Understanding the Differences Between Post-Thrombotic Syndrome and Varicose Veins
Could you please clarify what two types you are referring to? Dear Doctor, I would like to ask about post-thrombotic syndrome and varicose veins, both of which can cause calf swelling and are manifestations of venous insufficiency. 1. Post-thrombotic syndrome is due to vascul...
Dr. Li Han Reply:
Hello, Mr. Chen. The two types of venous issues you mentioned can occur independently or coexist. The solutions may only address the symptoms rather than the root cause, potentially providing temporary relief without achieving a complete cure. The treatment options may not align ...[Read More] Understanding the Differences Between Post-Thrombotic Syndrome and Varicose Veins
Understanding Deep Vein Thrombosis: Symptoms, Treatment, and Recovery
Venous embolism Dear Doctor, I have been experiencing deep vein thrombosis in the back of my knee due to topical medication for 8 weeks now. In the first week, my right leg was extremely swollen (100% swelling in the calf), and I sought medical attention. The doctor prescribed &q...
Dr. He Dongjin Reply:
Hello, it seems that the blood circulation after your venous thrombosis is not yet optimal. I recommend the following: 1. Avoid standing for long periods. 2. Wear compression stockings. 3. Engage in lower limb strength exercises to help improve circulation. 4. At night, while in ...[Read More] Understanding Deep Vein Thrombosis: Symptoms, Treatment, and Recovery
Understanding Neck Vein Distension and Head Swelling While Lying Down
When lying down, the veins on the left side of my neck become prominent, and I feel a swelling sensation in my entire head. Sleeping on my right side with a higher pillow feels more comfortable? When lying down, I noticed a bulging vein on the left side of my neck, which an ENT s...
Dr. Lin Wenpei Reply:
Please follow up for an examination at the cardiology outpatient clinic.[Read More] Understanding Neck Vein Distension and Head Swelling While Lying Down
Understanding Varicose Vein Treatments: RF Closure vs. Laser Therapy
Varicose veins Hello doctor, my mother has varicose veins. I saw online that the treatment methods for varicose veins include great saphenous vein radiofrequency ablation and automated fiberoptic laser treatment. Are these the same technique? Thank you, doctor.
Dr. Lin Jixiong Reply:
Hello: For treatment options related to varicose veins, it is recommended to visit the vascular surgery outpatient clinic and discuss with a vascular surgeon. Thank you, Dr. Lin Chi-Hsiung, Department of Cardiology, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Varicose Vein Treatments: RF Closure vs. Laser Therapy
Left Hand Numbness and Vein Swelling: Is It Related to Mitral Valve Prolapse?
Numbness in the left hand with prominent and painful blood vessels? Hello, doctor. I have mitral valve prolapse, and in the past, I mostly experienced shortness of breath and occasional chest tightness. I usually return for check-ups every 1 to 2 years. However, a week ago, I sta...
Dr. He Dongjin Reply:
Hello, this is not varicose veins. It is likely due to prolonged work leading to poor peripheral circulation and venous return. Moving around and doing some simple exercises can improve the situation. These are not serious conditions, so there is no need to worry. Mitral valve pr...[Read More] Left Hand Numbness and Vein Swelling: Is It Related to Mitral Valve Prolapse?
Managing Severe Deep Venous Insufficiency During Long Flights
Deep vein valve insufficiency Hello, Doctor. I am a patient with severe incompetence of the deep venous valves. I have significant reflux in the deep veins on both sides of the groin, which makes my legs easily feel swollen, and I also experience varicose veins. Currently, I am w...
Dr. He Dongjin Reply:
Hello, 1. When flying for long periods, it is essential to wear compression stockings; otherwise, venous return will worsen. 2. Start taking anticoagulant medications, such as warfarin, 3-5 days before your flight to reduce the risk of thrombosis. 3. While on the plane, if po...[Read More] Managing Severe Deep Venous Insufficiency During Long Flights
Understanding Pulsating Forehead Arteries: Causes and Treatment Options
The artery on the left side of the forehead is prominent? Hello, Doctor. I have noticed that on the left side of my forehead, there are blood vessels protruding like worms, about three or four of them. This has been happening for many years, and they don't seem to be veins (...
