Varicose veins

 Vericose veinsDescription, Causes and Risk Factors:Alternative Names: Varicosis, varicosity.About 50 to 55 percent of women and 40 to 45 percent of men in the United States suffer from some type of vein problem. Varicose veins affect half of people 50 years and older.In normal veins, valves in the vein keep blood moving forward toward the heart. With varicose veins, the valves do not function properly, allowing blood to remain in the vein. Pooling of blood in a vein causes it to enlarge. Most varicose veins appear in the legs due to the pressure of body weight, force of gravity, and task of carrying blood from the bottom of the body up to the heart. Compared with other veins in the body, leg veins have the toughest job of carrying blood back to the heart. They endure the most pressure. This pressure can be stronger than the one-way valves in the veins.Risk Factors:Congenital valve defects.
  • Thrombophlebitis.
  • Increasing age.
  • Positive family history.
  • Hormonal changes.
  • Contraceptive pill use.
  • Pregnancy.
  • Obesity.
  • Lack of movement.
  • Sun exposure.
Symptoms:Visible enlarged veins.
  • Mild swelling of ankles.
  • Achingsitting or standing for a long time.
  • Throbbing or cramping.
  • Heaviness.
  • Swelling.
  • Rash that is itchy or irritated.
  • Darkening of skin.
  • Restless legs.
Diagnosis:The diagnosis is mainly based on the appearance of the leg veins when you are standing or seated with the legs dangling.Tests may include:Trendelenburg test: To assess saphenofemoral orsaphenopopliteal valve reflux.
  • Three bandage test: To assess site of perforator reflux
  • Perthes test: To assess patency of deep venous system
At times a physician may order a duplex ultrasound exam of the extremity to see blood flow in the veins, and to rule out other disorders of the legs such as a blood clot. Rarely, an angiogram of the legs may be performed to rule out other disorders.Treatment:Varicose veins are treated with lifestyle changes and medical treatments. If symptoms are more severe, your doctor may recommend medical treatments. Some treatment options may include:Pharmacological therapy:Topical zinc cream application.
  • Venotonic drugs like flavonoids.
Compression stockings such as pantyhose, gradient compression hose, and strength gradient compression hose.Horse chestnut extract is a natural remedy that can help in the relief of symptoms. It is probably best to avoid using hot wax for hair removal on the legs if you have prominent veins.Sclerotherapy: The most common treatment for both spider veins and varicose veins. The doctor uses a needle to inject a liquid chemical into the vein. The chemical causes the vein walls to swell, stick together, and seal shut. This stops the f low of blood, and the vein turns into scar tissue. In a few weeks, the vein should fade. This treatment does not require anesthesia and can be done in your doctor's office. You can return to normal activity right after treatment. Possible side effects include: Stinging, red and raised patches of skin, or bruises where the injection was made, spots or brown lines around the treated vein, inflammation of the vein due to blood trap. Ultrasound guided foam Sclerotherapy is an updated version of traditional injection treatment.Laser Treatment: In some cases laser treatment can effectively treat varicose veins.Surgery: Surgery is usually used to treat very large varicose veins. Surgery may include vein stripping and removal of the varicose vein (ligation).Disclaimer: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.

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