Any treatment for a superficial blood clot when 32 weeks pregnant?

Varicose Vein Surgery . 4 answers . 2 years ago

I am 32 weeks pregnant with bad varicose veins on both legs. I wear compression hose and take baby aspirin daily. I was diagnosed with a 4.1 cm superficial thrombosis on posterior thigh of left leg. No DVT. Is there anything that can be done for this? How dangerous?

ANSWERS FROM DOCTORS


2 years ago by Advanced Vein Center

You better talk to your OBGYN about the aspirin and make sure it's OK.
Wearing compression hose is the most important thing and is usually enough.
If the thrombus is very painful it could be locally treated by injecting a
small amount of lidocaine and making a tiny incision and expressing the
clot.



2 years ago by Advanced Vein Center (View Profile)

You better talk to your OBGYN about the aspirin and make sure it's OK.
Wearing compression hose is the most important thing and is usually enough.
If the thrombus is very painful it could be locally treated by injecting a
small amount of lidocaine and making a tiny incision and expressing the
clot.




2 years ago by General Vascular Surgery Group

Needs to be followed and confirmation that you don't have a deep clot or DVT. ( ultrasound)
Generally compression stockings can be worn, but sometimes anticoagulation is needed.
See your provider.

2 years ago by General Vascular Surgery Group (View Profile)

Needs to be followed and confirmation that you don't have a deep clot or DVT. ( ultrasound)
Generally compression stockings can be worn, but sometimes anticoagulation is needed.
See your provider.


2 years ago by Angelo N. Makris MD

Conservative management with compression hose, Advil, hot compresses, an leg elevation. This is a painful but not a dangerous diagnosis.

2 years ago by Angelo N. Makris MD (View Profile)

Conservative management with compression hose, Advil, hot compresses, an leg elevation. This is a painful but not a dangerous diagnosis.


2 years ago by Vanish Vein and Laser Center

I would recommend symptomatic treatment with warm compresses and support hose (compression stockings). Taking Tylenol at 32 weeks should be okay, but I would check with your OB specialist. Superficial phlebitis is usually NOT dangerous and is usually self limiting. However, if any worsening, then further investigation with a venous sonogram is indicated to ensure no DVT.

2 years ago by Vanish Vein and Laser Center (View Profile)

I would recommend symptomatic treatment with warm compresses and support hose (compression stockings). Taking Tylenol at 32 weeks should be okay, but I would check with your OB specialist. Superficial phlebitis is usually NOT dangerous and is usually self limiting. However, if any worsening, then further investigation with a venous sonogram is indicated to ensure no DVT.


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