Dr. He Dongjin Reply:
Hello, this is likely not a medical condition; it's just that some people have deeper blood vessels while others have more superficial ones. There's no need to panic. Changhua Hospital cares about you.[Read More] Understanding Pulsating Forehead Arteries: Causes and Treatment Options
Understanding 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 shou...
Dr. He Dongjin Reply:
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.[Read More] Understanding Varicose Veins: When to Seek Specialized Care
Understanding Calf Vascular Obstruction: Causes, Symptoms, and Treatment Options
Calf vascular occlusion Hello Doctor, my son had a hard lump on the outer side of his right calf that was surgically removed during elementary school. Unfortunately, due to inadequate post-operative care, the condition did not improve. We consulted a dermatologist, and after appl...
Dr. Zhu Junyuan Reply:
Based on the situation you described, it differs from common lower limb vascular diseases. In the case of lower limb arterial occlusion, intermittent claudication is typically observed, most commonly affecting the calf muscles. If ischemic symptoms become more severe, resting pai...[Read More] Understanding Calf Vascular Obstruction: Causes, Symptoms, and Treatment Options
Understanding the Progression of Deep Venous Valve Damage: A Patient's Journey
Follow-up developments after damage to deep venous valves? Hello Dr. Ding, this is Ed. I would like to ask you again about the progression of deep vein valve damage. From December 2010 to February 2011, I asked you multiple questions regarding my condition. During one of those co...
Dr. Ding Zhizhong Reply:
Hi Ed: The treatment for varicose veins is primarily symptomatic. When clinical symptoms appear, it is the right time to consider treatment. If the concern is solely aesthetic, that presents a different perspective. The choice of treatment methods also varies (everyone may have d...[Read More] Understanding the Progression of Deep Venous Valve Damage: A Patient's Journey
Understanding the Impact of IVC Thrombosis on Spleen Enlargement
Inferior vena cava Hello Doctor, I am Ed. About six months ago, I experienced severe damage to the deep venous valves in my groin for an unknown reason, which has prompted me to revisit this issue. This question is different from what I asked previously, and I only discovered it ...
Dr. Ding Zhizhong Reply:
1. Generally, inferior vena cava thrombosis typically occurs below the renal veins, so it does not affect the splenic venous return and does not cause splenomegaly. 2. The spleen is located on the left side of the body, while the inferior vena cava is positioned more towards the...[Read More] Understanding the Impact of IVC Thrombosis on Spleen Enlargement
Understanding Atrial Fibrillation: Ablation Surgery and Military Service Implications
Regarding arrhythmia ablation and military service issues? My child is 25 years old and is still pursuing a master's degree. Previously, during a health check-up, it was discovered that he has arrhythmia, and the doctor recommended an ablation procedure. However, my child is...
Dr. He Dongjin Reply:
Hello, this is what is known as paroxysmal arrhythmia, which can be treated without surgery through catheterization. A needle is inserted into the groin to locate and address the extra electrical pathways. The risks are extremely low, and the success rate is very high. Since ther...[Read More] Understanding Atrial Fibrillation: Ablation Surgery and Military Service Implications
Understanding Leg Swelling: Possible Causes and Concerns
Swelling in the legs? Hello, doctor. I have a spot on my calf, about the size of a coin, that feels a bit swollen (it doesn't look very large on the surface) and is painful to the touch. Recently, in the past six months, I've noticed that the veins in that leg have rapi...
Dr. Li Han Reply:
Hello Mary, regarding your question about the area on your calf that is about the size of a coin, feels a bit swollen (not very noticeable externally), and is painful to touch: this type of subcutaneous nodule or lump can have many causes, such as lipoma, lymph nodes, boils or ca...[Read More] Understanding Leg Swelling: Possible Causes and Concerns
Understanding Pain in the Legs: The Impact of Deep Vein Valve Dysfunction
Damage to the deep venous valves can lead to pain and discomfort in the lower extremities due to impaired venous return. When the valves are compromised, blood can pool in the veins, causing increased venous pressure and resulting in symptoms such as aching, cramping, or a tingli...
