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Pain in the calf. Is it due to blood clot or cramp? History of psoriatic arthritis, heart murmur and GERD. What are the chances of DVT?

I have a pain in the back of my calf and it concerns me it might be a blood clot. I not sure if it s a leg cramp or like I already said a blood clot. I sit for hours on end daily and am afraid this could possibly be DVT . I m also not in the most healthy of states I have psoriatic arthritis ,an innocent heart murmur , GERD , and I may have other unknown probelms. This started not more then two to three hours ago I believe and at first the pain felt like a line running up my leg. I walked around for a little bit to get by blood pumping and that helped alittle and the line like feeling went away. Now s it hurts in just one spot and so far I haven t had swelling or redness or blue coloring on my foot. I m also currently getting over being sick with a sinus infection and a possible ear infection. I m an nineteen year old girl who also is on my premenstrual cycle at the moment. I just would like to know if it could be a blood clot ? Even though I m aware sometimes blood clots have no symptoms. What do you think?
Asked On : Mon, 17 Sep 2012
Answers:  2 Views:  114
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Rheumatologist 's  Response
this could be a blood clot,
but considering your age it seems unlikely, in fact it is more likely to be due to your arthritis, sometimes knee pain can produce similar symptoms.
or it is a possibility that it is just a cramp or a muscle pull.
but if it persisits or you get any other symptoms then a doppler for your lower limbs will help.
Answered: Tue, 18 Sep 2012
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Jan 2013
Thanks for posting your query.
You should consult with physician/ surgeon and should go for color doppler study of both arterial and venous system.
Although there appears to be less possibility of DVT, as there is no local edema in foot.
Do you have tenderness on squeezing both calf muscles?
Tenderness on touching calf may be due DVT.
You may have pain due to cramps and premenstrual tension.
You should also go for serum electrolytes, thyroid profile, ESR , CRP and serum uric acid.
Psoriatic arthritis generally involves joint, not the calf muscles.
You should also go for clotting time,bleding time and prothrombin time.
Take care,
Dr. Mayank Bhargava
Answered: Tue, 18 Sep 2012
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