Varicose Veins: When to Seek Specialized Care

Varicose veins

My mother is 76 years old and has had varicose veins for over 40 years.
Recently, she developed a large area on her ankle that looks like a bruise.
After a blood test at a medical clinic in Zhudong, no cause was found.
I would like to know which department she should visit at your hospital for further examination.
Thank you.

Miss Hsu, 40~49 year old female. Ask Date: 2011/09/29

Dr. He Dongjin reply Cardiology

Hello, you can seek assistance from a vascular surgeon in the cardiovascular surgery department every Monday and Tuesday afternoon.
Thank you for your concern from Changhua Hospital.

Reply Date: 2011/09/29

More Info

Varicose veins, or enlarged and twisted veins, are a common condition, especially in older adults. They often develop due to weakened valves in the veins, which can lead to blood pooling and increased pressure in the veins. In your mother's case, with a history of varicose veins for over 40 years and the recent appearance of bruising-like spots around her ankles, it is essential to seek specialized care to assess her condition further.

Given her age and the symptoms described, it is advisable to consult a vascular specialist or a phlebologist. These specialists focus on disorders of the veins and arteries, including varicose veins and their complications. They can perform a thorough examination, which may include a physical assessment and imaging studies like an ultrasound to evaluate blood flow and the condition of the veins.

The appearance of bruising or discoloration around the ankles could indicate several issues, including chronic venous insufficiency, which is a common complication of long-standing varicose veins. This condition occurs when the veins cannot effectively return blood to the heart, leading to fluid buildup and skin changes. If left untreated, chronic venous insufficiency can lead to more severe complications, such as venous ulcers or deep vein thrombosis (DVT).

In addition to consulting a vascular specialist, it is crucial to monitor her symptoms closely. If she experiences increased swelling, pain, or any signs of infection (such as redness, warmth, or discharge from the affected area), immediate medical attention is necessary. Furthermore, if she has a history of blood clots or other cardiovascular issues, this should be communicated to the healthcare provider, as it may influence the management plan.

Treatment options for varicose veins can vary depending on the severity of the condition and the patient's overall health. They may include lifestyle modifications, such as weight management, exercise, and the use of compression stockings to improve circulation. In more severe cases, medical procedures such as sclerotherapy, laser therapy, or surgical interventions may be recommended to remove or close off the affected veins.

In summary, for your mother, it is best to seek an appointment with a vascular specialist or a phlebologist to evaluate her varicose veins and the recent changes in her ankle appearance. Early intervention can help manage her symptoms effectively and prevent potential complications associated with chronic venous insufficiency.

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