Dr. Ding Zhizhong Reply:
Hi Ed: 1. In my personal approach (which may not be agreed upon by others), the disability handbook is limited to patients with deep vein thrombosis that cannot be cured. The assessment is somewhat subjective. 2. I think a more appropriate term would be: sensory abnormalities. So...[Read More] Understanding Pain in the Legs: The Impact of Deep Vein Valve Dysfunction
Understanding Swollen Hands and Vein Pain: Possible Causes and Solutions
The veins on the backs of both hands are prominently raised and painful? I woke up for some unknown reason to find that both of my hands were red, swollen, and puffy, to the point where my rings were stuck and I couldn't take them off. This condition has persisted for severa...
Dr. Li Han Reply:
Hello, Xiao Dan. The "prominent veins on the back of both hands" you mentioned are likely the superficial veins on the dorsum of the hands, which are part of the venous return from the limbs. Typically, you can see them become more prominent when you let your hands hang...[Read More] Understanding Swollen Hands and Vein Pain: Possible Causes and Solutions
Understanding Severe Damage to Deep Venous Valves: A Patient's Guide
Severe damage to the deep venous valves? Hello Dr. Ding, this is Ed. I apologize for asking again, but my situation is indeed quite unique, so I must reach out for your guidance. I am very grateful for your help! (I have asked three times before.) The reason for my inquiry this t...
Dr. Ding Zhizhong Reply:
Hi Ed: This is an early-stage condition, so the superficial venous valves have not been severely affected. Elevating your legs and resting is certainly important, but exercise is also necessary. There is no absolute conflict between the two; don't scare yourself. Many people...[Read More] Understanding Severe Damage to Deep Venous Valves: A Patient's Guide
Managing Venous Valve Damage: Exercise and Care Tips
Care after Damage to Venous Valves Dear Dr. Ding, This is Ed again. I apologize for bothering you once more, and I hope to receive your reply, as it is very important to me. Previously, due to discomfort in my legs, I followed your advice and underwent a venous ultrasound examin...
Dr. Ding Zhizhong Reply:
Hi Ed: During exercise, our muscle groups function similarly to a pump, compressing the deep veins and aiding in blood return. Therefore, exertion does not worsen the condition. As for whether to wear compression socks during exercise, it is certainly effective if you don't ...[Read More] Managing Venous Valve Damage: Exercise and Care Tips
Understanding Severe Venous Insufficiency: Causes and Exercise Recommendations
Venous return Hello Dr. Ding, this is Ed, who asked a question a few days ago. I previously inquired about the tingling sensation in my lower limbs and suspected a venous thrombosis issue. Following your suggestion, I underwent a venous ultrasound, and the results indicated that ...
Dr. Ding Zhizhong Reply:
Hi Ed: Venous reflux is a quite common condition, especially among individuals who stand for long periods, such as teachers and barbers. In daily life, they may experience symptoms like swelling, a feeling of heaviness, abnormal sensations, and susceptibility to cramps. Unfortuna...[Read More] Understanding Severe Venous Insufficiency: Causes and Exercise Recommendations
Understanding Symptoms: Leg Pain and Head Discomfort Related to Vascular Issues
Discomfort in the head and feet? Hello, doctor. Initially, I noticed purple veins appearing on my left foot. Later, certain areas of the skin on my foot became painful when pressed, and there was slight swelling on the outer side of my thigh, although it wasn't very noticeab...
Dr. Ding Zhizhong Reply:
Hi Tina: Don't scare yourself! Cases of venous embolism causing a stroke are very rare because it requires a right-to-left shunt to occur within the heart (more commonly seen in end-stage congenital heart disease with pulmonary hypertension). As for the symptoms in your left...[Read More] Understanding Symptoms: Leg Pain and Head Discomfort Related to Vascular Issues
Can Natto Replace Warfarin for Deep Vein Thrombosis Treatment?
Deep vein thrombosis (DVT) Recently, my father's left calf has been experiencing mild swelling and pain. The diagnosis from the venography indicated deep vein thrombosis (DVT). The doctor has recommended that he take warfarin for six months. Since my father's pain is no...
Dr. Ding Zhizhong Reply:
The recovery from deep vein thrombosis (DVT) is closely related to the initial treatment during the acute phase. If follow-up examinations still show signs of thrombosis (ultrasound is sufficient and relatively easy to perform), long-term treatment is necessary. Warfarin is an an...[Read More] Can Natto Replace Warfarin for Deep Vein Thrombosis Treatment?