Venous and Circulatory Issues: Symptoms and Solutions

Venous and circulatory issues?

Hello, Doctor.
A few weeks ago, I started feeling a sensation of body swaying, and my body has been getting weaker.
I consulted a traditional Chinese medicine practitioner who suggested that my blood isn't reaching my brain.
After taking medication and developing a habit of walking in the evenings, I have seen some improvement; however, I still feel a slight imbalance while walking.
Occasionally, I experience mild tingling sensations in my limbs and fingertips.
Recently, the veins on the tops of my feet have become noticeably prominent, especially at the base of my big toe, and I can also see faint red spots that resemble microvascular lesions.
I am wondering if this could be related to varicose veins, as the legs, which are commonly affected by varicose veins, have not changed much.

Yesterday, I also started experiencing numbness in my palms, and the veins on my wrists, fingers, and the back of my thumbs have become more pronounced.
My fingernails appear slightly purplish-white.
When my hands are below heart level, I notice a distinct pattern of red and white spots.
Sometimes, the areas where the veins in my wrists are more prominent feel slightly painful.
Given that I have been sitting for long periods at work and lack exercise, I am unsure if this is simply a chain reaction of poor circulation.

Will continuing to exercise and rest improve my circulation, or do you have any recommendations for specific tests I should undergo? Thank you, Doctor.

CH, 20~29 year old female. Ask Date: 2021/05/27

Dr. Li Han reply Cardiology

Hello, regarding your questions about "prominent dorsal veins...
could it be varicose veins" and whether "abnormal sensations such as numbness or pain in the extremities" are related? Generally speaking, an experienced clinician should be able to make a judgment based on visual inspection and simple physical examination.
Based on your description, it seems there are no significant arterial or venous obstruction issues present, so there is no need for immediate concern.
During the pandemic, to reduce exposure risk, it is not advisable to visit hospitals or clinics for this matter.
However, I still recommend that you maintain a good exercise routine and avoid prolonged sitting or standing.
The Changhua Hospital of the Ministry of Health and Welfare cares about your well-being.

Reply Date: 2021/05/27

More Info

Understanding venous and circulatory issues is crucial for maintaining overall health, particularly when symptoms such as weakness, imbalance, and tingling sensations arise. Based on your description, it appears you may be experiencing a combination of symptoms that could be related to venous insufficiency, potential varicose veins, and possibly other circulatory issues.

Symptoms and Their Implications
1. Weakness and Imbalance: The sensation of your body shaking and feeling increasingly weak could indicate a lack of adequate blood flow to the brain and other vital organs. This can be exacerbated by prolonged periods of inactivity, such as sitting for long hours, which can lead to poor circulation.

2. Tingling Sensations: The tingling or "pins and needles" feeling in your extremities, particularly in your fingers and toes, may suggest nerve involvement, which can occur due to poor circulation or compression of nerves. This is often seen in conditions like carpal tunnel syndrome or thoracic outlet syndrome, especially if you have a history of prolonged sitting or repetitive hand movements.

3. Visible Veins and Red Spots: The appearance of prominent veins, particularly on the back of your feet and hands, along with the development of superficial red spots, could indeed suggest the onset of varicose veins or chronic venous insufficiency. These conditions occur when veins become enlarged, twisted, or swollen due to weakened valves that allow blood to pool.

4. Color Changes in Nails: The purple-white discoloration of your nails and the alternating red and white patterns in your palms may indicate issues with blood flow and oxygenation. This could be a sign of vascular problems that need further evaluation.

Potential Causes
- Venous Insufficiency: This occurs when the veins struggle to send blood back to the heart, often leading to swelling, pain, and the development of varicose veins.

- Peripheral Artery Disease (PAD): Reduced blood flow due to narrowed arteries can cause similar symptoms, particularly in the legs and feet.

- Nerve Compression: Prolonged sitting can lead to nerve compression syndromes, which may explain the tingling sensations.

Recommendations for Management
1. Lifestyle Modifications: Continuing your routine of evening walks is beneficial. Regular physical activity can enhance circulation, strengthen the muscles that support your veins, and improve overall cardiovascular health.

2. Compression Stockings: Wearing compression stockings can help manage symptoms of venous insufficiency by providing support to the veins and improving blood flow.

3. Posture and Ergonomics: If your work involves prolonged sitting, consider adjusting your workstation to promote better posture. Taking regular breaks to stand, stretch, and walk can significantly improve circulation.

4. Hydration and Diet: Staying well-hydrated and maintaining a balanced diet rich in fruits, vegetables, and whole grains can support vascular health.

5. Medical Evaluation: Given the range of symptoms and their potential implications, it would be wise to consult a healthcare provider for a thorough evaluation. Tests such as Doppler ultrasound can assess blood flow in your veins and arteries, while blood tests can check for underlying conditions that may contribute to your symptoms.

6. Follow-Up: If symptoms persist or worsen, further investigations, including imaging studies or referrals to specialists such as a vascular surgeon or neurologist, may be necessary.

Conclusion
While lifestyle changes and self-care strategies can significantly improve your symptoms, it is essential to seek professional medical advice to rule out any serious underlying conditions. Early intervention can prevent complications and enhance your quality of life. Remember, your health is paramount, and addressing these symptoms proactively is the best approach.

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