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Suggest Treatment For DVT Blood Clots

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Posted on Thu, 28 Apr 2016
Question: I have a DVT blood clot. Is there any way to help improve it such as fasting, aspirin or exercise? Are these options effective?
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Anticoagulation is needed

Detailed Answer:
Thank you for asking
I read your question and i understand your concern. If you have Deep venous thrombosis then you need anticoagulation like warfarin and arixtra or rivaroxaban or enoxaparin. Aspirin etc has little role in managing DVT.
Talk to your doctor and let them run some labs to sort out the primary cause of this DVT and start you on anticoagulation right away.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (3 hours later)
the doctor decided not to do anti coagulation. I wanted to know if fasting helps improve clots. also if exercise can help.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Yes need risk factor modifications

Detailed Answer:
Thank you for getting back to me
If the doctor has rules out need for anticoagulation then dvt might be minimal . of course exercise will help. Thorough work up to sort out any riak factor for dvt should be performed. instead of fasting just maintaining weight and checking caloric intake would be sufficient.
I hope it helps
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (13 minutes later)
i am trying to determine if fasting will help reduce the clot. do you feel this is a viable option? please let me know. An Internet article says this: "Fasting thins the blood and prevents blood clots, or thrombi. Platelets do not clot as easily during fasting, and the ability of the red blood cells to clump together is diminished. Therefore, the fast quickly lowers an individual’s risk of a heart attack.

“The potential of a total fast (water only) to induce biochemical changes within the body that prevent formation of a thrombus has been well documented. (Muliar LA, Mishchenko VP, Loban GA, Goncharenko LL, Bobyrev VN. Effect of complete fasting on the coagulative and antioxidative properties of blood. Voprosy Pitaniya 1984;4:20–23.) In one such study a fast was undertaken by 22 normal volunteers. The ability of their blood to clot and form a thrombus under fasting conditions was extensively analyzed. Fasting was discovered to lead to the reduction of blood plasma and red cell coagulation, deterioration of platelet aggregation, a rise of the oxidized hemoglobin content, and an increase in red cell resistance to peroxide hemolysis. In short, fasting lowers the risk of intravascular coagulation and thrombus formation.

“ Other studies have shown that after 36 hours of fasting there is a significant increase in the fibrinolytic activity of the blood. Fibrinolysis is the breakdown of clots. This activity continues for 24 hours after the fast is terminated (Miettinen M. Effect of fasting on fibrinolysis and blood coagulation. Amer J Cardiol 1962;10:532–534. XXXXXXX IS. Fasting and non-fasting fibrinolytic activity. Lab Prac 1967;16:469–470.”
doctor
Answered by Dr. Shafi Ullah Khan (20 hours later)
Brief Answer:
Fasting is not wise.

Detailed Answer:
Thank you for getting back to me

As i mentioned fasting is basically reduced caloric intake, but fasting does reduce clotting but it compromised many other organs. We cant super fast just to reduce odds of clotting. You have been rule dout for anticoagulation, you just need to modify risk factors for dvt to prevent it in future. No need to fast and put your body in that much stress. Just modify risk factors. Get evaluated extensively for any hypercoagulable state and let them consider the management plan accordingly. Fasting out of the blue is not the solution.

I hope it helps.
Regards
Khan
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Treatment For DVT Blood Clots

Brief Answer: Anticoagulation is needed Detailed Answer: Thank you for asking I read your question and i understand your concern. If you have Deep venous thrombosis then you need anticoagulation like warfarin and arixtra or rivaroxaban or enoxaparin. Aspirin etc has little role in managing DVT. Talk to your doctor and let them run some labs to sort out the primary cause of this DVT and start you on anticoagulation right away. I hope it helps. Take good care of yourself and dont forget to close the discussion please. Regards XXXXXXX