Phlebitis – 7 Things Your Doctor Should Know But May Not


Phlebitis- 7 things your doctor should know
but may not Phlebitis is not caused by an infection and
antibiotics are not necessary. Recent reviews in the medical literature suggest that antibiotics
are frequently prescribed for phlebitis. Not only is this ineffective, but it costs our
healthcare system and may it may cause complications such as diarrhoea and it may contribute to
antibiotic resistance. Phlebitis most commonly affects the leg veins
and it causes swelling, tenderness and redness along the vein. Less common sites include
the arm and the chest. The diagnosis requires a duplex ultrasound
scan. Conditions such as cellulitis or lymphangitis can mimic phlebitis so confirming the correct
diagnosis with a duplex ultrasound scan is essential. The fundamental problem causing the inflammation
in the vein is clot formation which can spread to the deep veins causing a deep vein thrombosis
and pulmonary embolus. Many experts suggest that the term phlebitis should be replaced
by the term superficial venous thrombosis. The duplex ultrasound scan should not only
check the area that is painful, but both legs should be checked for deep vein thrombosis.
When someone has phlebitis they can be in a so-called hypercoagulable state in which
the blood is sticky. That means that clots can develop elsewhere in the body, particularly
in the deep veins of the other leg. Phlebitis in varicose veins can recur and
people with varicose veins and phlebitis should have treatment to deal with their varicose
veins. Phlebitis without varicose veins may indicate
a disorder of blood clotting or an unsuspected cancer. Such patients should be investigated
by a haematologist.

3 thoughts on “Phlebitis – 7 Things Your Doctor Should Know But May Not

  1. A brilliant representation and very informative! Where are all the good consultants on this channel – come to Wales you are needed!

  2. Thank you! I need help. Idiots in the ER literally had no clue n even tested me for gout. No ultrasound or anything done! Here I am 3 mo the later n have had 2 attack’s in 11 days. Cramps in feet , sides of kegs then my non varicose veins bulge n swell, knees swell turn red n sometime I can’t walk at all. Last time it went away within an hour n my legs were whiter than a dead person n my body temp was only 95.8. Yup u read that right n it’s been in the 96 range since my first attack in sept. I need help! I’m afraid to have a stroke n it’s happening more frequently n not one damn dr knows what they’re doing! I have to be my own advocate as always n it angers me that I have to tell them what I want to be tested for. Idk how dangerous it is to have this happen more n more often. Please help. Nobody will listen to me or help me

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