Get E-Book on COVID-19

Q. Are spider veins related to Ehlers-Danlos syndrome?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 14, 2018 and last reviewed on: Aug 13, 2019

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 have also noticed spider veins appearing in different locations. I have EDS (hypermobile type), a mildly dilated aortic root, and I am on beta blockers for arrhythmia and blood pressure. I have been experiencing occasional light-headedness and fatigue. Sometimes, I have shortness of breath, especially, when in the heat, but when I take my BP, it has been good lately. Should I be concerned? Is stinging, burning or sharp pain normal along veins, or is it possible it is just nerves that run alongside the vessels that I am feeling instead? Spider veins showing up on legs, ribcage, feet, and all over my breasts. I have multiple spider angiomas on arms and legs as well.

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology


Welcome to

  • 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 are within normal limits, this is not going to harm you. But, I understand the pain it causes. The pain can be reduced by taking drugs like Nortriptyline that helps wonder in these situations by reducing the sensations due to any veins or nerves.
  • Discuss with your doctor to start you on 25 mg of Nortriptyline and see the magical effects. Have you ever got your echocardiogram of heart and liver ultrasound done? Do you take alcohol?
  • In case your liver has not been evaluated, just get it evaluated once to be sure that spider angiomas are not being caused by any liver issues.

I hope it helps you. Please feel comfortable to ask me, if you have any query in mind.

For further queries consult an internal medicine physician online -->

Was this answer helpful?


Hello doctor,

Thank you for your response. Yes, I have yearly echocardiograms done to monitor if there are any changes in my aortic root dilation, and my next one will be next month. As far as I know, other than what is on routine blood work, I have not had any other tests done on my liver. I had an ultrasound of my gallbladder two years ago, but I still have pain under my right ribcage nearly every day. The sensations I described seem to be worse at night and even wake me from my sleep. Not sure if related, but I also have an increased need to urinate after lying down as well. Despite limiting my fluid intake before bed and attempting to empty my bladder a few times before actually falling asleep, I still have to get up in the middle of the night to go. I am not very concerned that it is related to my issues, but I do feel the need to mention that MS does strongly run on my mother's side of the family, including my mother. Is having these issues primarily at night normal for EDS?

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology


Welcome back to

  • EDS is not related as such to all of your issues. But yes, nerve pains and spider angiomas like phenomenon can be a related. The ribcage pain that you are having could be a part of acid reflux that you might be having, as a result of taking so many medicines.
  • I suppose you should ask your doctor for an ultrasound regularly to check for liver status. My strong recommendation is to discuss with your doctor to prescribe you Nortriptyline for the various symptoms, that would help you in all your symptoms.
  • These are not symptoms of MS (multiple sclerosis). As MS usually presents with visual issues with other neurological symptoms.

I hope it helps you. If you have any further query, please ask me.

For more information consult an internal medicine physician online -->

Was this answer helpful?


Related Questions:
I have frequent urination and severe pain in abdomen. Kindly advise.
Can Metrogyl cause tingling sensation in hands and feet?
My Bilirubin total - 2.2, Bilirubin Direct - 1.5, SGPT - 4548, SGOT - 4153

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What causes tingling feeling when urinating?

Query: Hello doctor, I suddenly feel a tingling sensation after urination and a slight prick sort of a thing. I visited a doctor for the same and had been diagnosed with a urine infection. I also have a constant urge to urinate. He gave a dose of antibiotics which I had to take for three da...  Read Full »

Why is there diabetic neuropathy in spite of being on insulin?

Query: Hello doctor, Although my mother is on insulin for 7 years, she has diabetic neuropathy and some complications since one week. Also, the doctor tried but the complications are not going.  Read Full »

Can herpes cause feet neuropathy?

Query: Hello doctor, I have developed feet neuropathy, primarily the right foot from the past one year. The symptoms went away six months back but returned a month back (burning, tingling, etc). I suffer from high blood pressure and anxiety. The neurologists could not find the cause after all tests. I tes...  Read Full »

Also Read

This article provides you with all the information that you should be knowing about miscarriage. Although this is an emo...  Read more»
COVID-19 Testing
COVID-19 testing includes analyzing patient samples to determine current or past infections with SARS-CoV-2. Read the ar...  Read more»
I feel a restlessness in my legs, which decreases my sleep quality. How to get a refreshing sleep?
Hello doctor, I cannot get refreshing sleep some days in a week, and some days it is good. I also have difficulty sleep...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.