Should You Seek Immediate Care for Post-Surgery Varicose Vein Concerns? - Surgery

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Varicose veins


Hello, Dr.
Chang! After undergoing traditional varicose vein surgery on my left thigh and calf, I returned home at 11:00 AM.
Due to wearing long pants, I only felt slight pain and didn't pay much attention.
However, when I removed my pants at 8:00 PM, I noticed that the bandage on the painful area of my left thigh was bright red, suggesting possible bleeding.
Should I seek medical attention immediately, or should I wait until my scheduled dressing change appointment at 10:00 AM tomorrow?

Lin Qiaoqiao, 50~59 year old female. Ask Date: 2013/05/07

Dr. Zhang Jinlong reply Surgery


Hello: If there is significant bleeding, it is best to seek medical attention immediately for examination and treatment.
If it is only a small amount of bleeding, you can schedule an appointment the next day for a medication change and evaluation.
Thank you for your message!

Reply Date: 2013/05/07

More Info


After undergoing traditional varicose vein surgery, it's crucial to monitor your recovery closely, especially for any signs of complications. Based on your description, the presence of fresh red discoloration on the bandage and localized pain in your left thigh could indicate a potential issue, such as bleeding or hematoma formation.
In general, after varicose vein surgery, patients are advised to keep an eye out for specific symptoms that may warrant immediate medical attention. These symptoms include:
1. Increased Pain: While some discomfort is expected after surgery, a sudden increase in pain, especially if it is severe or localized, should not be ignored.

2. Swelling: Some swelling is normal, but if it is excessive or accompanied by redness, it could indicate a problem.

3. Discoloration: As you noted, fresh red discoloration could suggest active bleeding. If the bandage is soaked with blood or if you notice a significant change in color, it is essential to seek medical advice.

4. Fever or Chills: Any signs of fever could indicate an infection, which requires prompt evaluation.

5. Numbness or Tingling: These sensations could indicate nerve involvement or complications related to blood flow.

Given your situation, it is advisable to err on the side of caution. While you have a scheduled appointment for a dressing change the following morning, the symptoms you are experiencing could necessitate immediate evaluation. It is better to seek medical attention sooner rather than later, especially if you notice any worsening of symptoms or if the area becomes increasingly painful or swollen.

In the context of post-surgery care, here are some additional recommendations:
- Keep the Area Clean and Dry: Follow your surgeon's instructions regarding wound care. Avoid soaking the area until cleared by your doctor.

- Monitor for Changes: Keep a close watch on the surgical site for any changes in color, temperature, or drainage. Document any changes to report to your healthcare provider.

- Rest and Elevate: Resting and elevating the affected leg can help reduce swelling and promote healing.

- Follow-Up Appointments: Attend all scheduled follow-up appointments to ensure proper healing and to address any concerns.

- Pain Management: Use prescribed pain medications as directed. Over-the-counter pain relievers may also be appropriate, but consult your doctor before taking them.

In conclusion, while it may be tempting to wait until your scheduled appointment, the symptoms you describe warrant immediate medical attention. Contact your surgeon or go to the nearest emergency department to have your condition evaluated. Prompt intervention can prevent complications and ensure a smoother recovery process.

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