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    Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions
    Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions
    Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions
    Ebook93 pages55 minutes

    Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Deep Vein Thrombosis

    I had a patient who arrived from England 5 years ago to visit her relatives.

    She had breathing difficulty and chest tightness when the plane reached the Singapore airport and was rushed to see the airport’s private clinic doctor.

    However she had an ECG done and was treated as a case of mild asthma and given some medicine.

    Because she did not improve and her leg started to hurt, her relative brought her to see me 2 days later.

    On examination I could see a painful red warm swelling on the lower right leg together with some varicose veins.

    Her lungs were congested with lower air entry on the right lung.

    Her blood pressure was normal but her heart rate was 98 per minute.

    I suspected deep vein thrombosis based on her history of an airplane travel stasis and the swollen painful right leg.

    Based on her ECG at the airport clinic, I did not think that she had a heart attack

    I immediately gave her an intravenous injection of heparin together with aminophylline (a bronchodilator).

    She seems to improve immediately after the injection.

    The breathing was better and there was less chest tightness.

    As she was reluctant to go for a venogram or to hospital, I did not want to use warfarin.

    Instead I gave buffered aspirin (as an anticoagulant) and gave her a pressure stocking to wear on her leg which should be kept raised while sitting and sleeping.

    She was also given a muscle relaxant together with paracetamol (a painkiller) which should help to her to sleep better.

    She was told to return for review the next day.

    The next day when she returned she was feeling better.

    The breathing was better and the heart rate was back to 76 per minute.

    She also had a good night sleep and her leg was less swollen and not so inflamed.

    By the end of the second week she was much better and returned to England where she was advised to see her GP who then referred her to a UK hospital where her DVT was confirmed.

    What is deep vein thrombosis?

    Deep vein thrombosis (DVT) is a blood clot (thrombus) in a deep vein leading to the heart, usually in the legs.

    The blood clot may either block the vein completely or partially.

    It is more common in the elderly and the obese.

    Women are more prone to it.

    DVT does not cause heart attack or stroke.

    What is the danger of DVT?

    Clots can form in superficial veins (called superficial thrombophlebitis or phlebitis) and in deep veins due to poor blood flow or stasis.

    Blood clots in superficial veins rarely cause serious problems.

    Blood clots in deep veins (deep vein thrombosis) require immediate medical care.

    These clots are dangerous because they can break loose and then travel through the bloodstream to the lungs causing a pulmonary embolism.

    A pulmonary embolism is often life-threatening.

    Deaths resulting from complications of DVT are not something new.

    Blood clots most often develop in the calf and thigh veins, and less often in the arm veins or pelvic veins.

    What causes deep vein thrombosis?

    3 major factors play a part in the development of DVT.

    1. Venous stasis i.e. the pooling of blood in the veins.

    This may be the result of immobility, old age or heart failure.

    2. Damage of the vein due to trauma or local pressure.

    Surgery or an injury can damage your blood vessels and cause a clot to form.

    3. Increased coagulability (tendency of blood to clot) of the blood which is sometimes seen in:

    a. Clotting disorders,

    b. Pregnancy,

    c. The use of oral contraceptives,

    d. Dehydration or

    e. Some cancers.

    Sitting for long periods without exercising your leg muscles is a main factor.

    Passengers in first or economy class seats in a plane have been known to develop DVT.

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 20, 2015
    ISBN9781310212611
    Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee

      Deep Vein

      Thrombosis,

      A

      Simple

      Guide

      To

      The Condition,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B., B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Deep Vein Thrombosis, treatment and Related Vascular Diseases such as Varicose veins, Reynaud Disease, which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      Ode to DVT

      DVT is a blood clot in the deep vein of the leg

      The affected area will be painful and turn red

      Blood clot can occur in the vein due to inactivity

      Sometimes medicine such as the Pill may increase coagulability

      Surgery or injury can also cause venous blood clot in the leg

      The clot can break loose and travel to the lungs or head

      It can thus cause pulmonary embolism and difficulty in breathing

      This condition can cause death and is therefore life threatening

      An ultrasound within 24 hours will be able to detect the thrombosis

      So will a venogram done by a doctor confirm the diagnosis

      If there is sign of obvious pulmonary embolism such breathing difficulty

      There may be need for immediate treatment with blood thinner ability

      Immediate treatment is with intravenous heparin

      Followed by blood thinning tablets such as warfarin

      this should be taken for at least a 3 months period daily

      To prevent any blood clot from forming in the vein readily

      -An original poem by Kenneth Kee

      Interesting Tips about the DVT

      A Healthy Lifestyle

      1. Take a well Balanced Diet

      2. Treatment must start right away to reduce the chance that the blood clot will grow or that a piece of the clot might break loose and flow to your lungs.

      Treatment for DVT usually involves taking blood thinners (anticoagulants) such as heparin and warfarin.

      Heparin is given through a vein (intravenously or IV) or as an injection.

      Warfarin is given as a pill.

      Treatment usually involves taking blood thinners for at least 3 months to prevent existing clots from growing.

      After this first course of blood thinners, the doctor may want you to keep taking a lower dose of warfarin to prevent deep vein clots from happening again.

      He or she may need to adjust the dose of your medicine.

      You may need to have blood tests often to see how well the blood thinners are working.

      3. Keep bones and body strong

      Bone marrow produces our blood

      Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

      Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

      Eat food rich in Vitamins B and C such as green vegetables and fruits

      Zinc and other minerals are important to the body

      4. Get enough rest and Sleep

      Avoid stress and tension

      5. Exercise and stay active.

      It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

      One way to do this is to be active 30 minutes a day at least 5 days a week.

      Begin slowly especially if a person has not been active.

      6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

      Alcohol use also increases the chance of falling and breaking a bone.

      Alcohol can affect the neurons and brain cells.

      7. Stop or do not begin smoking.

      It also interferes

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