Varicose veins generally occur in the legs and feet, which appear as significant, swollen veins due to ineffective blood flow caused by improper valve function. Treatment is only needed if there is pain and swelling. In severe cases, a varicose ulcer may form due to rupture of the veins, which requires treatment. Surgery, ligation and stripping, sclerotherapy, radiofrequency ablation, and endovenous laser treatment are available treatment modalities.
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Can people with varicose veins get the COVID vaccine?
Query: Hi doctor, My mother has planned to take the COVID-19 vaccine tomorrow. Her age is 62 years, and her weight is 85.98 Ibs. She has varicose vein in her legs. I have attached the picture. Can she take the COVID vaccine with varicose vein? Can we take a bath after the COVID-19 vaccine? Can we take stea... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen the picture (attachments removed to protect the patient's identity). Yes, she can take the vaccine even though she has varicose veins. She can take steam after that. She can bathe as well. No blood test is needed just for the sake of vaccine. Regarding preca... Read Full »
Query: Hi doctor, I am a 32 year old female, who weighs 150 lbs and 5.9 feet tall. I have been experiencing a burning, stinging, or intensely sharp pain in different areas of my body, which always seems to be coming from a vein or artery on my neck where carotid is, in the leg, foot, arm, and temple. I ha... Read Full »
Answer: Hi, Welcome to icliniq.com. People suffering from EDS (Ehlers-Danlos syndrome) tend to develop neuropathy like symptoms, that is tingling sensations. This could be a result of neuropathy or just somatic in nature. Important here is that, if all your parameters and blood work, ultrasound a... Read Full »
How to treat the brown pigmentation and redness present near my mother's ankles?
Query: Hi doctor, My mother is 55 years old. Why does she have brown pigmentation and redness near the ankles? My mother also has varicose veins, which are highly visible on both legs, especially in the picture. Do they pose any health risks? Is there something that can be done? Fifteen years back, my mot... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concerns for your mother. I have gone through the images attached (attachment removed to protect patient identity). Let me address your questions one after the other. 1. Do varicose veins pose any problems? : Unfortunately, yes. Varicose veins hap... Read Full »
Can I get joint replacement immediately after varicose vein treatment?
Query: Hi doctor, My uncle has blood sugar, which is under control. He had laser treatment for varicose vein in the last month for one leg. Now, the doctor suggested that he needs to go for joint replacement for both the legs. Some of the doctors saying that there is some complexity as he had treatment for... Read Full »
Answer: Hello, Welcome to icliniq.com. Joint replacement surgery increase the chance of thromboembolic events, especially if you are immobilized after the surgery. My recommendation is to avoid the stress of second surgery and wait for a couple of months before going for total knee replacement surger... Read Full »
My grandmother, a diabetic for the past 45 years, has twisted nerves in her right leg. Is it varicose veins?
Query: Hello doctor, My grandmother has had diabetes since she was 45 years old. She is now 70 years old. Now on her right leg, her nerves are seen to be twisted. My friend said it is varicose veins. Will it cause any problems? She is not having issues with it. I am worried that it will affect her. Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to clarify your concern. Veins and nerves are two different entities. Nerves do not get visible to the naked eye. So if you can see some thread-like structure visible, that most likely will be a varicose vein. And it can rarely be dangerous, but most of th... Read Full »
I have swelling and varicose veins in my leg after getting diagnosed with DVT? How to treat it?
Query: Hello doctor, I was diagnosed with DVT and PTS after an injury in the left ankle. There are varicose veins and swelling in my left leg. Would it be beneficial to perform an EVLA of the left small saphenous vein, left great saphenous vein, and left anterior accessory saphenous vein on my left leg? Wh... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome back to icliniq.com. I went through your query and understood your concern. EVLA (endovenous laser ablation) is an effective treatment for significant varicose veins that are not responding to conservative management. EVLA can be done if the DVT (deep vein thrombosis) is not recent... Read Full »
Please explain the Doppler report and suggest which specialty doctor we need to consult.
Query: Hello doctor,My mother-in-law has knee pain for almost three years. Earlier, the pain was mild, and she was taking anti-inflammatory and pain killers under orthopedics care. Now, her pain is quite severe, and the pain killer does not provide any relief. We had Doppler study for her legs, and I have ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have viewed the prescription and the right lower limb arterial and venous Doppler scan reports (attachment removed to protect patient identity). The prescription mentions medications and injection given for severe pain and discomfort. The arterial Doppler for right... Read Full »
I was advised endoscopy for Barrett's esophagus; since I have varicose veins, I am scared of sedation.
Query: Hello doctor, I have been recently diagnosed with varicose veins in my left leg. I also have multiple heart problems which are right bundle branch block, bicuspid aortic valve, high blood pressure, and patent foramen ovale. I also have Barrett's esophagus and this week, I am going in for an endosco... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. I can see that your leg has developed varicose veins (attachment removed to protect patient identity). This happens due to back flow of blood into the superficial venous system of the legs. We... Read Full »
Can the COVID-19 vaccine be administered to people with clotting disorders?
Query: Hi doctor, I have small red dots on my torso, and I have a bruise-like thing on my ankle like purpura. It does not hurt but is looking purple. It has been there for years. I consulted a vein specialist, but they did not say anything. I have a varicose vein on my leg and broken capillaries since my ... Read Full »
Answer: Hi, Welcome to icliniq.com. I hope everything is fine. Three red dots do not fulfill the definition of purpura there should be plenty. The bruise on the ankle also seems due to contact. Moreover, varicose veins are themselves causative of such small lesions due to blood pooling in extremities. How... Read Full »
Due to excessive precum secretion, the foreskin backs up, causing pain while using the washroom. What should I do?
Query: Hello doctor, I have an issue with an overactive bulbourethral gland causing excessive amounts of precum. Due to this, it can sometimes cause a back up of the foreskin which results in pressure and what I would call the entire descent of the vas deferens into the scrotum. This also causes stomach pa... Read Full »
Answer: Hello, Welcome to icliniq.com. Precum comes from various glands, including the bulbourethral gland. However, the sperm from the testes have a separate tube (vas) that carries sperm to the urethra. This is unlikely to get temporarily clogged by other secretions. Prostatic glands also have separate op... Read Full »