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In case you’ve skilled deep vein thrombosis (DVT), a blood clot that types in a deep vein, you’ll need to pay attention to potential issues, together with the danger of a future clot.
The percentages of getting one other DVT or pulmonary embolism (PE), during which a blood clot travels to the lungs, will rely upon a wide range of components. For instance, if a clot occurred from a brief danger issue like surgical procedure or trauma, it’s not more likely to have recurrent DVT, in keeping with the Nationwide Blood Clot Alliance. But when the blood clot occurred spontaneously with none danger components, there’s a 30 % probability one other clot will develop over the following decade, the group reviews.
One of many greatest danger components for recurrent DVT or PE is most cancers. In keeping with a analysis evaluation revealed within the journal Blood Advances, people with most cancers have a two- to ninefold elevated danger in contrast with these with out most cancers.
Nevertheless, even when you’re at an elevated danger for recurrent DVT, there are a selection of adjustments you may make in your life to cut back your probabilities.
DVT Danger Components
DVT stems from quite a lot of completely different causes. In keeping with the Nationwide Coronary heart, Lung, and Blood Institute, blood clots might kind due to harm to the liner of a vein or tissue, as a result of your blood is thicker than regular, or as the results of gradual or stagnant blood circulate.
Whether or not it’s the primary occasion or recurrent DVT, Teresa L. Carman, MD, director of vascular medication at College Hospitals Cleveland Medical Heart, notes that dangers for DVT embody:
- Genetic danger of clotting
- Older age
- Intervals of immobility, comparable to taking long-haul flights or mattress relaxation whereas in a hospital, nursing dwelling, or following surgical procedure
- Damage to vessels (which can outcome from catheter use or pacemaker)
- Hormone use or being pregnant
- Smoking
- Weight problems
- Medical circumstances, together with most cancers and immune issues like lupus
Extreme sickness, comparable to an infection with SARS-CoV-2, the virus that causes COVID-19, can be related to elevated danger of DVT. In keeping with a examine revealed in April 2022 in The BMJ, this elevated danger stays for as much as three months after COVID-19 an infection, whereas the danger of a PE stays for as much as six months.
Medicine and Stockings for DVT
You probably have had DVT, your physician might prescribe medicine to assist forestall a recurrence.
“In sufferers at elevated danger for recurrent DVT, ongoing anticoagulant use is prescribed — so long as there’s a low-to-moderate general bleeding danger,” Dr. Carman says.
Some folks will be capable of cease taking this blood thinning medicine with a physician’s permission about three to 6 months after their episode and take it once more solely in periods of excessive danger, comparable to surgical procedure, in keeping with medical observe tips revealed in 2020 by the American Academy of Cardiology. Others might have to take blood thinners for an extended time to forestall DVT.
Your physician may also advocate compression stockings, which frivolously squeeze the legs and assist blood circulate. Often a 20 to 30 millimeters of mercury (mmHg) stocking is really useful, Carman says. “It is a prescription grade compression,” she notes. “If a affected person can’t tolerate 20 to 30 mmHg stocking then a 15 to twenty mmHg stocking can be suggested.”
Your physician will provide help to decide which compression stocking is best for you.
Moreover, your physician might advocate additional testing to find out whether or not you could have an underlying situation that will increase your DVT danger. In case you do, your therapy plan will even want to handle this situation.
7 Methods to Scale back Recurrent DVT Danger
Observe these steps to cut back your danger of getting one other DVT:
- Take drugs as prescribed. Taking blood-thinning medicine in keeping with your physician’s directions ought to assist cut back your danger.
- Verify in together with your physician. As your general well being standing adjustments, ensure that all of your docs learn about your DVT danger to allow them to provide help to with any therapy changes you want. For instance, understanding about your DVT danger may trigger your physician to make completely different suggestions relating to hormone remedies, most cancers therapy, or surgical procedure.
- Get match. Being extra bodily energetic and attaining a standard weight may assist cut back your danger. How a lot you must train or how rapidly you must drop pounds will rely in your present well being and health, so work together with your medical staff to develop an train program that fits your state of affairs.
- Give up smoking. Tobacco use could also be a reason behind DVT, says Carman. And smoking cigarettes has been proven to multiply the DVT danger from different components, like being overweight, in keeping with analysis revealed in PLoS Drugs.
- Preserve good data. Pay attention to once you had your DVT, the place in your physique it occurred, and the way it was handled. This info may assist docs higher handle your therapy for different circumstances.
- Keep in movement. Along with doing common train like strolling or swimming, you must attempt to be energetic all through the day, particularly throughout lengthy journeys by automotive or airplane. “On flights, staying hydrated, doing foot and ankle mobility workout routines and periodic strolling could also be useful,” Carman says. Basically, when you sit for lengthy durations, rise up and stroll or stretch each hour or so. In case you’re in a state of affairs the place you possibly can’t transfer simply by yourself, speak together with your physician or bodily therapist about transfer.
- Be cautious with leg therapeutic massage. People who find themselves in therapy for DVT may loosen a clot with vigorous therapeutic massage, in keeping with the College of Texas at Austin’s College Health Companies. Verify together with your medical staff to search out out whether or not some type of therapeutic massage is an possibility for you and, if that’s the case, what approach to make use of. Nevertheless, “as soon as a affected person is previous the acute DVT (about six weeks to a few months), there ought to be no contraindication to decrease extremity therapeutic massage,” Carman says.
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