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What is the treatment for DVT?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At July 19, 2016
Reviewed AtJune 5, 2023

Patient's Query

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?

Answered by Dr. Prakash. H. M.

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

  1. 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.
  2. 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.
  3. Maintain an ideal body weight and engage in regular physical activity.
  4. 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.
  5. Consider the use of elastic compression stockings that provide moderate compression (15 to 20 mmHg).
  6. Drink water to maintain hydration. Avoid alcohol and caffeine during travel. Do not smoke.
  7. 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.
  8. 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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.
Dr. Prakash. H. M.

Hematology

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