PHLEBITIS / DVT       Phlebitis.
If most people know anything at all about this disease, they know only
that former President Richard Nixon had it and that it has something to
do with the blood vessels in the legs.   Though
correct on both counts, those who have suffered with phlebitis know it
as much more—as a painful, frightening affliction that can claim a
victim's life without warning via a blood clot lodged in the pulmonary
veins of the lungs.   Phlebitis
is more
correctly known as thrombophlebitis. "Thrombo-" is for the blood clot
that is its trademark and primary danger. Two basic types of phlebitis
exist: deep vein thrombophlebitis, or DVT for short, the more dangerous
condition, and superficial phlebitis, the type of affliction we will
deal with here.   The Two Types of PhlebitisThere are two types of phlebitis, 
one more severe than the other. If
you have superficial phlebitis, the affected vein will be near the
surface of the skin. In fact, you may see it as a hard, red cord in the
affected area that is tender to the touch. The more severe
form of phlebitis is called deep vein thrombosis (DVT). With DVT, the
affected vein is deep within the muscle, causing the affected area to
become swollen and tender, especially when you
first stand up. DVT can cause serious, life threatening health problems. If
you suspect you have phlebitis, you should see a doctor immediately. If
you are diagnosed with superficial phlebitis, here are some things you
can do to manage your condition.    What causes Deep Vein Thrombosis? While
recent research shows that various factors prove to put a person at
risk for DVT, a more common cause for deep vein thrombosis is
inactivity. The less you move, the slower your blood circulates,
thereby increasing the chances for clots to form.
Business travelers, people who spend long hours in cramped airplane
seats or in cars, and people confined to wheelchairs are especially at
risk if they are unable to regularly circulate the blood in their legs.   
Therefore,
it is always recommended for people who are confined to desks and
chairs to take advantage of quick breaks to get the blood flowing
again. Even in an airplane, it is possible to stand up and move
slightly around the cabin, if only to stimulate blood flow in the lower
half of the body and prevent numbness.    Signs and symptoms   There may be no 
symptoms referrable to the location of the DVT, but the classical symptoms of 
DVT include pain, swelling and redness of the leg and dilation of the surface 
veins. In up to 25% of all hospitalized patients, there may be some form of 
DVT, which often remains clinically inapparent (unless pulmonary embolism 
develops).   There
are several techniques during physical examination to increase the
detection of DVT, such as measuring the circumference of the affected
and the contralateral limb at a fixed point (to objectivate edema), and 
palpating the venous tract, which is often tender. Physical examination is 
unreliable for excluding the diagnosis of deep vein thrombosis.   In
phlegmasia alba dolens, the leg is pale and cool with a diminished
arterial pulse due to spasm. It usually results from acute occlusion of
the iliac and femoral veins due to DVT.   In
phlegmasia cerulea dolens, there is an acute and nearly total venous
occlusion of the entire extremity outflow, including the iliac and
femoral veins. The leg is usually painful, cyanosed and oedematous.
Venous gangrene may supervene.   It is vital that the possibility of pulmonary 
embolism be included in the history, as this may warrant further investigation. 
  A careful history has to be taken considering risk factors (see below), 
including the use of estrogen-containing methods of hormonal contraception, 
recent long-haul flying, and a history of miscarriage (which is a feature of 
several disorders that can also cause thrombosis). A family history can reveal 
a hereditary factor in the development of
DVT.   Michael
D. Dake, M.D., a vascular specialist at the Miami Vascular Institute in
Florida, explains the difference. "Phlebitis just means inflammation of
the veins," he says, "and that can be the superficial veins near the
skin or the deep veins of the legs.   "Deep
vein thrombophlebitis is something we're always on guard against," he
continues, "because those people can develop a moving blood clot that
would have direct access to the lungs if it broke loose and traveled
through the system. DVT usually requires hospitalization and treatment
with anticoagulants. The blockage that occurs in superficial phlebitis,
however, tends not to break loose."   For
that reason, the tips we offer here are intended for use only by
persons who have been diagnosed with superficial phlebitis and are
under a doctor's care. These tips are designed to help relieve pain
without prescription medication and help reduce the chances of a
recurrence.   Get off the Pill.
"If you've had a history of phlebitis or blood clots, you definitely
shouldn't use oral contraceptives," says Jess R. Young, M.D., chairman
of the Department of Vascular Medicine at the Cleveland Clinic
Foundation in Ohio. The incidence of deep vein thrombophlebitis in oral
contraceptive users is estimated at three to four times higher than in
nonusers. Such a relatively high rate of deep vein clotting also puts
the
superficial phlebitis sufferer at an unacceptably high risk for
recurrence.   Give it rest and warmth.
