Treatment for Blood Clots in New Jersey

A blood clot is a clump of blood that has changed from a liquid to a gel-like
or semisolid state. Clotting is a necessary process that can prevent you
from losing too much blood in certain instances, such as when you’re
injured or cut. Blood clots usually dissolve on their own. If not, the
clots can potentially lead to life-threatening situations. There are two
main types of blood clots: thrombus (clot does not move) and embolus (clot
breaks loose and moves). If the clot is immobile, it generally won’t
harm you. If the clot breaks loose, it can lead to
pulmonary embolism (PE) and/or
deep vein thrombosis (DVT). Both life-threatening situations.

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Causes of Blood Clots

Blood clots form when there is damage to the lining of a blood vessel,
either an artery or a vein. The damage may be obvious, such as a cut or
laceration. However, other conditions, traits or habits may also play
a role in raising your risk. These conditions are known as risk factors
and include:

Non-modifiable risk factors: These factors are irreversible and cannot be changed. The more of these
risk factors you have, the greater your chance of developing blood clots.

• The risk is greater after 40 years of age
• Family History /Genetics
• Pregnancy

Modifiable risk factors: These factors can be modified, treated or controlled through medications
or lifestyle changes.

• Long history of cigarette smoking and/or drug abuse
• Obesity or having a body mass index “BMI” of 30 or greater.

Other conditions that contribute to the development of blood clots

• Sitting for long periods of time, especially in a plane or a car.
• Birth control pills or hormone replacement therapy after menopause.
• Male hormones such as testosterone
• Malignancy “cancerous” spread
• Certain blood disorders (i. e. anemia, hemophilia, leukemia, lymphoma, myeloma,
  among others).
• Coronary artery disease
• Inflammatory bowel disease: a group of disorders that cause chronic inflammation
  of your digestive tract.
• Injury to a vein that occurs from breaking a bone, damaging a muscle, or
  during major surgery.
• Certain cancer types (i.e. pancreatic, lung, or multiple myeloma)
• Certain infections (i.e. HIV/AIDS, hepatitis C, or Lyme disease)

Symptoms of Blood Clots

Symptoms of blood clots depend on their location in the body. Some blood
clots produce no symptoms until they rupture or become dislodged and travel
through the circulatory system to other sites. Common symptoms of blood
clots include the following:

• Blood in the stool
• Chest pain
• Fainting
• Loss of speech
• Nausea
• Rapid pulse
• Shortness of breath

Diagnosis of Blood Clots

To diagnose blood clots, your doctor will ask you about your symptoms.
You’ll also have a physical exam so that your doctor can check for areas
of swelling, tenderness or discoloration on your skin. For some people,
blood clots may not be diagnosed until after they receive emergency treatment.
Otherwise, your doctor will recommend the following:

Diagnostic tests and procedures

• Blood tests
• Ultrasound
• Computed tomography (CT scan)
• Magnetic resonance imaging (MRI)
• Perfusion lung scan

Treatment of Blood Clots

Blood clot treatment is aimed at preventing the clot from getting bigger
and preventing it from breaking loose and causing a pulmonary embolism.
Treatment options include:

Lifestyle changes

• Avoid sitting for prolonged periods of time.
• Eat a
  heart-healthy diet
• Watch for signs of excessive bleeding.
• Wear compression stockings to help prevent blood clots in the legs.
• Talk to your doctor about some weight loss options
• Make and keep appointments to see your doctor for routine check-ups and follow-up tests.

Medications

• Thrombolytic therapy is the administration of drugs called “lytics”
  or “clot busters” that will help break up or dissolve blood clots.

Medical and surgical procedures

• Inferior vena cava (IVC) filter
• Thrombectomy/Embolectomy
• Angioplasty

Do Blood Clots Go Away on Their Own?

Minor blood clotting, natural blood coagulation, is part of healing from bruises cuts. These clots are typically broken down by the body and go away on their own, once your injury has healed, but never take chances. Blood clots can be very dangerous if they go undiscovered and untreated. That’s why it’s important to err on the side of caution. Always seek medical attention if you suspect a clot, or show symptoms of vein problems, described below, that may require vein treatment.

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Who Is Likely to Get Blood Clots or Vein Problems?

If you’ve recently had a surgical procedure, are prone to blood clots through family history, or are traveling long distances without stretching your legs, you could be vulnerable to blood clots that require expert vein treatment. Vein problems, from spider veins to varicose veins, to the most serious DVT emergencies (deep vein thrombosis) should always be investigated to ensure your vein health. Vascular exams are quick, convenient and painless at your NJ vein clinic.

