unlikely to be the cause, it is still worth exploring this further with a vascular specialist. They can assess your blood flow, check for any signs of venous insufficiency, and determine if there are any other underlying vascular issues that need to be addressed.

Additionally, it may also be beneficial to consult with a general practitioner or an internist initially. They can perform a comprehensive evaluation, including a physical examination and possibly some blood tests, to rule out other systemic issues that could be contributing to your symptoms. If necessary, they can then refer you to a vascular specialist for more targeted care.

In the meantime, there are a few self-care measures you can consider to help alleviate some of the swelling and discomfort. Elevating your legs when sitting or lying down can help reduce swelling. Additionally, wearing compression stockings may assist in improving circulation and reducing the visibility of veins. Staying hydrated and maintaining a healthy diet can also support overall vascular health.

It is crucial to monitor your symptoms closely. If you experience any sudden changes, such as increased swelling, pain, or changes in skin color, seek medical attention promptly. These could be signs of more serious conditions that require immediate intervention.

In summary, for your symptoms of visible veins and swelling, I recommend consulting with a vascular specialist. They will be able to provide a thorough evaluation and appropriate management for your condition. If needed, start with your general practitioner for an initial assessment and referral. Taking proactive steps now can help ensure that any underlying issues are addressed effectively.

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