Q. What is the treatment for DVT?
Hi doctor,
I am having DVT in my left leg. I had about a year of Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it shows protein C deficiency. What to do?
Hi,
Welcome to icliniq.com.
Based on your query, my opinion is as follows:
- Protein C deficiency (blood coagulation factor XIV) can be congenital or acquired. Being on Warfarin therapy can show protein C deficiency. However, it should get corrected after two weeks and it has not so if there are no other causes, then it is probably congenital protein C deficiency.
- As you already had DVT (deep vein thrombosis), you might need to be on anticoagulation therapy for life to avoid the future risk of thrombosis. Also, need to do a few things to reduce the risk of thrombosis.
- Maintain an ideal body weight and engage in regular physical activity.
- Avoid long periods of immobility that is more than two hours. Get up to walk around or stretch during airplane flights or long car trips.
- Consider the use of elastic compression stockings that provide moderate compression (15 to 20 mmHg).
- Drink water to maintain hydration. Avoid alcohol and caffeine during travel. Do not smoke.
- If you are planning to have surgery, then alert your doctor to any genetic risk factors. Work with your doctors to identify strategies to reduce your risk.
- Recognize the symptoms of a DVT or PE (pulmonary embolism) such as shortness of breath or chest pain, unexplained pain, swelling, and redness of a limb, and seek medical attention.
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