Remember, blood clots may have no symptoms. Blood clot risk factors include:

• Immobility
• Genetics
• Recent surgery or injury/trauma
• High blood pressure
• High cholesterol
• Obesity
• Pregnancy or birth control pills
• Smoking
• Age (especially when over 60)
• Underlying disease, like diabetes or inflammatory conditions
• Recent placement of an IV line (intravenous medication or blood administered)

Signs That You May Have Vein Problems

Watch for these symptoms of vein disorders or blood clots and seek vein treatment at our local vein clinics:

• Small webs (clusters) of red or blue-ish veins under facial skin, chest, legs or other areas (usually superficial spider veins)
• Bulging or discolored veins that may feel solid, often in the legs (varicose veins)
• Pain in the legs or a heavy feeling
• Pins-and-needles or numbness in lower legs
• Swollen ankles (possibly due to partially blocked veins, possible local blood clotting, and chronically poor circulation)
• Darkened, thickened skin on lower legs/ankles
• Sores or wounds near ankles that heal slowly, which can lead to serious, quickly-spreading infections (cellulitis)
• Pain or a pulling sensation in your thigh or lower leg*
• Red, swollen area that feels hot to the touch*

*These can be signs of a DVT blood clot, which requires emergency care. A DVT can travel to the lungs causing breathing difficulty, pulmonary embolism, and even death.

Why Vein Treatment Matters

Even slight vein problems can compromise your quality of life, if not diagnosed and treated promptly. Over time, the condition of your veins can deteriorate and can interfere with healthy circulation throughout your body. Even when circulation is not completely blocked with a DVT blood clot, your health can still be at risk from smaller clots or vein valve problems. Chronic poor circulation slowly robs your extremities of oxygen and nutrients needed for cell growth.

Where to Get Expert Vein Treatment in NJ

At the Vein & Vascular Institute, we have several locations in New Jersey offering convenient diagnosis and treatment for vein problems. With proper vein care, as recommended by your vein doctor, we can help you prevent (avoid worsening of) vein problems and maintain your vein health for life. Contact the Vein & Vascular Institute in NJ, today.

Health Clinic. Medical center in Kaliningrad.

Description of hemorrhoidal thrombosis

This is a fairly common complication of hemorrhoids. The reason for this condition lies in the formation of a blood clot in one of the veins of the anal canal – that is, in the hemorrhoid itself. With thrombosis of the hemorrhoid, the most common symptom, and the most pronounced, is pain. Thrombosis can cover the entire circumference of the skin of the anus, but most often it is manifested by swelling of one of the areas of the perianal skin around the thrombosed hemorrhoid.

Symptoms of hemorrhoidal thrombosis

With thrombosis of the hemorrhoid, most often there is constant pain in the anus, which can occur suddenly. Such pain is quite pronounced, constant, and unlike pain with anal fissures, it is not associated with defecation. Typically, patients present with persistent pain that comes on suddenly and is localized along the edge of the anus. After constipation, such pain may become stronger.

Thrombosis pain occurs simultaneously with sensitive swelling of the skin. Bleeding is not typical. The pain itself with thrombosis does not depend on the size of the hemorrhoid. Even with a small thrombosis, the pain can be severe.

Diagnosis of hemorrhoidal thrombosis

Diagnosis of external hemorrhoidal thrombosis is not difficult. The doctor from the anamnesis finds out about the exacerbations of hemorrhoids that took place earlier, and also during the examination itself, the characteristic signs of a blood clot are revealed – it becomes enlarged and cyanotic, as well as painful. With a strong pronounced edema at the beginning, thrombosis may not be visible. At the same time, the edema differs from the protruding hemorrhoids themselves. It is difficult to conduct a proctological digital examination for hemorrhoidal thrombosis due to pain.

With external hemorrhoidal thrombosis, the node itself may be painless, but the patient goes to the doctor because of the swelling. In some cases, hemorrhoidal thrombosis can be extensive and extended, and even be around the anus. This form of thrombosis of hemorrhoids is often observed after childbirth. In the case of postpartum thrombosis of hemorrhoids, severe pain is characteristic.

The outcome of external hemorrhoidal thrombosis is usually favorable. Pain subsides within 2 to 6 days. Within 1 to 6 weeks, the edema also disappears. In some cases, a thrombosed node may become necrotic. In this case, the thrombus can come out on its own, after which bleeding begins. All this is accompanied by a rapid relief of the patient’s condition.

In some cases, with external hemorrhoidal thrombosis, traces may remain on the skin in the form of hemorrhoidal fringes. These dermal fissures are usually painless and are often mistaken for external hemorrhoids.

Treatment of external hemorrhoidal thrombosis

Treatment for this condition should begin as early as possible. Treatment can be both medical and surgical.

Drug treatment is carried out for all forms of hemorrhoid thrombosis. It includes warm sitz baths, the use of analgesics, topical anti-inflammatory ointments, which may contain phlebotonic substances. Means are also used to normalize bowel function. Usually conservative treatment of thrombosis is indicated for relatively painless thrombosis of small size, thrombosis with edema. In this case, the thrombus is not always possible to remove.

Surgical treatment for thrombosis of hemorrhoids is quite simple and can be carried out by any proctologist. Removal is performed under local anesthesia. The thrombus is removed after excision of the skin, or the entire thrombosed hemorrhoid is removed. This is even preferable, as it excludes the recurrence of thrombosis and the formation of hemorrhoidal fimbria. Excision of external hemorrhoidal thrombosis is indicated for a painful and visible thrombus.

