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Thrombophlebitis ( inflammation of vein) - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1415 Questions
User :   Hi,About 5 days ago, I woke with soreness in my left arm. It was slightly swollen. The area of soreness, was just above the elbow on the inside of my arm. (not the elbow itself) As a few days have passed, the soreness has moved a little further down to just below elbow. (still on inside of arm) it's as if I can feel a vein that is swollen in that area and sore to touch. Thanks for your time
Doctor :   Hi
Doctor :   Iam.Dr.Sanju
Doctor :   Let me read what you have posted
Doctor :   May i know your age and gender?
Doctor :   Do you suffer from diabetes?
User :   43-female
User :   no
Doctor :   Was it present after the sleep?
User :   Yes. When I woke I noticed it
Doctor :   Did you have any bites from insects?
Doctor :   ok
User :   I don't believe so.
Doctor :   So can it be a insect bite?
Doctor :   ok
Doctor :   Its just redness with swelling isnt it?
Doctor :   Is there any pus present?
Doctor :   Do you have any itching ?
User :   No redness. Swelling isn't too bad. Just slightly swollen but sore to touch. No itching.
Doctor :   May i know your occupation?
User :   The soreness seems to follow what appears to be a "line" . Somewhat like a vein. I stay at home.
Doctor :   Did you have any history of excessive exercises?
Doctor :   ok
Doctor :   Do you have any breast swelling or so?
User :   no injuries. I'm a runner. don't do weight training
Doctor :   ok
User :   no
Doctor :   First i feel it bite be an infection on your lymphatics
Doctor :   Might be an infection
Doctor :   Do you have pain along the line of swelling
User :   Yes
Doctor :   So it is a vessel infection probably
Doctor :   did you have any iv injection recently?
Doctor :   Thrombophlebitis is swelling (inflammation) of a vein caused by a blood clot.
Doctor :   The following increase your chances for thrombophlebitis: Doctor :   Being hospitalized for a major surgery or with a major illness
Doctor :   Disorders that make you more likely to develop blood clots
User :   I had some blood drawn a few weeks ago, but that healed normally. The area that was orignally very sore to touch, isn't so bad now. But soreness is definately traveled to "line"
Doctor :   Sitting for a long period of time (such as on a long airplane trip)
Doctor :   So possibly it is the infection from that puncture wound
User :   Never been hospitalized for anything
Doctor :   ok
Doctor :   Apply moist heat to reduce inflammation and pain
User :   If from needle, wouldn't there be some redness in that area?
Doctor :   Keep pressure off of the area to reduce pain and decrease the risk of further damage
Doctor :   Raise the affected area to reduce swelling
Doctor :   Not necessarily
Doctor :   the infection can lodge anywhere long the vein
Doctor :   mostly at the puncture sites
Doctor :   In general, treatment may include support stockings and wraps to reduce discomfort as well as medications such as: Doctor :   # Analgesics (pain killers)
# Antibiotics (if infection is present)
Doctor :   # Anticoagulants (blood thinners) to prevent new clots from forming
# Nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen to reduce pain and inflammation
# Thrombolytics to dissolve an existing clot
Doctor :   Anyway you need an examination from a surgeon before drugs
User :   Pain is only present when I touch the area. Would you think it is ok to continue running?
Doctor :   yes ok
Doctor :   you should have an appointment soon with a surgeon
User :   ok. is this not something that would go away on it's own?
Doctor :   it might need antibiotics
User :   ok
Doctor :   as it is increasing in size
Doctor :   Thrombophlebitis that repeatedly occurs in normal veins is called migratory phlebitis or migratory thrombophlebitis
Doctor :   Taking an analgesic, such as aspirin
another nonsteroidal anti-inflammatory drug usually helps relieve the pain.
Doctor :   Most often, superficial thrombophlebitis subsides by itself
Doctor :   Although the inflammation generally subsides in a matter of days, several weeks may pass before the lumps and tenderness subside completely
Doctor :   To provide early relief, doctors may inject a local anesthetic, remove the thrombus, and then apply a compression bandage, which the person wears for several days.
Doctor :   Did you understand what i said?
Doctor :   So an physical examination is necessary
User :   ok. Thanks. It did appear the soreness was originally in that lymph node area. But is no longer sore there and in that "line" just below
Doctor :   ok
User :   sorry. and is sore in that area just below.
Doctor :   But you might need some antibiotics
User :   ok. thanks
Doctor :   Is there anything else i can help you with now
User :   not now. thanks
Doctor :   Thanks for consulting..Bye for now...
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