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Had venous doppler in leg. What are inclusions and incontinence? Procedures to correct it? Pros and cons?

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i have had a venous doppler on my left leg. i am to see my vascular surgeon on thursday. the nurse said i had inclusions and incontinence in my lower leg, my circulation was bad. i want to know what are inclusions and incontinence? what are the procedures to correct this? what are the pros and especially the cons of doing these procedures? basically, what questions should i be asking my dr on thursday?
Posted Mon, 30 Apr 2012 in Urinary and Bladder Problems
Answered by Dr. Mohammed Tauseef 5 hours later

Thank you for the query.

I would like to know few more things which would help me in suggesting you better:

1.) How Old are you?
2.) What exactly are your symptoms? Why was Venous Doppler suggested to you?
3.) Do you have any leg swelling?
4.) Are you Diabetic or Hypertensive?
5.) Are you on any Medications?
6.) What is your Height/Weight/Gender?

Venous Doppler is done to rule out XXXXXXX Vein Thrombosis (DVT) / Venous Thromboembolism (VT) where in there will be blood clots in the veins and also the valves which carry the blood from veins to heart are "Incompetent", this is also called Venous Insufficiency. Your Nurse by "Inclusions" mean Blood clots and the other word is not "Incontinence" but "Incompetence", about which I have already explained.

Your Doctor may also ask for D dimer and venography and other necessary tests to confirm DVT or any other cause for your Problem.

There are various treatment option for this condition like,

1.) Ligation with or without Sclerotherapy.
2.) Blood Clot Dissolving Medications if there is a clot.
3.) Ligation with stripping of the affected vein.
4.) Endovenous ablation.

Speak to your Doctor as he will have to evaluate you further in detail and decide upon which treatment suits your condition.

The advantages of these treatments include,

1.) lower rate of early recurrence.
2.) fewer complications.
3.) higher rates of patient satisfaction.

Disadvantages include,

1.) Higher cost of treatment.
2.) Infection.
3.) Higher rates of late recurrence, if lifestyle modifications are not brought in and poor compliance is maintained.

You can speak to your vascular surgeon regarding these aspects in detail and take a decision if surgery is necessary.

Hope I have answered your query, I will be available to answer your follow up queries.

Wish you Good Health and All the Best.

Take Care.

Dr. Mohammed Tauseef.
Above answer was peer-reviewed by
Follow-up: Had venous doppler in leg. What are inclusions and incontinence? Procedures to correct it? Pros and cons? 22 hours later
I will be 51 in Dec. My heigh is 5'10", weigth 240, last glucose test 113 on 10/31/2011, no hypertension. Medicines I take are, 25mcg levothroxine, 30 mg prevacid, and 1, 325mg aspirin a day. Family history of varicose veins, bloodclots and diabetes. Ihave gain 15 lbs this last year.
As a teenager, I had the beginnings of varicose veins. I have worked in retail mgmt for 31 years, standing majority of 10 to 12 hours a day. I, now, have a desk job, but I am up and moving at least 1/2 of the day.
In 2001, I had gallbladder surgery and in less than 24 hours I had phlebitis, that went to to a big red painful knot in my left leg, calf. Dr put me on antibotics and warfin.
My left leg swells and I have wore prescription support hose till last summer. I would have pain occassioanlly and bruise looking places on my calf. Above my ankle down to my foot are alot of small blue veins and red skin. In XXXXXXX I was woken up from pain in my calf, same area as previous phlebitis. I went to Dr and I had phlebitis again. He sent me to the vascular dr. The vas. dr order venus doppler on my leg at that time and aspirin a day, and pres. support hose. Dr told me I had 3 significant leaks in the groin, mid thigh and behind my knee and a small blood clot in the calf area. He told me at that time there was not much could be done for this and to come back in 3 months. I did and he order another venus doppler, supposely more in depth. The nurse said test showed inclusions and incompetence and Dr want to discuss my options.
I know my family Dr. had said sometimes when a varicose vein is removed, that the pressure then moves to the other circulatory vessels in the leg, causing them to become varicose and this could become more of a serious problem.
So, I need to be educated in this area. I don't want to make things worse in the long run. .
Will exercise on a bike help my legs?
Answered by Dr. Mohammed Tauseef 36 minutes later

Thank you for writing back to me.

I would like to explain to you what Varicose Veins are. They are enlarged, tortuous veins, which occur due to prolonged standing and walking upright for longer periods without rest in between. This increases the pressure in the veins and the valves which bring the blood from periphery to heart to become weak and incompetent causing the blood to stagnate inside the veins and clot. This process makes the veins tortuous and enlarged, which we call as Varicose Veins.

Don't worry, as a common, mild variation of varicose veins, are simply a cosmetic concern. If they are causing aching pain, discomfort while walking, Ulcers, they have to be attended with Medications and Surgical Options.

Kindly don't worry as most of the treatment options are safe and effective. If you bring in a healthy lifestyle with ways of preventing them, there wont be any recurrence of varicose veins.

Follow these lifestyle modifications:

1.) Regular cycling will definitely help you as this will improve blood circulation.
2.) Along with this go for regular brisk walks for 30 to 40 minutes daily.
3.) Avoid alcohol and smoking, if you do.
4.) Eat healthy nutritious balanced diet which should include fresh fruits and XXXXXXX leafy vegetables.
5.) Take short breaks to elevate your legs above your heart by lying down.
6.) Don't wear tight clothes around your waist, legs or groin.
7.) Avoid long periods of sitting or standing.
8.) Do not sit with your legs crossed.
9.) Wear compression stockings, while moving around and remove them while sleeping.
10.) Stick to your treatment plan and go for regular follow up.

Wish you Good Health.

Take Care.

Dr. Mohammed Tauseef.
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