Dr. Jenny Gandhi

WHAT IS
VARICOSE VEINS?

Large, twisted veins that frequently cause pain, weight, swelling, and obvious bulging are known as varicose veins. These veins are most frequently found in the legs. They are caused by weak vein valves and, if left untreated, can result in ulcers, skin changes, and occasionally chronic venous insufficiency. Sclerotherapy, compression, and minimally invasive ablation are among the available treatments.

causes

Age
Gender
Pregnancy
Obesity
Prolonged Standing or Sitting
Family History
Previous Blood Clots

symptoms

Bulging, twisted, and swollen veins, often blue or purple in color
Aching or heavy feeling in the legs
Burning, throbbing, or muscle cramping in the legs
Swelling in the lower legs, ankles, or feet
Itching or dry, scaly skin around the affected veins
Leg fatigue or weakness
Restlessness or difficulty keeping legs still
Skin discoloration or darkening near the varicose veins
Easy bruising around the veins
Bleeding from veins after minor injury
Ulcers or open sores near the ankles in severe cases
Pain that worsens after prolonged standing or sitting

if untreated?

Increased pain, heaviness, and swelling in the legs
Worsening and more prominent twisted veins
Chronic venous insufficiency where veins fail to properly circulate blood
Skin changes such as discoloration, thickening, and dryness
Development of painful, non-healing venous ulcers near the ankles
Blood clots in superficial veins (superficial thrombophlebitis) or deeper veins (deep vein thrombosis, DVT)
Risk of life-threatening pulmonary embolism if clots travel to the lungs
Bleeding from superficial veins after minor injury
Reduced mobility and difficulties in daily activities
Emotional distress due to cosmetic appearance and physical discomfort

Diagnosis

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Physical examination
  • The doctor inspects the legs for visible swollen, twisted veins while the patient is standing or sitting.
Duplex ultrasound
  • This painless test uses sound waves to visualize blood flow in the veins, check valve function, detect reflux (backward blood flow), and identify any blood clots.

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