"Superficial phlebitis can be treated by elevating the leg and applying
warm, moist heat," says Dr. Dake. While it is not necessary to remain
in bed, rest, with the leg elevated 6 to 12 inches above the heart,
seems to help speed healing. The inflammation of superficial phlebitis
usually disappears in a week to ten days, though it may take three to
six weeks to completely subside.   Know your risks.
Once you've had phlebitis, you're at increased risk of getting it
again. How much risk may depend
largely on things you may or may not be able to control. "In general,"
says Dr. Young, "you have to be put in a situation where you're at
increased risk for it, such as surgery or prolonged bed rest."   While
you might not be able to prevent prolonged bed rest following an injury
or serious illness, certain types of risks, such as elective surgery,
can be avoided if you're an older individual prone to clotting
disorders. Consult your doctor for specific risk factors, but keep in
mind that getting up and around can help reduce the risks of developing
phlebitis after surgery.   Investigate aspirin.
Some studies have suggested that the blood-thinning properties of
aspirin may help reduce phlebitis by preventing rapid clot formation in
persons prone to the disease. These studies advise that you take
aspirin before prolonged periods of bed rest, travel, or surgery, all
of which tend to make circulation sluggish and increase the possibility
of clotting. While such a simple recommendation sounds enticing, some
doctors hedge on its effectiveness. "I'm not sure aspirin will be that
protective against clotting," says Dr. Dake. Even if you do opt for
aspirin, this is a medical treatment—see your doctor first.   Walk when you 
have to ride.
Planning a long trip by car? If you've had phlebitis in the past, then
make sure your wheels aren't the only thing in motion. "The main thing
is to stop frequently and exercise when you stop," says Dr. Dake. "And
don't just stop one time during the day and walk a mile, but rather,
stop four or five times and walk shorter distances."   What
you're trying to do, he says, is prevent the circulation from becoming
sluggish as a result of sitting motionless for long periods of time.
"Your circulation enters a low-flow state under those conditions and
that can lead to a clot," says Dr. Dake.   Add another reason to quit.
"If you get recurring cases of phlebitis and your doctor can't find any
reason for it," says Dr. Young, "then you should quit smoking. You
could have a case of Buerger's disease that just hasn't moved to the
arteries yet." Buerger's disease is characterized by
severe pain and blood clots, usually in the legs. It is directly
related to smoking, and the only cure is to give up all forms of
tobacco. "Occasionally, Buerger's will start out as phlebitis," Dr.
Young explains. It's possible that Buerger's could be misdiagnosed as
phlebitis, in which case continued smoking would be very hazardous to your 
health.   That's
a long shot, Dr. Young admits, but worth considering if your doctor
hasn't been able to explain recurring bouts of phlebitis. "Otherwise,
there doesn't seem to be any connection between smoking and phlebitis,"
he says.   Get some exercise. "Exercise—primarily walking—tends to keep 
the veins emptied," says
Robert Ginsburg, M.D., director of the Center for Interventional Vascular 
Therapy at Stanford University Hospital in California.   Keeping
the veins emptied as much as possible is a good way to prevent a
recurrence of phlebitis, he says. "The veins are a low-pressure system,
and if the valves that keep blood from flowing backward in the legs
aren't working properly, such as in varicose veins, the only way you're
going to prevent blood from pooling is by walking."   Put your feet up 
when you're laid up.
"If you've had phlebitis and you're going to be bedridden for any
length of time," says Dr. Young, "elevate the foot of the bed several
inches to increase blood flow
through the veins."   He
also suggests you exercise your legs as much as you can while in bed.
"You can take aspirin if you want," he adds, "though there have 
been no
good studies that show it prevents a recurrence."   Wear support stockings 
for relief.
Some physicians advise the wearing of support stockings to prevent a
recurrence of phlebitis, while others don't. While there's no
documented evidence showing that support stockings do any good in preventing
phlebitis, they do seem to relieve pain and make some people feel
better. The best advice? Wear support stockings if they make you feel
better. If they make you feel worse, though, don't think you must
continue wearing them in order to prevent a recurrence.   Beware the friendly 
skies.
The scientific literature is filled with reports of people being
stricken with deep vein thrombosis following a long airplane flight.