Consequences of non-intervention

Many who suffer from chronic hemorrhoids for a long time can even boast that, having hemorrhoidal bumps constantly around the anus, they continue to live, work and lead a normal life without any special treatment. Sometimes it happens. Moreover, even a thrombosed external hemorrhoid in those who are afraid of the proctologist often ends without surgical intervention. This is understandable, because it is outside, it does not threaten infringement, rarely leads to bleeding, and when inflamed, it immediately makes itself felt, and the diagnosis in such cases is beyond doubt.

It is difficult to predict further events, if only because at home the state of internal hemorrhoids is not subject to independent research. But after all, they can cause infringement or heavy bleeding, leading to blood loss and the development of anemia, so patients with an acute form of hemorrhoids (thrombosis of hemorrhoids and thrombophlebitis) need emergency medical care. And, if the deaths of this disease are few, it is by no means because it is not dangerous.

It should be noted that the third degree of thrombosis of hemorrhoids, in addition to necrosis, purulent paraproctitis and massive bleeding, may result in a life-threatening condition for the patient – sepsis. Yes, and not everyone can endure the 3rd degree of acute hemorrhoids without treatment for a long time, therefore, discarding false shame, people in most cases take reasonable treatment – to be treated.

Vein recanalization what is it – Chekhov Vascular Center

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• Vein recanalization: what is it

• Signs of recanalization in thrombosis: what is it

• Methods of recanalization

Quite often, after thrombosis, patients develop post-thrombotic disease: in 40-70% of patients after three years, in 50% within 5 years. The severity of the disease is influenced by the degree of recanalization. Vessels as a result of natural processes can recover themselves, and if this does not happen, drug therapy and surgery help. We will tell you what recanalization means, what it happens to be, and what to do if a blood clot does not dissolve naturally.

Vein recanalization: what it is

Blood clotting is a natural process that helps us survive blood loss. Normally, the formation of blood clots is a natural mechanism that starts after injuries. In most cases, the clots resolve on their own and do not need to be removed. There is a natural restoration of the patency of the vessel due to the presence of plasmin in the body.

Complete vein recanalization is the absolute restoration of the vessel and its functions. But there is also partial recanalization of the veins – this is an incomplete restoration of patency, which may not interfere with life.

With complete or partial recanalization, the thrombus resolves, and the damaged vessel is filled with blood again to one degree or another. If this does not happen, the vein or artery is deformed and the valves are damaged. All this leads to a slowdown in blood flow, stagnation of blood and the formation of new clots.

It is important to consider what recanalization is in thrombosis. At the initial stage of the disease, thrombotic masses are not yet fixed on the vessel wall, a so-called floating thrombus occurs with a high degree of risk of separation. The detached clot, together with the blood flow, begins to move through the vessel, reaching the lungs. Thromboembolism often ends in death. Rescued patients are at risk.

In other situations, blood clots become denser, overgrown with atherosclerotic deposits, forming a plaque. Such a clot cannot collapse itself, so patients are prescribed medications or surgery.

Signs of recanalization in thrombosis: what is it? This mainly concerns diseases associated with the cardiovascular system:

• With thrombosis of the lower extremities or portal vein;
• Formation of a clot in the jugular vein;
• Pathological vascular lesions of the central retinal vein;
• Thrombosis of cerebral or pulmonary vessels;
• With the development of cardiac ischemia.

The leading role in the venous outflow belongs to the lower extremities. The legs are most prone to deep vein thrombosis, which often leads to PE. Therefore, it is so important to understand how the recanalization of a blood clot of the lower extremities takes place, that it is time to pay attention to the symptoms. Unlike varicose veins, which affect superficial veins, it is difficult and sometimes impossible to detect deep vein thrombosis on your own. Pain, swelling, and fever may indicate a blockage.

In addition to CVD, thrombosis can be caused by: trauma; surgical interventions, blood diseases, sedentary lifestyle, hormones, pregnancy, oncology, chemotherapy.

At risk are the elderly, those who have recently given birth and people who are overweight. These groups require close medical supervision.

Methods of recanalization

To understand whether the thrombus has dissolved, you can use diagnostic methods: duplex scanning or ultrasound. It is important to pay attention to the absence of hemorrhagic complications in the treatment of venous thrombosis. If there is no risk of thrombus separation and complete blockage of the vessel, doctors recommend conservative treatment.

If the thrombus is life threatening, it is removed using minimally invasive endovascular techniques such as thrombectomy. Angioplasty is often used, when the thrombus is eliminated with the help of a balloon inserted into the vessel, possibly in combination with stenting, in which the vessel is strengthened with a metal frame with a medical coating.

If it is no longer possible to restore blood flow, bypasses are created by means of a bypass.

Remember that the process of recanalization is essential to maintaining health. If something interferes with the natural course, blood clots can be removed with medication or surgery. Medicines are not prescribed for contraindications, for example, with a high risk of bleeding. After detection of blood clots, they should be removed, and then constantly monitored by a doctor.