HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Diagnosed With Severe DVT In Leg. Prescribed Coumadin. Noticed Discoloration. On Daily Aspirin Regiment. Help?

default
Posted on Thu, 24 Oct 2013
Question: About 10 months ago I was diagnosed with severe DVT in my right leg. I spent 5 days in the hospital on clotbusters and then was prescribed Coumadin which I used for 5 months. The swelling went down dramatically but in the afternoons my ankle still swells. Still a little discolorization in my right leg vs. the left. My last follow up ultrasound still showed some blockage and some collateralization of some veins. I am on a daily aspirin regiment and take a very mild hypertension medication. Have thought about accupunture. Think that would help?
doctor
Answered by Dr. Chobufo Ditah (3 hours later)
Brief Answer:
NO

Detailed Answer:
Hi and thank you o much for this query.

Acupuncture has no place in the management of venous insufficiency. As you have rightly mentioned, it is the clot that interferes with fluid drainage leading to swelling of the ankles.This should slowly go way as the clot completely resolves. Acupuncture is a non starter here.

Aspirin is not the drug of choice for DVT. Please, talk to your doctor unless it has been prescribed for a different reason other than DVT. Aspirin is for arterial problems(clots) and not venous clots. Coumadins are clearly the drug of choice in DVT.
The difference in the coloration and the findings on ultrasound are consistent with DVT history.

Hope this addresses your query fully. Feel free to request for clarifications if need be. I wish you well.
Thanks for using our services today.
Dr. Ditah, MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chobufo Ditah (19 minutes later)
I try to provide myself with adequate hydration, i.e. water per day. Is there anything else diet wise that could accelerate the disolvment of this clot. I eat very healthy and am not overweight at this time.
doctor
Answered by Dr. Chobufo Ditah (6 hours later)
Brief Answer:
NO

Detailed Answer:
Thank you so much for this follow up.

There is nothing else in terms of diet that can accelerate this clot dissolution. Drugs that break down clots are a different class of medications called thrombolytics(clot dissolvers) like streptokinases. However, their use is not systematic in all clots and the description of your symptoms don't really merit this because of its serious side effects and the mild severity of the clot.

I a happy to hear you eat very healthy and have a normal weight. Keep up with that. This is very important to staying healthy.

I hope this addresses your query.
I wish you well and thanks for using our services.
Dr. Ditah, MD
Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Diagnosed With Severe DVT In Leg. Prescribed Coumadin. Noticed Discoloration. On Daily Aspirin Regiment. Help?

Brief Answer:
NO

Detailed Answer:
Hi and thank you o much for this query.

Acupuncture has no place in the management of venous insufficiency. As you have rightly mentioned, it is the clot that interferes with fluid drainage leading to swelling of the ankles.This should slowly go way as the clot completely resolves. Acupuncture is a non starter here.

Aspirin is not the drug of choice for DVT. Please, talk to your doctor unless it has been prescribed for a different reason other than DVT. Aspirin is for arterial problems(clots) and not venous clots. Coumadins are clearly the drug of choice in DVT.
The difference in the coloration and the findings on ultrasound are consistent with DVT history.

Hope this addresses your query fully. Feel free to request for clarifications if need be. I wish you well.
Thanks for using our services today.
Dr. Ditah, MD