While nobody seems to be quite sure why this happens (cabin pressure,
lack of motion, alcohol intake, etc.), the condition is so common that
it is now known as "Economy Class Syndrome," because it rarely seems 
to
strike those passengers seated in roomy, first-class seats.   "Long
plane rides or car trips, or really any long period of inactivity, can
increase the risk of thrombosis," says Dr. Young. "But on airplanes 
you
tend to be confined to
your seat a lot more than when traveling by car. So if you have
phlebitis, this is a case where you ought to put on your elastic
stockings before boarding, then get out of your seat and walk up and
down the aisle every 30 minutes or so after taking off."   To help 
maintain good relations with your neighbors, he says, "It might be good to 
request an aisle seat."  A Sign of Infection   People
often become quite worried when told they have phlebitis, believing
that clots may break loose and cause death. This is rarely the case,
although phlebitis can develop into life-threatening infection if
left untreated.   If
the symptoms of phlebitis—pain, redness, tenderness, itching, and
swelling—are accompanied by a fever and they do not clear up in a week
or so, see your doctor. It could be a sign of infection. Your physician
can clear it up with antibiotics.     Human - DVT (Deep Vein Thrombosis)  DVT 
is blood condition relating to circulation and viscosity.There are three main 
reasons for deep vein thrombosis.  Slowing of blood flow as in prolonged bed 
rest and/or
inactivity due to sitting while travelling.  Injury to the lining of the vein 
as in surgery.  Increased tendency for blood to clot as in some cancers and 
rarely with contraceptive use .About
half the sufferers of DVT have no symptoms at all. in the others with
inflammation and blood flow obstruction there can be swelling and pain
in the calf, also the ankle , foot and thigh depending on the veins
affected.To improve this generally I suggest consuming foods
with rutin on a regular basis eg lemon, buckwheat and blackcurrant. As
well as taking a herbal mix with Rue . Recommendations for DVT :-1.
Drink ¼ squeezed and chopped lemon in hot water with small slices of
ginger everyday . Lemon and ginger both improve circulation and make
blood travel faster . Twice a day to start with to rebalance blood
circulation system.2. Eat one
clove of garlic daily-garlic has favourable influences on cardiac factors3. 
Walk daily for 20 minutes.4. Avoid dehydration.5. Avoid caffeine, alcohol and 
fatty foods6. take omega 3 fatty acids -fish oil, walnuts, olive oil7. no 
margarine, processed foods8. consume cold water fish-, cut down on other animal 
proteins9. a happy heart is the best medicine- reduce impatience and anger, try 
contemplation, meditation.   Simple Home Remedies for Superficial Phlebitis   
Find Relief with HeatOne
way to treat superficial phlebitis is with heat. Several times a
day, lie down and elevate your leg so that it's at least six inches
above your heart. Place a warm, wet washcloth over your leg. Do this
several times a day, and the inflammation caused by superficial
phlebitis should be gone in less than two weeks.   Relieve Phlebitis with 
Aspirin   Nonsteroidal
anti-inflammatory drugs, like aspirin and ibuprofen, are known for
their blood thinning properties, so they could have an affect on any
blood clots that have formed in your body. However, before trying this
method of self-care, see talk to your doctor first. Superficial phlebitis is 
nothing
to be afraid of. By taking a few simple steps, you could be rid of this 
condition in less than two weeks   Alternating Pressure and DVT   Ergonomic
devices at work and home are always a plus. An alternating pressure
cushion, for one, can improve circulation during times of inactivity.   
Alternating
pressure refers to a device that inflates and deflates in sections.
Think of an air mattress or air seat cushion. As one pocket, the air is
stagnant and does not move. When you sit on one, it may feel like
sitting on an elevated version of the chair. Circulation remains the
same.   Alternating
pressure, however, works in a cushion devised of two or more air
bladders interconnected to alternate inflating and deflating. Some
bladders rise while others fall, and vice versa. This constant movement
in a cushion lifts and shifts the body in place, so even though one is
sitting there is opportunity for better circulation.   Where
there is better blood flow, naturally, there is less discomfort.
Alternating pressure keeps the blood moving and the skin healthy,
allowing it to breathe. When skin breathes, it maintains a healthy
color and elasticity. The blood flows and has less opportunity to clot,
thereby decreasing risk of DVT.  
For the constant
traveler and the cubicle worker, an alternating pressure device can be
handy in eliminating the risk of blood clots in the legs, and in turn
preventing serious conditions.    Group [EMAIL PROTECTED] To dimpill's gang! 
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