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Anxiety with obsessive thinking, leg cramps - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   anxiety and how to deal with obsessive thinking
Doctor :   hi
User :   hi there
Doctor :  
since when are you having anxiety symptoms?
User :   well heres how it went
Doctor :  
what are the symptoms that you are having? is your anxiety diagnosed already?
Doctor :  
are you on any medications?
User :   i went to the ER yesterday for chest pains
User :   and it turned out to be nothing
User :   but they thought maybe a blood clot because im three months pp
Doctor :  
ok
User :   he checked my legs and everything
Doctor :  
ok
User :   but im just having anxiety about blood clots because my leg is hurting now
Doctor :  
was any doppler ultrasound done for the suspected clots?
User :   no
Doctor :  
was any blood tests done on you for this?
User :   no, it was an EKG and xray
Doctor :  
ok
Doctor :  
were they normal?
User :   yes
Doctor :  
ok
User :   but im just freaking out about blood clots in my legs or something
Doctor :  
during pregnancy, the blood volume increases in women to take care of the growing needs of the baby
Doctor :  
so with this increased blood volume
Doctor :  
there are chances of mild chest pains
Doctor :  
due to the overload on the heart
Doctor :  
since your EKG and x-ray came out to be normal
Doctor :  
you do not need to worry
Doctor :  
have you followed what i have said?
User :   yes sorry
User :   im not pregnant anymore though
Doctor :  
ok
Doctor :  
you told me that you are three months pregnant
Doctor :  
so if you were pregnant during tis episode
Doctor :  
then the above explanation for the chest pains holds true
User :   im three months postpartum
Doctor :  
ok
Doctor :  
three months postpartum
User :   yes
Doctor :  
i m sorry i mistook your phrase of "three months pp " to be 'three months pregnant '
User :   i see
User :   so is the explination above still holds true
User :   ?
Doctor :  
to some extent
Doctor :  
until the physiological changes that the body ges through during pregnancy comes back to normal
Doctor :  
but then these changes should come back to normal withing a months time
User :   yeah im just freaked out because now my leg is cramping up
Doctor :  
however there have been instances that few women take a longer time
Doctor :  
to come back totally to normal
Doctor :  
for your leg cramps, request your doctor to do a Lower leg doppler scan
Doctor :  
to look for minute clots
Doctor :  
in case the symptoms are due to clots
Doctor :  
then we can find out and treat appropriately
User :   do you think thats what it is?
User :   the cramping started today
Doctor :  
the cramps could be due to the clots, or due to vitamin deficiency
Doctor :  
it better to get a detailed and extensive evaluation done at this time
Doctor :  
to avoid undue complications
User :   ok well now im more anxious!
Doctor :  
are you continuing to take your prenatal vitamins?
User :   yeah i do
Doctor :  
ok
Doctor :   are you continuing to take your iron and calcium suppliments?
User :   no
Doctor :  
i would advise you to continue taking the iron and calcium suppliments also
Doctor :  
as the body still requires them
Doctor :  
lack of calcium also presents with leg cramps
User :   okay
User :   I just am freaked out i guess.. reading to much crap online
Doctor :  
you do not need to worry
User :   but I did have an xray of my chest and a ekg
User :   would the ekg be able to tell if there was a clot?
Doctor :  
just continue the prenatal vitamins, iron and calcium suppliments as you were taking them during the pregnancy
Doctor :  
no, EKG and chest x-ray will not reveal leg clots
Doctor :  
they will detect any problem in the chest with heart and lungs
User :   the doctor did look and feel my legs to
Doctor :  
if you are too very much concerned about it, i recommend you to go for a repeat check to your gynac
Doctor :  
and get a repeat postpartum examination done
Doctor :  
also request her to prescribe you a
Doctor :  
Bilateral Lower legs doppler scan
Doctor :  
it will pick up/rule out the clots in leg
Doctor :  
and also get these blood tests done
User :   ok i have an appointment tommorw
Doctor :  
ok
Doctor :  
namely, complete blood count, PT, APTT, INR
User :   i mean the dr at the hospital told me I had less than a 5 % chance of getting one
User :   is that true
Doctor :   also do a D-dimer test which is specific for testing deep vein thrombosis/clots
Doctor :  
unless the tests are done and results are negative, we cannot comment on this possibility
Doctor :   so meet your doctor tomorrow

Doctor :  
ask for these specific tests
Doctor :  
and confirm/rule out possibilities of clots based on these
User :   am i okay till then?
Doctor :  
such that proper evidence is there for confirming/ruling out the clots
Doctor :  
start taking your prenatal vitamins and iron and calcium suppliments as before
Doctor :  
for pain relief take Tylenol one tablet two times a day after food
User :   i mean do you think its a clot? are they rare?
Doctor :  
the chances of DVT (deep vein thrombosis) can occur in almost 25% of hospitalised patients which can manifest clinically or it can be silent
Doctor :  
since the possibility cannot be ruled out for sure
User :   I wasnt hospilitzed
Doctor :  
i recommend a repaet examination for you
Doctor :  
along with the tests i have advised
Doctor :  
you can get back to me with the results
User :   ok but I wasnt hospilitzed
Doctor :  
have you followed what i have said?
Doctor :  
ok
User :   yes
Doctor :  
in any postpartum woman
Doctor :  
the possibility of DVT cannot be ruled out especially when the woman
Doctor :  
is having the symptoms
User :   ok well its just a calf cramp
Doctor :  
of leg cramps and pain
Doctor :  
the DVT presents classically with calf pain and cramps
User :   ok well ill talk to my doctor tommorw, but now im even more freaked out than before
Doctor :  
so it is all the more necessary that the investigations done for you
Doctor :  
I have told you the possibilities and the steps needed to be taken based on the symptoms you have told
User :   okay
Doctor :  
so take the medications as advised
Doctor :  
and see your doctor tomorrow
Doctor :  
and ask for the above said investigations
Doctor :  
shal i repeat the tests needed to be done for you?
User :   no i wrote them down.
Doctor :  
ok
User :   so i should be okay till tommorw
User :   or should i go to the ER?
User :   my leg isnt swollen or anything
User :   just cramping
Doctor :  
you should be fine, just take the above said medications
Doctor :  
and in case the cramps keep increasing
Doctor :  
or not getting controlled
Doctor :  
then you should go to the ER
Doctor :  
in any case do not massage the calf area
User :   okay
Doctor :  
as this will lead to dislodging of clots which will lead to severe comlplications
User :   ok
User :   i feel no better than when I first came on here
Doctor :  
Is there any thing else I can help you with?
User :   nope
Doctor :   Please fill the feedback form say done when done.
User :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries.
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